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Completed

NCT Number: NCT01829308

SBIRT Implementation for Adolescents in Urban Federally Qualified Health Centers

The purpose of this study is to examine the implementation of two evidence-based intervention strategies of SBIRT (Generalist vs. Specialist) for adolescent alcohol, tobacco, other drug use, and HIV risk behaviors.

Completed

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Key information

Conditions

Alcohol-induced Disorders Alcohol-Related Disorders Chemically-Induced Disorders Drug Misuse Drug Users Mental Disorders Substance-Related Disorders Tobacco Use Disorder

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Total Health Care

Baltimore, Maryland, 21217, United States

About this study

Guided by Proctor's conceptual model of implementation research, the proposed study is a multi-site, cluster randomized trial to compare two principal strategies of SBIRT delivery within adolescent medicine. In the Generalist Strategy, the primary care provider delivers brief intervention (BI) for substance misuse. In the Specialist Strategy, BIs are delivered by behavioral health counselors. The 7 study sites, primary care clinics operated by a large, urban Federally Qualified Health Center in Baltimore, will be randomly assigned to implement SBIRT for adolescents using either the Generalist or Specialist strategies. Staff at each site will be trained in the assigned implementation strategy, and quarterly booster trainings will be provided during the implementation period. Implementation outcomes, including: penetration, costs/cost-effectiveness, acceptability, timeliness, fidelity/adherence, and patient satisfaction will be assessed during the 18-month-long implementation period using a complementary combination of administrative service encounter data, provider and patient surveys, and qualitative interviews. At the end of the active implementation period, all training and technical support activities will cease for 12 months in order to measure relative sustainability. The study will also examine the effectiveness of integrating HIV risk screening within an SBIRT model.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • clinic staff

Exclusion criteria

-

Treatment and study plan

The brief interventions are delivered by behavioral health counselors (Specialist)

Behavioral

Behavioral Health Specialists perform the brief intervention. The screening and referral to treatment processes remain the same as with the Generalist condition.

The brief interventions are delivered by the primary care provider (Generalist)

Behavioral

Primary care providers perform the brief intervention. The screening and referral to treatment processes remain the same as with the Specialist condition.

Primary outcomes

  1. Penetration of BI within the Generalist and Specialist models

    Time frame: 12 months

    To examine the relative effectiveness of the Generalist condition v. the Specialist condition in terms of penetration of brief intervention (proportion of patients receiving brief intervention [BI] among those for whom a BI is indicated).

Secondary outcomes

  1. Referral to Treatment

    Time frame: 12 months

    To examine the relative effectiveness of the Generalist condition v. the Specialist condition in terms of referral to specialty substance abuse treatment for those adolescents for whom such treatment is indicated.

  2. Long term penetration of BI within the Generalist and Specialist models

    Time frame: 12 months

    To examine the long term relative effectiveness of the Generalist condition v. the Specialist condition in terms of penetration of brief intervention (proportion of patients receiving BI among those for whom a BI is indicated).

  3. HIV sex-risk behavior screening as part of adolescent SBIRT process

    Time frame: 12 months

    To examine the feasibility and acceptability of integrating HIV risk behavior screening into adolescent primary care as part of an SBIRT program.

Sponsors and collaborators

Lead sponsor

Friends Research Institute, Inc.

Other

Collaborators

  • National Institute on Drug Abuse (NIDA)
  • RTI International

Registry information

Acronym: ST@T

Important dates

Study start
2013
Primary completion
2017
Study completion
2017
First posted
Apr 11, 2013
Registry last updated
Feb 14, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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