Computerized Screening, Brief Intervention, and Referral to Treatment in Primary Care

Not Applicable

Completed

• Conditions: Substance Use Disorder
• Interventions: Behavioral: Computerized brief intervention; Behavioral: Computerized health screening; Behavioral: Computerized assessment; Behavioral: Therapist-delivered motivational intervention

• Registration Number: NCT01003834
• Lead Sponsor: Virginia Commonwealth University

Brief Summary

This is a randomized, controlled clinical trial to evaluate the effect of a computerized screening, assessment, and brief intervention on substance use in patients recruited from a primary care clinic. Study participants will be assigned to one of the following 4 study groups: computerized health screening alone (standard care) (SC); computerized assessment-only intervention (CA); computerized assessment followed by a computer-directed motivational intervention (CACI); or computerized assessment followed by a therapist-delivered motivational intervention (CATI). Data regarding substance use, medical and psychosocial functioning, and economic outcomes will be collected.

The investigators hypothesize that patients randomized to CACI and CATI will be more likely to report drug abstinence at the 3-month follow-up visit and will show greater reductions in drug use at 1, 3 and 6 months follow-up than patients assigned to CA or SC. Similarly, patients in the CACI and CATI groups will report greater reductions in HIV risk behaviors, lower rates of medical and psychosocial problems, and increased economic gains at the 6-month follow-up. In addition, patients in the assessment only intervention (CA) will have outcomes superior to those found for SC patients. A cost-effectiveness analysis will also be done comparing economic costs associated with CA, CACI and CATI and their relationship to substance use reductions and related improvements in medical and psychosocial outcomes at the 6 month follow-up.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2009-10-27
• Study First Submitted QC: 2009-10-28
• Study First Posted: 2009-10-29
• Study Start: 2011-11
• Primary Completion: 2013-12
• Study Completion: 2014-07
• Status Verified: 2015-12
• Last Update Submitted: 2015-12-07
• Last Update Posted: 2015-12-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 713

Inclusion Criteria

• 18 - 65 years
• Primary care clinic patient

Exclusion Criteria

• Pregnant

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Computer Intervention	Computerized brief intervention	Screening, assessment, and computer-delivered intervention
Therapist Intervention	Computerized assessment	Screening, Assessment, and therapist-delivered intervention
Therapist Intervention	Therapist-delivered motivational intervention	Screening, Assessment, and therapist-delivered intervention
Control	Computerized health screening	Screening only
Assessment	Computerized health screening	Screening plus assessment
Computer Intervention	Computerized health screening	Screening, assessment, and computer-delivered intervention
Therapist Intervention	Computerized health screening	Screening, Assessment, and therapist-delivered intervention
Assessment	Computerized assessment	Screening plus assessment
Computer Intervention	Computerized assessment	Screening, assessment, and computer-delivered intervention

Primary Outcome Measures

Name	Time	Method
Substance use	3 months

Trial Locations

Locations (1)

Virginia Commonwealth University; 🇺🇸 Richmond, Virginia, United States