Examining the Effectiveness of the FaCES Adolescent SBIRT Intervention

Study Overview
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Brief Summary
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The study will utilize a stepped wedge cluster randomized design to examine the effectiveness of the full FaCES (Facilitating Change for Excellence in SBIRT) adolescent SBIRT change package. Primary care providers will be randomized as to when they receive training and begin delivery of FaCES with their 12 to 17 year old patients, which includes targeted feedback based on the patient's endorsed substance use level on the S2BI screening instrument.

Detailed Description
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The study will utilize a stepped wedge cluster randomized design to examine the effectiveness of the full FaCES (Facilitating Change for Excellence in SBIRT) adolescent change package for 12 to 17 year old primary care patients. Primary care providers at two rural federally qualified health centers in New Mexico and Tennessee will be randomized as to when they receive training and begin delivering FaCES to their adolescent patients. FaCES includes targeted feedback based on the patient's endorsed substance use level on the S2BI screening instrument. Study participants will complete a baseline and follow-up assessment 3-months post study recruitment.

Official Title
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Examining the Effectiveness of the FaCES Adolescent SBIRT Intervention

Conditions
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Adolescent Health Services, Adolescent Behavior

Intervention / Treatment
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* Behavioral: brief intervention
* Behavioral: treatment as usual


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Ages 12 to 17 years, inclusive Registered patient at one of the participating FQHCs Able and willing to provide informed consent Exclusion Criteria: Inability to comprehend the assent form Parent/guardian declines consent

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: FaCES Intervention<br>Primary care providers will deliver anticipatory guidance for adolescents reporting no drug, alcohol or marijuana use in past year, an abbreviated brief intervention for adolescents who report using these substances one or twice in the past year, and a full brief intervention for adolescents who report using these substances monthly or weekly in the past year. | Behavioral: brief intervention<br>* 1 minute or less of anticipatory guidance will be provided for adolescents reporting no use in the past year, a 3-5 minute abbreviated brief intervention including raising the subject, asking more questions, and correcting misinformation will be provided for adolescents reporting substance use once or twice in the past year, and a 5-10 minute full brief intervention will be provided, including the above steps as well as assessing readiness and negotiating change and scheduling a follow-up to potentially include a referral to treatment will be provided to adolescents reporting monthly to weekly use in the past year.<br>|
| Active Comparator: Treatment as usual<br>Usual care will be delivered by primary care providers during the clinic visit | Behavioral: treatment as usual<br>* standard care conducted by primary care providers during clinic visits<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| S2BI | S2BI score change | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ASSIST | The Alcohol, Smoking and Substance Involvement Screening Test | 3 months | 
| BSTAD | Brief Screener for Tobacco, Alcohol, and other Drug Use | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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SBIRT