Leveraging Technology to Address Unhealthy Drug Use in Primary Care Settings

Not Applicable

Completed

• Conditions: Addiction
• Interventions: Other: Screening Only (SO) condition; Other: SUSIT Condition

• Registration Number: NCT02893514
• Lead Sponsor: NYU Langone Health

Brief Summary

This study will develop a clinical decision support tool that assists primary care providers in carrying out substance use interventions, and then compare (in Phase 2) two clinical scenarios, screening only (SO) vs. SUSIT, (on dose of substance use brief intervention received) and changes in drug use at 3 and 6 months, among primary care patients. Investigators will develop the Clinical Decision Support (CDS) component and then test the full SUSIT approach, using mixed methods to assess its acceptability and adoption, and gathering preliminary data on its efficacy for reducing unhealthy drug use. CDS development is concurrent with the SO phase to avoid losing valuable time, but will be conducted at a secondary study site to avoid contaminating the SO condition.

Detailed Description

This study has 3 specific aims:

Aim 1 is to develop clinical decision support that assists primary care providers in carrying out a brief intervention.

Aim 2 is to assess the impact of the SUSIT on dose of substance use brief intervention received by patients.

Aim 3 is to gather preliminary evidence on the efficacy of the SUSIT approach for reducing moderate-risk drug use.

Study Timeline

• Study First Submitted: 2016-08-11
• Study First Submitted QC: 2016-09-02
• Study First Posted: 2016-09-08
• Study Start: 2017-04-13
• Primary Completion: 2019-03-30
• Study Completion: 2019-07-31
• Status Verified: 2022-04
• Results First Submitted: 2022-04-13
• Results First Submitted QC: 2022-04-13
• Last Update Submitted: 2022-04-13
• Results First Posted: 2022-05-09
• Last Update Posted: 2022-05-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 79

Inclusion Criteria

• Substance use screening results (collected using the tablet-based screening tool) indicating current moderate risk drug use, based on a substance specific involvement score (SSIS) indicating current (past 3 months) use of at least one drug with a moderate risk level (SSIS 4-26), in the absence of any high-risk drug or alcohol use (SSIS 27+);
• Presenting for visit with a participating PCP

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Exclusion Criteria

• Prior participation in the study (i.e. participation in the SO study phase would preclude participation in the SUSIT phase);
• Attending a formal addiction treatment program (not including informal treatment such as Alcoholics Anonymous, Narcotics Anonymous), in the past 3 months;
• Pregnant (based on self-report).

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Screening Only (SO)	Screening Only (SO) condition	-
Substance Use Screening and Intervention Tool (SUSIT)	SUSIT Condition	-

Primary Outcome Measures

Name	Time	Method
Receipt of Brief Intervention (BI) for Drug Use at Baseline Visit	Baseline	Reported by Patients

Trial Locations

Locations (1)

New York University School of Medicine; 🇺🇸 New York, New York, United States