TAU vs m-SBIRT in Primary Care

Not Applicable

Withdrawn

• Conditions: Substance Use Disorders
• Interventions: Behavioral: m-SBIRT (mobile-Screening, Brief Intervention, and Referral to Treatment)

• Registration Number: NCT06250153
• Lead Sponsor: Medical University of South Carolina

Brief Summary

The goal of this research is to leverage technology in primary care clinics to improve screening, brief intervention and referral to Substance Use Disorder (SUD) treatment, and treatment attendance by comparing

1. a text message-based screening, phone-based brief intervention, and referral to treatment by a remote care coordinator (m-SBIRT; intervention arm), versus

2. evidence-based, in-person Screening, Brief Intervention, and Referral to Treatment (SBIRT; Treatment As Usual (TAU); control arm).

Primary Aim is to compare the efficacy of m-SBIRT to TAU in positive screens for substance use. Secondary Aim is to compare m-SBIRT to TAU on Substance Use Treatment Attendance.

Detailed Description

This research study is looking at the use of technology in primary care clinics and seeing if it improves screening, brief intervention and referral to Substance Use Disorder (SUD) treatment, and attendance to treatment. To do so the study, Investigators will be comparing a text message based substance use screening and treatment program, called Mobile Screening, Brief intervention, and Referral to Treatment (m-SBIRT) to standard of care Screening, Brief Intervention and Referral Treatment which traditionally takes place in-person. Patients at the MUSC Bee Street Primary Care Clinic between the ages of 18-75 may be eligible.

Study Timeline

• Study Start: 2024-01-01
• Study First Submitted: 2024-01-27
• Study First Submitted QC: 2024-02-01
• Study First Posted: 2024-02-08
• Primary Completion: 2024-10-30
• Study Completion: 2024-10-30
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-03
• Last Update Posted: 2025-02-05

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: 442

Inclusion Criteria

• Age 18-75
• Attended a primary care visit at the MUSC Family Medicine clinic on Bee St
• English fluency
• Owner of a cell phone with SMS text-message based capability
• Access to WIFI
• A device to allow audio and video teleconferencing if completing informed consent remotely
• Able to provide informed consent.

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
m-SBIRT (mobile-Screening, Brief Intervention, and Referral to Treatment)	m-SBIRT (mobile-Screening, Brief Intervention, and Referral to Treatment)	This group will receive a mobile phone text message based substance use screening (questions used in standard of care) with immediate automated feedback, paired with remote care coordination and, if appropriate, referral to substance use disorder (SUD) treatment.

Primary Outcome Measures

Name	Time	Method
Positive screens for substance use	Immediately following screening.	A positive screen is defined as positive endorsement of substance use (alcohol, drugs, tobacco, etc) within the questionnaire. We will compare rates of positive screens for substance use in individuals assigned to m-SBIRT compared to TAU.
Change in treatment attendance	Within one month of referral to treatment.	Treatment attendance is defined as attending one or more visits to address substance use concerns within one month of referral. We will compare rates of treatment attendance of individuals assigned to m-SBIRT compared to TAU.

Trial Locations

Locations (1)

Medical University of South Carolina; 🇺🇸 Charleston, South Carolina, United States