Optimizing and Advancing SBIRT in Schools

Summary

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.

Conditions

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

Interventions

BEHAVIORAL

Indicated Prevention, Clinical Staff

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.

BEHAVIORAL

Selective Prevention

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).

BEHAVIORAL

Expanded Paraprofessional Workforce

Brief interventions delivered by expanded SBIRT workforce involving school nursing or clinical staff and trained paraprofessionals.

Sponsors & Collaborators

• C4 Innovations, LLC

  collaborator UNKNOWN

• Harvard University

  collaborator OTHER

• Patient-Centered Outcomes Research Institute

  collaborator OTHER

• Massachusetts General Hospital

  lead OTHER

Principal Investigators

• Randi M Schuster, PhD · Massachusetts General Hospital

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

14 Years

Max Age

19 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2023-10-11

Primary Completion

2027-11-11

Completion

2027-11-11

Countries

• United States

Study Locations