- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02387489
A Clinical Trial of SBIRT Services in School-based Health Centers
November 13, 2018 updated by: Friends Research Institute, Inc.
A Randomized Clinical Trial of Screening, Brief Intervention, and Referral-to-Treatment (SBIRT) Services in School-based Health Centers
The purpose of the study is to examine the comparative effectiveness of a computerized brief intervention vs. an in-person brief intervention delivered by a nurse in reducing marijuana, alcohol, and sex risk behaviors in adolescents receiving services in school-based health centers.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Substance use among adolescents continues to be highly prevalent in the US.
Likewise, many adolescents engage in sexual behaviors that place them at elevated risk for HIV and other sexually transmitted infections.
Screening, brief intervention, and referral to treatment (SBIRT) is a promising approach for integrating substance use services into healthcare settings.
School-based health centers (SBHCs) are a rapidly expanding model of healthcare delivery offering health services far beyond those of the traditional school health office.
Implementing SBIRT in SBHCs could have major public health benefits, but research is needed to identify the most effective way to deliver SBIRT for adolescents in these settings.
Two approaches for SBIRT that are particularly promising in their practicality, scalability, and sustainability are nurse practitioner-delivered brief intervention and computer-delivered brief intervention.
This randomized controlled trial seeks to determine the comparative clinical effectiveness and cost-effectiveness of these two approaches in reducing marijuana use, alcohol use, and sex risk behaviors.
The study will be conducted in SBHCs embedded within public high schools in Baltimore, Maryland.
SBHC patients will be screened for eligibility by research staff with the CRAFFT, a brief substance misuse screening instrument recommended by the American Academy of Pediatrics.
The study will enroll 300 male and female adolescents who report risky marijuana or alcohol use.
Participants will be randomly assigned to receive a nurse practitioner-delivered brief intervention (NBI) consisting of brief motivational advice as part of their medical visit, or a promising interactive computer-delivered brief intervention (CBI) based on motivational interviewing.
Both intervention conditions will include HIV risk reduction content tailored based on individual risk factors, and both conditions will include a referral pathway for additional substance abuse assessment and possible treatment by specialized substance abuse treatment staff.
Research assessments will be conducted at baseline and at 3- and 6-month follow-up, and will gather self-reported data on substance use and sexual risk behaviors.
A focused economic analysis will compare the NBI and CBI conditions with respect to their incremental cost-effectiveness for selected primary behavioral outcomes and for quality-adjusted life years (QALYs).
A qualitative process evaluation will examine adolescent participants' and SBHC staff members' perspectives on the competing BI strategies.
This study has the potential for significant public health impact because it could identify the most effective SBIRT model for addressing adolescent substance use and HIV risk behaviors, both of which can have major health repercussions in the near-term and over the lifespan.
The study is highly innovative in its focus on SBHCs, a rapidly expanding healthcare model that is uniquely suited to maximize the impact and reach of SBIRT for adolescents.
Study Type
Interventional
Enrollment (Actual)
300
Phase
- Not Applicable
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
14 years to 18 years (Child, Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patient seen at one of the participating school-based health centers
- Self-reported marijuana or alcohol use (on CRAFFT screener)
- CRAFFT score of 2 or higher
Exclusion Criteria:
- use of illicit drugs, or non-medical use of prescription drugs, other than marijuana, alcohol, or tobacco (as self-reported on CRAFFT screener)
- current enrollment in substance abuse treatment
- pregnancy
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: NBI
Nurse-delivered Brief Intervention
|
Brief in-person motivational intervention tailored to participants' risk behaviors, delivered by a nurse.
|
Experimental: CBI
Computerized Brief Intervention
|
Computer-delivered motivational intervention tailored to participants' risk behaviors.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
frequency of marijuana use
Time Frame: 3 months; 6 months
|
days of marijuana use in the past 30 days
|
3 months; 6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
frequency of alcohol use
Time Frame: 3 months; 6 months
|
days of alcohol use in the past 30 days
|
3 months; 6 months
|
binge drinking
Time Frame: 3 months; 6 months
|
binge drinking in the past 30 days
|
3 months; 6 months
|
Marijuana Risks
Time Frame: 3 months; 6 months
|
Marijuana ASSIST risk scores
|
3 months; 6 months
|
Alcohol Risks
Time Frame: 3 months; 6 months
|
Alcohol ASSIST risk scores
|
3 months; 6 months
|
Unprotected sex
Time Frame: 3 months; 6 months
|
Days of unprotected sex
|
3 months; 6 months
|
Sex while intoxicated
Time Frame: 3 months; 6 months
|
Days of sex while under the influence of drugs or alcohol
|
3 months; 6 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assessment/treatment entry
Time Frame: 3 months; 6 months
|
access assessment or treatment services
|
3 months; 6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 2, 2015
Primary Completion (Actual)
September 11, 2018
Study Completion (Actual)
September 11, 2018
Study Registration Dates
First Submitted
March 4, 2015
First Submitted That Met QC Criteria
March 11, 2015
First Posted (Estimate)
March 13, 2015
Study Record Updates
Last Update Posted (Actual)
November 15, 2018
Last Update Submitted That Met QC Criteria
November 13, 2018
Last Verified
November 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 14-03-221
- 1R01DA036604 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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