Web-Based Training for EAP Alcohol Screening, Brief Intervention, and Refer (BigAl2)

The goal of the proposed research is to complete the development of a web-based program to train Employee Assistance Program (EAP) and EAP-affiliated managed behavioral health organization (MBHO) practitioners to conduct screening, brief intervention, and referral to treatment (SBIRT) for problem alcohol use among working adults.

Study Overview

• Status: Completed
• Conditions: Alcohol Consumption; Alcohol Abuse
• Intervention / Treatment: Behavioral: SBIRT Training & Support Tool; Other: Waitlist Control

Detailed Description

In Phase 2, the investigators propose to develop the SBIRT Training & Support Tool with two components: (1) online SBIRT Training for call-center and face-to-face practitioners conducting alcohol SBIRT and (2) SBIRT Support Tool with mobile/web interactive alcohol screening tools and brief intervention protocols to facilitate use of SBIRT by practitioners. The SBIRT Training component will provide practitioners with the skills, knowledge, motivation, and self-efficacy to: (a) screen their clients for unhealthy alcohol use with validated screening tools; (b) provide brief, motivational interviewing-informed intervention; and (c) make appropriate referrals. The training program will incorporate the Phase 1 content and expand the curriculum to include the use of additional validated alcohol screening tools. Content for alcohol SBIRT will be derived from NIAAA evidence-based materials.

The SBIRT Support Tool will provide a mobile/web interface for practitioners to use interactive screening and brief intervention forms with (a) prompts for validated questions in the screening or brief intervention; (b) motivational interviewing-informed dialogue suggestions; (c) online resources (i.e., standard drink list; importance, confidence rulers); and (d) alcohol education and referral information. The practitioner will use the SBIRT Support Tool to (a) screen clients for alcohol use with interactive validated screening tools; (b) provide brief intervention for individuals based on their screening score; and (c) provide referral to treatment for individuals based on their screening score.

• Study Type: Interventional
• Enrollment (Actual): 330
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• EAP/BH practitioners will be employed at an EAP or behavioral health organization
• have an e-mail account
• access to high-speed Internet connection
• speak and read English

Exclusion Criteria:

• younger than 18
• not an EAP practitioner
• no access to e-mail
• no access to the Internet
• do not speak and read English

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: SBIRT Training & Support Tool; The SBIRT Training & Support Tool has two components, both of which will be evaluated: (1) online SBIRT Training for EAP and behavioral health practitioners conducting alcohol SBIRT with their adult clients and (2) mobile/web interactive alcohol screening tools and brief intervention protocols to facilitate use of SBIRT by practitioners.	Behavioral: SBIRT Training & Support Tool; Program to train EAP/behavioral health practitioners in conducting alcohol SBIRT
Other: Waitlist control; Subjects randomized to the control condition will be placed on a wait-list and given access to the SBIRT Training & Support Tool after 3 months and completion of the 3-month follow-up assessment.	Other: Waitlist Control; 3-month wait-list and then provided access to the SBIRT training program

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
SBIRT implementation	Situation judgment tests (SJT) will assess trainee's responses to real-life situations and behaviors. The SJT will consist of 9 brief (20-30 seconds) audio-based vignettes of motivational interviewing and alcohol SBIRT in typical clinical and counseling situations. For each of the 9 SJTs, trainees will identify MI/SBIRT-compliant responses.	3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Perceived Competence	13-item scale assessing trainee's perceived competence (self-efficacy) for using motivational interviewing and alcohol SBIRT skills	3 months
Knowledge	23-item scale assessing trainee's knowledge of motivational interviewing and alcohol SBIRT concepts	3 months
Attitudes	10-item scale assessing trainee's attitudes about conducting motivational interviewing and alcohol SBIRT with clients	3 months

Collaborators and Investigators

• Sponsor: Oregon Center for Applied Science, Inc.
• Collaborators: National Institute on Alcohol Abuse and Alcoholism (NIAAA)
• Investigators: Principal Investigator: Amelia J Birney, MPH, MCHES, Oregon Center for Applied Science

Study record dates

Study Major Dates

• Study Start (Actual): June 22, 2016
• Primary Completion (Actual): November 13, 2016
• Study Completion (Actual): November 13, 2016

Study Registration Dates

• First Submitted: June 30, 2015
• First Submitted That Met QC Criteria: July 1, 2015
• First Posted (Estimate): July 2, 2015

Study Record Updates

• Last Update Posted (Estimate): January 26, 2017
• Last Update Submitted That Met QC Criteria: January 24, 2017
• Last Verified: January 1, 2017

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Chemically-Induced Disorders; Drinking Behavior; Alcohol-Related Disorders; Substance-Related Disorders; Alcohol Drinking; Alcoholism
• Other Study ID Numbers: BIG Al 2; 2R44AA021053 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No