Feasibility of SBIRT-PN

Summary

Substance misuse is a common problem among HIV+ individuals. Research suggests that a Screening, Brief Intervention, and Treatment (SBIRT) model can be effective in reducing substance misuse in the general older adult population; however these findings have not been verified in the more vulnerable HIV+ older adult population. The present study seeks to address the problem of substance misuse in older HIV+ adults by piloting a SBIRT model for older HIV+ adults in a in a primary care setting. Individual reductions in alcohol and drug use can have significant effects on public health and safety when observed over a large population at risk for substance use problems. With wider dissemination statewide, a relatively low-cost intervention such as SBIRT could offer demonstrated benefits in this population.

Conditions

• Substance Use
• HIV/AIDS
• Older Adults
• Behavioral Intervention
• Infectious Disease

Interventions

BEHAVIORAL

Psycho-educational content (5 Minutes)

The interventionist will discuss substance use and misuse and the influence of substance use on self care.

BEHAVIORAL

Readiness Assessment (10 minutes)

The interventionist will give the patient feedback on their ASSIST score and assess the patient's readiness to change based on Prochaska's stages of change.

BEHAVIORAL

Goal-Setting (5 minutes)

The interventionist will use motivational interviewing techniques to identify the patients' most salient reasons for addressing substance use issues.

BEHAVIORAL

Identifying and prioritizing needs (5 minutes)

The interventionist will use problem-solving techniques to help patients identify which services may best help them work towards their goals. Services will include (but are not limited to) emergency crisis services, counseling to deal with substance use, referral to local self-help groups (Alcoholics Anonymous, Narcotics Anonymous, etc.), legal assistance, faith-based counseling, mental health counseling or inpatient substance use treatment.

BEHAVIORAL

Explanation of Peer Navigator and Session wrap (5 minutes)

The interventionist will use a referral resource guide to provide the contact information of agency representatives and help the patient formulate a plan for follow-up.

Sponsors & Collaborators

• National Institute on Drug Abuse (NIDA)

  collaborator NIH

• National Center for Advancing Translational Sciences (NCATS)

  collaborator NIH

• Florida State University

  lead OTHER

Principal Investigators

• Nicole Ennis, PHD · Florida State University

Study Design

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

85 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-02-12

Primary Completion

2021-02-28

Completion

2022-03-31

Countries

• United States

Study Locations