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Improving Alcohol and Substance Use Care Access, Outcome, Equity During the Reproductive Years
Improving Alcohol and Substance Use Care Access, Outcomes, and Equity During the Reproductive Years: A Type 1 Hybrid Trial in Family Planning Clinics
Who can join
Ages 18 and older · All sexes
Full eligibility criteria
Inclusion Criteria: * Over the age of 18 years * U.S. residing * Have internet access (own a computer or smart phone) * Screen positive to one or more risky alcohol and substance use behaviors as determined by our standardized abbreviated instruments Exclusion Criteria: * Not capable of communicating (reading, speaking, writing) in English or Spanish
About the study
The goal of this clinical trial is to test the effectiveness of evidence-based Screening, Brief Intervention, and Referral to Treatment (SBIRT) among adult patients who screen positive to one or more risky alcohol or substance use behaviors while seeking care at a sexual and reproductive health (SRH) clinic.
The main questions it aims to answer are:
* Does SBIRT impact patients' alcohol and substance use, SRH, mental health, physical health, quality of life, and wellbeing? * Does SBIRT effectiveness differ by ethnicity, socioeconomic status, age, gender, and urbanicity? * Does SBIRT effectiveness differ by delivery mode (in-person vs. telemedicine)?
Participants will receive in-person and telemedicine SBIRT, or usual care. Participants will complete surveys at interviews at baseline, 30 days, and 3 months.
Researchers will compare patients who received SBIRT to patients who receive usual care to see if patients who receive the SBIRT intervention have a greater reduction in negative outcomes as compared to those who receive usual care. In this setting, usual care consists of basic quantity and frequency questions asked inconsistently as part of the admission process and varying by provider, with no standardized approach to screening, treatment, follow-up, or referral.
What is being tested
- Screening, Brief Intervention, and Referral to Treatment (SBIRT) (behavioral)
Sponsor: Emory University · Participants: 400 · Started: Jul 3, 2025
Contact the study team
- Kelli S Hall, PhD MS · Phone: 212-305-4805
- Jessica LaHote, MPH · Phone: 212-305-4805
Official record on ClinicalTrials.gov — NCT05910580
Locations in the U.S.
| Massachusetts | Greater Boston Health Center, Boston Metro West Health Center, Marlborough Western Massachusetts Health Center, Springfield Central Massachusetts Health Center, Worcester |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.