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A Shared Decision-Making Tool to Prevent Substance Abuse: Protocol for a Randomized Controlled Trial.

Ju Long¹, Juntao Michael Yuan², Ron Kim Johnson²

¹Department of Computer Information Systems and Quantitative Methods, McCoy College of Business, Texas State University, San Marcos, TX, United States.

JMIR Research Protocols

|January 13, 2018

Summary

A mobile solution enhanced Screening, Brief Intervention, and Referral to Treatment (SBIRT) for substance use disorder (SUD) is expected to increase specialty care referrals and adherence. This technology-enhanced approach aims to reduce substance use and improve patient outcomes within 30 days.

Keywords:

SBIRT SUD primary care brief intervention substance abuse

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Area of Science:

Digital Health
Public Health
Clinical Interventions

Background:

Substance Use Disorder (SUD) impacts over 20 million US adults, presenting a significant healthcare challenge with annual costs exceeding $700 billion.
Effective interventions are crucial to address the widespread burden of SUD.

Purpose of the Study:

To enhance standard Screening, Brief Intervention, and Referral to Treatment (SBIRT) for SUD using a mobile solution integrated into primary care.
To promote shared decision-making and improve referral and adherence to specialty SUD care through continuous follow-up.

Main Methods:

An Office of Management and Budget (OMB)-approved randomized controlled trial (RCT) involving 500 SUD patients in primary care and specialty settings.
Participants randomized into control (usual care) and intervention (technology-enhanced SBIRT with mobile follow-up) arms.
Evaluation through 30-day baseline and exit surveys assessing self-reported substance use and specialty service utilization.

Main Results:

Randomized controlled trial and data collection are currently in progress.
Anticipated data reporting in 2018.
The study is designed to quantify the impact of the intervention on patient outcomes.

Conclusions:

Intervention group patients are expected to show significantly higher rates of specialty SUD care utilization within 30 days post-encounter.
A greater reduction in self-reported substance use is anticipated for the intervention group.
Improved scores on the Drug Abuse Screening Test and Addiction Severity Index are expected in the intervention arm.