Evaluating Screening, Brief Intervention, and Referral to Treatment SBIRT Impact on Alcohol and Substance Use in Family Planning Clinics During Reproductive Years

What this Trial Is About

This research aims to evaluate the effectiveness of an evidence-based approach called Screening, Brief Intervention, and Referral to Treatment SBIRT among adult patients who screen positive for risky alcohol or substance use behaviors while seeking care at sexual and reproductive health clinics. The study focuses on whether SBIRT can improve patients alcohol and substance use, sexual and reproductive health, mental and physical health, quality of life, and wellbeing. It also explores if SBIRTs impact varies by ethnicity, socioeconomic status, age, gender, urbanicity, and delivery mode in-person vs. telemedicine. Participants are randomly assigned to receive either the SBIRT intervention delivered both in-person and via telemedicine or usual care, which lacks a standardized screening or treatment approach. The SBIRT intervention includes validated screening tools, brief motivational interviewing-based interventions lasting 5 to 10 minutes, and referrals to specialty addiction treatment for severe cases. The study is conducted within a large family planning clinic network serving a diverse population of reproductive-aged individuals. During the study, participants complete surveys and interviews at baseline, 30 days, and 3 months to assess various outcomes such as alcohol and drug use frequency, sexual behaviors under influence, mental health status, and wellbeing. Researchers also monitor the implementation and use of SBIRT by clinics and providers over a 12-month period. The trial aims to provide guidance on scaling integrated alcohol and substance use services in sexual and reproductive health settings, promoting health equity among reproductive-aged populations.

Improving Alcohol and Substance Use Care Access, Outcome, Equity During the Reproductive Years