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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Web-Based Training for EAP Alcohol Screening, Brief Intervention, and Refer

Conditions
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Alcohol Consumption, Alcohol Abuse

Intervention / Treatment
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* Behavioral: SBIRT Training & Support Tool
* Other: Waitlist Control


Participation Criteria
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Eligibility Criteria
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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

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: SBIRT Training & Support Tool<br>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<br>* Program to train EAP/behavioral health practitioners in conducting alcohol SBIRT<br>|
| Other: Waitlist control<br>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<br>* 3-month wait-list and then provided access to the SBIRT training program<br>|

What is the study measuring?
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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 |