Screening Brief Intervention Referral to Treatment (SBIRT) in New Mexico

Study Overview
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Brief Summary
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The purpose of this study is to compare the effectiveness in reducing drug use and its associated problems of a brief intervention for drug use delivered by a behavioral health counselor as compared to a brief intervention delivered by a computerized intervention.

Detailed Description
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Drug use is a significant cause of morbidity and mortality in the United States. Efforts to develop and rigorously evaluate methods to provide Screening, Brief Intervention and Referral to Treatment (SBIRT) for drug users are needed. Computerized screening and brief interventions in particular have the potential to circumvent some of the potential problems of integrating SBIRT delivered by a counselor into busy primary care settings. These interventions may reduce drug use among individuals who are using drugs but are not yet drug dependent.

Official Title
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SBIRT in New Mexico

Conditions
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Drug Abuse, HIV Risk Behavior

Intervention / Treatment
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* Behavioral: Computerized brief intervention
* Behavioral: Counselor delivered brief intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years or older Moderate risk category on the ASSIST scores Exclusion Criteria: planning to move out of New Mexico in the next year receipt of formal drug abuse treatment or a brief intervention for drug use in the past month.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Computerized Brief Intervention<br>Computerized one-session brief intervention for drug use | Behavioral: Computerized brief intervention<br>* This is a brief computerized intervention focused on drug use of patients receiving primary care treatment in an outpatient setting. The intervention is delivered in one session.<br>|
| Active Comparator: Counselor delivered brief intervention<br>This is a brief intervention focused on drug use delivered by a behavioral health counselor and based on motivational interviewing | Behavioral: Counselor delivered brief intervention<br>* This is a one session brief intervention delivered in a primary care setting that is based on motivational interviewing.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Alcohol, Smoking & Substance Involvement Screening Test (ASSIST) Score | The ASSIST's Global Continuum of Illicit Drug Risk was used. A higher score is considered more severe risk. The scores range from 0 to 308. | 3 months post-baseline | 
| Hair Testing | The number of participants testing positive on Radioimmunoassay (RIA) Hair Testing for opiates, cocaine, amphetamine and tetrahydrocannabinol (THC) | 3 month post-baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Human Immunodeficiency Virus (HIV) Drug Use Risk Assessment Battery Subscale | HIV Drug Use Risk Assessment Battery Subscale Score ranges from 0 to 22. A higher score is considered to be associated with higher risk. | 3 months post-baseline | 
| Alcohol, Smoking & Substance Involvement Screening Test (ASSIST) Score | ASSIST's Global Continuum of Illicit Drug Risk Score which ranges from 0 to 308. A higher score is associated with higher risk. | 6 month post-baseline | 
| Alcohol, Smoking & Substance Involvement Screening Test (ASSIST) Score | ASSIST's Global Continuum of Illicit Drug Risk Score which ranges from 0 to 308. A higher score is associated with higher risk. | 12 months post-baseline | 
| Hair Testing | The predicted probabilities for testing positive on Radioimmunoassay (RIA) Hair Testing for opiates, cocaine, amphetamine and tetrahydrocannabinol (THC), calculated from generalized estimating equations. | 6 month post-baseline | 
| Hair Testing | Predicted Probabilities for testing positive on the Radioimmunoassay (RIA) Hair Testing for opiates, cocaine, amphetamine and THC, calculated from generalized estimating equations. | 12 month post-baseline | 
| Human Immunodeficiency Virus (HIV) Risk Assessment Battery Subscale | HIV Drug Use Risk Assessment Battery Subscale Score ranges from 0 to 22. A higher score is considered to be associated with higher risk. | 6 month post-baseline | 
| Human Immunodeficiency Virus (HIV) Risk Assessment Battery Subscale Score | HIV Drug Use Risk Assessment Battery Subscale Score ranges from 0 to 22. A higher score is considered to be associated with higher risk. | 12 month post-baseline | 

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