Examining the Effectiveness of the FaCES Adolescent SBIRT Intervention

Not Applicable

Completed

• Conditions: Adolescent Health Services; Adolescent Behavior
• Interventions: Behavioral: brief intervention; Behavioral: treatment as usual

• Registration Number: NCT04097964
• Lead Sponsor: Friends Research Institute, Inc.

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.

Study Timeline

• Study Start: 2018-03-15
• Study First Submitted: 2019-09-19
• Study First Submitted QC: 2019-09-19
• Study First Posted: 2019-09-20
• Primary Completion: 2021-06-30
• Study Completion: 2021-06-30
• Status Verified: 2021-10
• Last Update Submitted: 2021-10-21
• Last Update Posted: 2021-10-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1226

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
FaCES Intervention	brief intervention	Primary care providers will deliver anticipatory guidance for adolescents reporting no drug, alcohol or marijuana use in past year, an abbreviated brief intervention for adolescents who report using these substances one or twice in the past year, and a full brief intervention for adolescents who report using these substances monthly or weekly in the past year.
Treatment as usual	treatment as usual	Usual care will be delivered by primary care providers during the clinic visit

Primary Outcome Measures

Name	Time	Method
S2BI	3 months	S2BI score change

Secondary Outcome Measures

Name	Time	Method
ASSIST	3 months	The Alcohol, Smoking and Substance Involvement Screening Test
BSTAD	3 months	Brief Screener for Tobacco, Alcohol, and other Drug Use

Trial Locations

Locations (2)

Hidalgo Medical Services; 🇺🇸 Silver City, New Mexico, United States

Lifespan Health; 🇺🇸 Savannah, Tennessee, United States