NCT00877331

Brief Intervention in Primary Care for Problem Drug Use and Abuse

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 868 (actual)
• Sponsor: University of Washington · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

This study will examine the effectiveness of a brief intervention in a primary care setting to reduce drug use or abuse compared to enhanced care as usual.

Detailed description

A substantial body of research has established the efficacy and effectiveness of brief interventions (BI) for excessive or "hazardous" alcohol use in patients seen in medical settings. Dissemination projects of brief interventions for alcohol and drugs have recently been implemented on a widespread scale. This rapid progression of brief intervention for drugs other than alcohol has outstripped its evidence base. The aims of the study as outlined in the grant are: 1. To examine whether BI is effective at improving outcomes (self-reported drug use and attendance in drug abuse treatment) in individuals with a wide range of problem drug use over and above enhanced care as usual. The enhanced control condition will consist of routine screening, patient notification, and referral for treatment. 2. To test whether fidelity to the BI model or lower severity of drug use is associated with better outcomes. 3. To estimate the impact of BI on several public health outcomes that are directly related to the hazardous effects of illicit drug use, including the use of acute health care services, involvement in the criminal justice system, employment, HIV risk behavior, and mortality. 4. To estimate the costs of the intervention, potential cost offsets, and its incremental cost-effectiveness versus enhanced usual care from the payer perspective based on health care service use and drug use frequency.

Conditions

• Substance-Related Disorders

Interventions

Type	Name	Description
BEHAVIORAL	Brief intervention using motivational interviewing	One brief, in-person motivational interviewing session (30-45 minutes) in conjunction with the medical appointment. Plus one brief follow-up phone call one week later.

Timeline

• Start date: 2009-04-01
• Primary completion: 2013-10-01
• Completion: 2014-09-01
• First posted: 2009-04-07
• Last updated: 2014-10-20

Locations

1 site across 1 country: United States