Virtual Screening and Intervention for Adolescent Alcohol Use
Recruiting in Palo Alto (17 mi)
Age: < 18
Sex: Any
Travel: May be covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Kaiser Permanente
No Placebo Group
Approved in 1 jurisdiction
Trial Summary
What is the purpose of this trial?Adolescent alcohol and other drug (AOD) use is a significant public health problem which contributes to high levels of mortality, morbidity and healthcare costs in young people, and identification and early intervention for these problems is critical to improving outcomes. Screening, Brief Intervention and Referral to Treatment (SBIRT) in pediatric primary care is an evidence-based strategy for addressing these problems, but has not been widely and systematically implemented, for a variety of reasons, including lack of training and staffing resources to support its implementation. This pragmatic, Type 1 Hybrid Comparative Effectiveness Implementation study will examine whether a centralized, virtually-delivered modality of SBIRT, rapidly accessible by multiple pediatric primary care clinics, can be cost-effectively implemented to improve early identification and treatment for AOD use and comorbid mental health problems among adolescents identified as being at high or severe risk of AOD use disorder during adolescent Well Visits.
How is the Centralized Virtual SBIRT treatment different from other treatments for adolescent alcohol use?
Centralized Virtual SBIRT is unique because it uses telehealth to deliver screening, brief intervention, and referral to treatment for adolescents, which can reduce the burden on on-site clinicians and make the process more accessible and sustainable compared to traditional in-person methods.
23459Is the SBIRT approach safe for adolescents?
The SBIRT approach, which includes screening, brief intervention, and referral to treatment, is widely used and considered safe for adolescents. It is an evidence-based method aimed at reducing substance use and preventing related health issues.
12678What data supports the effectiveness of the treatment Centralized Virtual SBIRT for adolescent alcohol use?
Research suggests that the SBIRT model, which includes screening, brief intervention, and referral to treatment, may be effective for adolescents at risk of substance use disorders. Although more studies are needed, brief interventions have shown promise in helping adolescents reduce risky substance use behaviors.
245810Do I need to stop my current medications to join the trial?
The trial information does not specify whether you need to stop taking your current medications.
Eligibility Criteria
This trial is for adolescents who may be at high or severe risk of alcohol or other drug use disorders. It's aimed to help with early identification and treatment, including those with comorbid mental health issues.Participant Groups
The study is testing a centralized virtual SBIRT (Screening, Brief Intervention, and Referral to Treatment) approach in pediatric primary care settings to see if it can effectively identify and manage adolescent substance use.
2Treatment groups
Experimental Treatment
Active Control
Group I: CV SBIRTExperimental Treatment1 Intervention
Clinics where brief interventions are delivered virtually by video or telephone by a centralized behavioral health clinician (CV-SBIRT arm)
Group II: Usual Care/Traditional SBIRTActive Control1 Intervention
Clinics where appointment-based brief interventions are delivered by a behavioral health clinician assigned to the clinic (Traditional SBIRT arm)
Centralized Virtual SBIRT is already approved in United States for the following indications:
🇺🇸 Approved in United States as SBIRT for:
- Alcohol use disorder
- Substance use disorder
- Comorbid mental health problems
Find A Clinic Near You
Research locations nearbySelect from list below to view details:
Kaiser Permanente Division of ResearchPleasanton, CA
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Who is running the clinical trial?
Kaiser PermanenteLead Sponsor
References
Screening, brief intervention, and referral for alcohol use in adolescents: a systematic review. [2022]Alcohol use by adolescents is widespread and is connected to a number of negative health and social outcomes. Adolescents receiving emergent care for injuries are often linked with risky use of alcohol. The trauma system has widely adopted the use of screening, brief intervention, and referral to treatment (SBIRT) for preventing alcohol-related injury recidivism and other negative outcomes. The purpose of this article is to review the evidence around SBIRT with adolescent patients in acute care settings.
