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

Recruiting now · Not applicable

Conditions studied: Alcohol-Related Disorders, Substance-Related Disorders, Mental Health, Reproductive Health, Sexual Health, Sexually Transmitted Diseases, Contraception, Maternal Health, Pregnancy, Women's Health

In brief

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.

Key facts

Study ID

NCT05910580

Run by

Emory University

People needed

400

Starts

2025-07-03

Expected to finish

2027-05-31

Last updated by the study team

2026-06-15

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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

You may not qualify if…

• Not capable of communicating (reading, speaking, writing) in English or Spanish

Where it is running

• Greater Boston Health Center — Boston, Massachusetts, United States (enrolling)
• Metro West Health Center — Marlborough, Massachusetts, United States (enrolling)
• Western Massachusetts Health Center — Springfield, Massachusetts, United States (enrolling)
• Central Massachusetts Health Center — Worcester, Massachusetts, United States (enrolling)

Full record on ClinicalTrials.gov

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