Examining the Effectiveness of the FaCES Adolescent SBIRT Intervention

Friends Research Institute

Status: Completed

Conditions: Adolescent Health Services; Adolescent Behavior

Treatments: Behavioral: treatment as usual; Behavioral: brief intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT04097964

16743

Details and patient eligibility

About

The study will utilize a stepped wedge cluster randomized design to examine the effectiveness of the full FaCES (Facilitating Change for Excellence in SBIRT) adolescent SBIRT change package. Primary care providers will be randomized as to when they receive training and begin delivery of FaCES with their 12 to 17 year old patients, which includes targeted feedback based on the patient's endorsed substance use level on the S2BI screening instrument.

Full description

The study will utilize a stepped wedge cluster randomized design to examine the effectiveness of the full FaCES (Facilitating Change for Excellence in SBIRT) adolescent change package for 12 to 17 year old primary care patients. Primary care providers at two rural federally qualified health centers in New Mexico and Tennessee will be randomized as to when they receive training and begin delivering FaCES to their adolescent patients. FaCES includes targeted feedback based on the patient's endorsed substance use level on the S2BI screening instrument. Study participants will complete a baseline and follow-up assessment 3-months post study recruitment.

Enrollment: 1,226 patients

Sex: All

Ages: 12 to 17 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Ages 12 to 17 years, inclusive
• Registered patient at one of the participating FQHCs
• Able and willing to provide informed consent

Exclusion criteria

• Inability to comprehend the assent form
• Parent/guardian declines consent

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

1,226 participants in 2 patient groups

FaCES Intervention

Experimental group

Description:

Primary care providers will deliver anticipatory guidance for adolescents reporting no drug, alcohol or marijuana use in past year, an abbreviated brief intervention for adolescents who report using these substances one or twice in the past year, and a full brief intervention for adolescents who report using these substances monthly or weekly in the past year.

Treatment:

Behavioral: brief intervention

Treatment as usual

Active Comparator group

Description:

Usual care will be delivered by primary care providers during the clinic visit

Treatment:

Behavioral: treatment as usual