SBIRT for adolescent drug and alcohol use: current status and future directions. [2022]Adolescence is a period of rapid biological, psychological, and social development in the human life cycle. Drug and alcohol misuse during this critical period poses substantial problems for individual and public health, yet is highly prevalent in the United States and elsewhere. The screening, brief interventions, and referral to treatment (SBIRT) model may be well-suited for identifying and intervening with adolescents who are at-risk of developing substance use disorders and those adolescents whose substance use puts them at risk for injury or illness. This article reviews the literature on SBIRT for adolescent populations, focusing on findings from randomized controlled trials. The limited evidence suggests that brief interventions may be effective with adolescents, but a number of gaps in the literature were identified. Considerations for implementing SBIRT with adolescent populations are discussed. Randomized trials are needed that have adequate statistical power, employ longer-term follow-ups, and test the effectiveness of SBIRT for adolescents in various service delivery settings.
The remote brief intervention and referral to treatment model: Development, functionality, acceptability, and feasibility. [2018]Screening, brief intervention, and referral to treatment (SBIRT) is effective for reducing risky alcohol use across a variety of medical settings. However, most programs have been unsustainable because of cost and time demands. Telehealth may alleviate on-site clinician burden. This exploratory study examines the feasibility of a new Remote Brief Intervention and Referral to Treatment (R-BIRT) model.
Addressing substance misuse in adolescents: a review of the literature on the screening, brief intervention, and referral to treatment model. [2022]Adolescent substance use is a major public health concern in the United States. Pediatricians are in a unique position via the medical home to address this issue. Screening, brief intervention, and referral to treatment (SBIRT) is a comprehensive approach that aims to prevent, identify, and reduce substance use. SBIRT has been heavily studied in adults, but research with adolescents is still ongoing. This review examines the SBIRT model and highlights recent applicable research.
Substance Use Screening, Brief Intervention, and Referral to Treatment. [2022]The enormous public health impact of adolescent substance use and its preventable morbidity and mortality highlight the need for the health care sector, including pediatricians and the medical home, to increase its capacity regarding adolescent substance use screening, brief intervention, and referral to treatment (SBIRT). The American Academy of Pediatrics first published a policy statement on SBIRT and adolescents in 2011 to introduce SBIRT concepts and terminology and to offer clinical guidance about available substance use screening tools and intervention procedures. This clinical report provides a simplified adolescent SBIRT clinical approach that, in combination with the accompanying updated policy statement, guides pediatricians in implementing substance use prevention, detection, assessment, and intervention practices across the varied clinical settings in which adolescents receive health care.
Implementing SBIRT for adolescents within community mental health organizations: A mixed methods study. [2020]Many adolescents with substance use problems remain untreated, leading to increased risk for the development of substance use disorders. One response is Screening, Brief Intervention, and Referral to Treatment (SBIRT)-an evidence-based, early intervention that can be tailored for adolescents. This mixed methods study examined the implementation of SBIRT across 27 community mental health organizations (CMHOs) serving adolescents.
Preparing Advanced Practice Registered Nursing Students to Deliver Adolescent SBIRT for Substance Use. [2019]Adolescent substance use is a significant public health problem in the United States screening, brief intervention, and referral to treatment (SBIRT) and is an evidence-based approach to assist individuals to reduce substance use before serious problems develop. Universal SBIRT is recommended for routine health care.
Health Care Use Over 3 Years After Adolescent SBIRT. [2020]Most studies on adolescent screening, brief intervention, and referral to treatment (SBIRT) have examined substance use outcomes. However, it may also impact service use and comorbidity-an understudied topic. We address this gap by examining effects of SBIRT on health care use and comorbidities.
Interactive Computer Simulation for Adolescent Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Substance Use in an Undergraduate Nursing Program. [2022]Adolescent substance use has been identified as our nation's number one public health problem. Screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based approach to identify and address adolescent substance use. Despite recommendations for universal implementation, adolescent SBIRT training has been notably absent from undergraduate nursing curricula. This project describes and evaluates the effectiveness of using an interactive computer simulation for adolescent SBIRT in an undergraduate nursing program.
Addressing adolescent substance use in an urban pediatric federally qualified health center. [2022]Screening, brief intervention, and referral to treatment (SBIRT) is a systematic approach to identification and intervention for individuals at risk for substance use disorders. Prior research indicates that SBIRT is underutilized in pediatric primary care. Yet few studies have examined procedures for identifying and addressing substance use in clinics that serve publicly insured adolescents (i.e., federally qualified health centers [FQHC]). This descriptive, multi-method study assessed adolescent substance use frequency and provider perspectives to inform SBIRT implementation in an urban pediatric FQHC in California.