SBIRT Implementation for Adolescents in Urban Federally Qualified Health Centers

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

98 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2017-12-31

Brief Summary

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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.

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Detailed Description

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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.

Conditions

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Alcohol-induced Disorders Drug Users Tobacco Use Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Specialist

The brief interventions are delivered by behavioral health counselors.

Group Type EXPERIMENTAL

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

Intervention Type BEHAVIORAL

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

Generalist

The brief interventions are delivered by the primary care provider.

Group Type ACTIVE_COMPARATOR

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

Intervention Type BEHAVIORAL

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

Interventions

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

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

Intervention Type BEHAVIORAL

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

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

Intervention Type BEHAVIORAL