Adolescent Behavior, Adolescent Health Services
Conditions
Keywords
SBIRT
Brief summary
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
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.
Interventions
BEHAVIORALbrief intervention
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.
BEHAVIORALtreatment as usual
standard care conducted by primary care providers during clinic visits
Sponsors
Conrad N. Hilton Foundation
Friends Research Institute, Inc.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to 17 Years
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| S2BI | 3 months | S2BI score change |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ASSIST | 3 months | The Alcohol, Smoking and Substance Involvement Screening Test |
| BSTAD | 3 months | Brief Screener for Tobacco, Alcohol, and other Drug Use |
Countries
United States
Outcome results
None listed