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Solution-Focused Brief Intervention for Substance Use: Protocol for a Multisite Randomized Controlled Trial.

Karla González-Suitt1, Alvaro Vergés2, Rodrigo Portilla Huidobro1

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This study evaluates a 3-session Solution-Focused Brief Intervention (SFBI) for substance use in Chilean primary care. If effective, SFBI could enhance routine care and inform public health policy.

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Area of Science:

  • Public Health
  • Psychology
  • Clinical Trials

Background:

  • Substance use, particularly alcohol, marijuana, and cocaine, is a significant public health issue in Chile.
  • Chilean primary care integrates mental health and substance use services through psychosocial teams.
  • Solution-Focused Brief Interventions (SFBIs) offer a strengths-based, person-centered approach to treatment.

Purpose of the Study:

  • To determine if SFBI improves outcomes for individuals with alcohol and other drug use in primary care compared to usual care.
  • To assess the effectiveness of a 3-session SFBI delivered by psychologists and social workers.
  • To evaluate SFBI's impact on substance use patterns and secondary outcomes like mental health.

Main Methods:

  • A randomized controlled trial comparing a 3-session SFBI to usual care (single-session brief counseling).
  • Recruitment of 320 participants at primary care centers using the Alcohol, Smoking, and Substance Involvement Screening Test.
  • Data collection at baseline and 3-, 6-, and 9-month follow-ups, with blinded assessment of primary (substance use) and secondary outcomes.

Main Results:

  • Study funding began April 2024; 55 practitioners trained in SFBI.
  • Recruitment commenced February 2025, with 73 participants enrolled; 23 dropouts.
  • No analyses conducted; findings anticipated in the second half of 2028.

Conclusions:

  • The study integrates targeted psychosocial interventions into primary care for enhanced real-world applicability.
  • Successful SFBI implementation could lead to its adoption in routine care.
  • Findings may inform public policy on mental health and substance use interventions.