Grant: $495,564 - National Institutes of Health - Sep. 21, 2009
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Award Description: Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive, integrated public health approach to identify and deliver a spectrum of early detection and treatment services for substance use in general medical care settings. The effectiveness of SBIRT has been demonstrated in numerous studies, and SBIRT is considered best practice by leading national medical associations for identifying and treating substance misuse even at early stages. however, it is not known if SBIRT is effective for Latino/Hispanic populations, an important gap in knowledge given the large and growing numbers of Latinos, their relatively high drug use prevalence, and the disparities between Latinos and other ethnic/racial groups in terms of substance abuse treatment. This 2-year study will evaluate the effectiveness of SBIRT for drug use and related factors among 500 Latino and 500 non-Latino Whites visiting a large urban emergency department for various reasons. A randomized two-group repeated measures design will be used in which drug-related outcomes of an intervention group will be compared to those of an attention-placebo control group. Participants who report illicit drug use will be recruited from the waiting room of a large hospital Emergency Department, and randomly assigned to one of the two conditions. The intervention group ('Life Shift') will receive SBIRT drug intervention matched to their risk level and drug of choice. To assess the 'true' effect of the SBIRT intervention (i.e. minus the effects of attention), a control group will receive the same quantity of intervention in the area of driving safety ('Shift Gears'). Baseline and 6-month follow-up measures will be collected for all participants, and will include (a) standardizes subjective drug use measures, (b) other measures presumed to be targeted by the intervention (e.g., functional status, perceived barriers to change), and (c) a biological sample tested for the presence of absence of multiple illicit drugs to increase the accuracy of subjective abstinence reports at the follow-up. In addition, driving safety control items will be collected to test the result of the experimental manipulation, with the attention-placebo control group expected to have greater pre-post change on these measures than the SBIRT intervention group. Latino/White differences in response to the intervention will be the primary focus of the study. This randomized control group study will be the first to establish if screening and brief intervention delivered in primary care setting during a 'teachable moment' can motivate both Latino and non-Latino Whites to reduce drug involvement.
Project Description: See Award Description
Jobs Summary: No jobs created (Total jobs reported: 0)
Project Status: Less Than 50% Completed
This award's data was last updated on Sep. 21, 2009. Help expand these official descriptions using the wiki below.