Substance Abuse Clinical Trial
Official title:
Validating Adolescent SBIRT Measures
The purpose of this study is to address the needs for efficient and informative measurement
for evaluating adolescent Screening, Brief Intervention, and Referral to Treatment (SBIRT)
strategies. The investigators will undertake a longitudinal cohort study to build and
validate a substance specific measurement battery that includes patient-centered and
intermediary outcomes which can be integrated into a range of healthcare and research
settings. The results of this project will enable evaluation of SBIRT trials and clinical
efforts by validating a parsimonious set of measurement tools that can be incorporated into
electronic health records. The primary goal of the proposed project is to develop a set of
brief, valid tools that will allow both researchers and clinicians to collect information
that enables evaluating and refining brief interventions.
The main objective is to define and disseminate a set of brief and easy to administer
measures that accurately detect 1) substance use frequency, 2) substance-specific patient
centered outcomes and 3) intermediate measures of impact of adolescent SBIRT. The specific
aim addressed in this project is to develop and administer an assessment battery that
includes novel questions assessing substance use to be validated against criterion standard
measures both cross-sectionally and longitudinally.
A policy level mandate now exists to deliver screening, brief intervention, and referral to
treatment (SBIRT) to all adolescents in primary care. This mandate is spurred by the
imperative to reduce the enormous and preventable morbidity and mortality caused by
adolescent substance use. Despite this mandate and the opportunity to reach large cohorts of
youth early within primary and specialty pediatric care, SBIRT is not routinely delivered nor
used in ways that optimize outcomes. The National Institute on Drug Abuse, National Institute
on Alcoholism and Alcohol Abuse, the Substance Use and Mental Health Services Administration
and the Hilton Foundation have all included adolescent SBIRT in their research, training and
service project portfolios. Lacking validated measures that can be used to assess impacts and
guide early action, opportunities to glean the most effective strategies and components of
brief interventions are hampered despite these considerable investments. This threatens the
relevance and sustainability of this work.
To address the needs for efficient and informative measurement for evaluating adolescent
Screening, Brief Intervention, and Referral to Treatment (SBIRT) strategies, the
investigators will undertake a longitudinal cohort study to build and validate a substance
specific measurement battery that includes patient-centered and intermediary outcomes which
can be integrated into a range of healthcare and research settings. This is a construct
validity study in which the investigators will be interested in seeing whether a brief set of
questions will accurately measure substance use when compared to lengthy gold standard
measures. This is also a predictive validity study, in which the investigators are interested
in seeing whether proposed patient-centered and intermediary outcomes are relevant in
predicting future substance use risk or patterns of use. The results of this project will
enable evaluation of SBIRT trials and clinical efforts by validating a parsimonious set of
measurement tools that can be incorporated into electronic health records.
This project is one component of a two part study in which the investigators will enroll a
total of 900 adolescents. The investigators will enroll a total of 450 participants from the
Adolescent/Young Adult Medical Clinic for this study and will attempt to follow participant
for one year. Accounting for attrition at 6 months and 12 months follow-up, the investigators
expect 300 participants will complete the entire study.
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