Optimizing and Advancing SBIRT in Schools

Conditions

• Adolescent Drinking
• Adolescent Substance Use
• Risk Behavior, Health

Eligibility Criteria

Sex

ALL

Age

14 Years - 19 Years

Healthy Volunteers

Not accepted

Interventions

• Indicated Prevention, Clinical Staff — BEHAVIORAL
  Standard brief intervention eligibility criteria involving indicated prevention (i.e., brief interventions delivered to high-risk drinkers only). BIs delivered by standard SBIRT workforce involving school nursing or clinical staff.
• Selective Prevention — BEHAVIORAL
  Expanded brief intervention eligibility criteria involving selective prevention in addition to indicated prevention (i.e., brief interventions delivered to current drinkers with and without risky alcohol use).
• Expanded Paraprofessional Workforce — BEHAVIORAL
  Brief interventions delivered by expanded SBIRT workforce involving school nursing or clinical staff and trained paraprofessionals.

Study Details

The goal of this clinical trial is to establish whether brief interventions for alcohol use can be delivered in schools for both indicated prevention and selected prevention, determine if an expanded workforce is an effective model for screening, brief intervention, and referral to treatment (SBIRT) delivery in schools, and explore whether brief intervention effectiveness is comparable in minoritized versus non-minoritized adolescents. Participants will be students at high schools across Massachusetts. High schools will be randomized to one of four intervention groups. Participants will complete a baseline survey prior to their school-wide screening for SBIRT, and then will complete four follow-up surveys over two years.

Key Dates

Start date

Oct 11, 2023

Status verified

Nov 2025

Primary completion

Nov 11, 2027

Completion

Nov 11, 2027

Study Design

Enrollment

21,000 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Arms

• Active Comparator: IPO, CLIN
  Standard brief intervention eligibility criteria involving indicated prevention (i.e., brief interventions delivered to high-risk drinkers only). BIs delivered by standard SBIRT workforce involving school nursing or clinical staff.
• Experimental: IPO, CLIN+PARA
  Standard brief intervention eligibility criteria involving indicated prevention (i.e., brief interventions delivered to high-risk drinkers only). BIs delivered by expanded SBIRT workforce involving school nursing or clinical staff and trained paraprofessionals.
• Experimental: SIP, CLIN
  Expanded brief intervention eligibility criteria involving selective prevention in addition to indicated prevention (i.e., brief interventions delivered to current drinkers with and without risky alcohol use). BIs delivered by standard SBIRT workforce involving school nursing or clinical staff.
• Experimental: SIP, CLIN+PARA
  Expanded brief intervention eligibility criteria involving selective prevention in addition to indicated prevention (i.e., brief interventions delivered to current drinkers with and without risky alcohol use). BIs delivered by expanded SBIRT workforce involving school nursing or clinical staff and trained paraprofessionals.

Primary Outcome Measure

Past 30-day alcohol use frequency [ Time Frame: 6, 12, 18, and 24 months ]

Locations (1)

Find similar trials in Boston, MA

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