Barbershop Talk: Reducing Excessive Alcohol Consumption Among Black Men

Study Overview
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Brief Summary
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Socially disadvantaged Black men are at increased risk for unhealthy drinking habits that may, in turn, increase preventable chronic disease. This project seeks to test the effectiveness of a Screening, Brief Intervention, and Referral to Treatment (SBIRT) intervention for use within barbershop settings to reduce average drinking days and the number of unhealthy drinking days. Data from this study will further our understanding of how to reduce the risk of alcohol-related morbidity and mortality among Black men. Data will also improve our understanding of strategies that can improve the implementation of evidence-based care models in non-clinical settings; thus, extending the reach of evidence-based care to communities with the highest need.

Official Title
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Barbershop Talk: Reducing Excessive Alcohol Consumption Among Black Men

Conditions
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Drinking Behavior, Drinking Excessive, Drinking

Intervention / Treatment
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* Behavioral: SBIRT


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: self-identify as Black aged 18 or older low income as defined by any indicator (e.g., Medicaid; Earned Income Tax Credit; Children's Health Insurance Plan; subsidized housing; child care subsidies; food stamps; low-income energy assistance; free/reduced lunch program; supplemental nutrition program; Head Start program). Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

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: Health Services Research
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: SBIRT<br>Each intervention barbershop, will hold screening days, where a trained community health worker will be onsite to provide Screening, Brief Intervention, and Referral to Treatment (SBIRT). | Behavioral: SBIRT<br>* Low risk individuals will receive an educational pamphlet about alcohol use and the impact on health. Moderate Risk individuals will receive a brief alcohol intervention. High risk individuals will receive the brief alcohol intervention and be referred to specialty treatment.<br>|
| Other: Usual-care<br>Six months after completion of Time 1, barbershops in the usual-care arm will receive the intervention. | Behavioral: SBIRT<br>* Low risk individuals will receive an educational pamphlet about alcohol use and the impact on health. Moderate Risk individuals will receive a brief alcohol intervention. High risk individuals will receive the brief alcohol intervention and be referred to specialty treatment.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Alcohol Use - total number of drinking days | At-risk drinking behavior measured as: number of drinking days | Baseline | 
| Alcohol Use - total number of drinking days | At-risk drinking behavior measured as: number of drinking days | 3 months | 
| Alcohol Use - total number of drinking days | At-risk drinking behavior measured as: number of drinking days | 6 months | 
| Alcohol Use - number of unhealthy drinking days | At-risk drinking behavior measured as: number of unhealthy drinking days | Baseline | 
| Alcohol Use - number of unhealthy drinking days | At-risk drinking behavior measured as: number of unhealthy drinking days | 3 months | 
| Alcohol Use - total number of unhealthy drinking days | At-risk drinking behavior measured as: number of unhealthy drinking days | 6 months | 
| Mental Health - depression | The PHQ-9 is the depression module of the Patient Health Questionnaire (a diagnostic instrument for common mental disorders), which scores each of the 9 DSM-IV criteria as 0 (not at all) to 3 (nearly every day). The PHQ9 will be used for this outcome. | Baseline | 
| Mental Health - depression | The PHQ-9 is the depression module of the Patient Health Questionnaire (a diagnostic instrument for common mental disorders), which scores each of the 9 DSM-IV criteria as 0 (not at all) to 3 (nearly every day). The PHQ9 will be used for this outcome. | 3 months | 
| Mental Health - depression | The PHQ-9 is the depression module of the Patient Health Questionnaire (a diagnostic instrument for common mental disorders), which scores each of the 9 DSM-IV criteria as 0 (not at all) to 3 (nearly every day). The PHQ9 will be used for this outcome. | 6 months | 
| Mental Health - Posttraumatic Stress Disorder (PTSD) | Posttraumatic Stress Disorder Checklist for DSM-5 (PCL5) | Baseline | 
| Mental Health - Posttraumatic Stress Disorder (PTSD) | Posttraumatic Stress Disorder Checklist for DSM-5 (PCL5) | 3 months | 
| Mental Health - Posttraumatic Stress Disorder (PTSD) | Posttraumatic Stress Disorder Checklist for DSM-5 (PCL5) | 6 months | 
| Social Support | Family, friend, and partner support (number of people in support network) | Baseline | 
| Social Support | Family, friend, and partner support (number of people in support network) | 3 months | 
| Social Support | Family, friend, and partner support (number of people in support network) | 6 months | 
| Healthcare Utilization | Number of subjects who have utilized healthcare services | Baseline | 
| Healthcare Utilization | Number of subjects who have utilized healthcare services | 3 months | 
| Healthcare Utilization | Number of subjects who have utilized healthcare services | 6 months |