Stage-Based Mobile Intervention for Substance Use Disorders in Primary Care: Implementation and Cluster-Randomized Trial

Stage-Based Mobile Intervention for Substance Use Disorders in Primary Care: Implementation and Cluster-Randomized Trial

Award Information
Agency: Department of Health and Human Services
Branch: N/A
Contract: 1R44DA044840-01A1
Agency Tracking Number: R44DA044840
Amount: $222,020.00
Phase: Phase I
Program: SBIR
Awards Year: 2018
Solicitation Year: 2017
Solicitation Topic Code: NIDA
Solicitation Number: PA17-302
Small Business Information
1174 KINGSTOWN RD UNIT 101, Wakefield, RI, 02879-8301
DUNS: 036861821
HUBZone Owned: N
Woman Owned: Y
Socially and Economically Disadvantaged: N
Principal Investigator
 DEBORAH LEVESQUE
 (401) 644-3192
 dlevesque@prochange.com
Business Contact
 SARA JOHNSON
Phone: (401) 360-2980
Email: sjohnson@prochange.com
Research Institution
N/A
Abstract
Nearlymillion Americans ageand olderneed treatment for a substance use disorderSUDWhile onlyof individuals requiring treatment for a SUD receive itan estimated two thirds see a primary care or urgent care provider everymonthsPrimary care providers are in a unique position to perform ScreeningBrief Interventionand Referral to TreatmentSBIRTWith Phase I contract fundingPro Change developed and piloted tested a mobiledelivered Substance Use InterventionSURIdesigned to reduce barriers to SBIRT in primary care by delivering universal screening and feedback on SUD risk to patients at home or in the clinicFor patients at riskthe program also deliversa brief intervention based on the Transtheoretical Model of Behavior ChangeTTMto facilitate progress through the stages of change for quitting their most problematic drugand for seeking treatment if indicatedanddays of stage matched text messages and four online activities addressing key topicse gmanaging cravingsFor providersthe intervention prototype includes a Clinical Dashboard that summarizes the patient s SUD risk scores and stage of change dataand provides stage matched scripts to guide a brief in person intervention sessionThe program was wellreceived in a small pilot testThe goals in Phase I of this Fast Track project are to program additional SURI features and functions including Electronic Health RecordEHRintegration required for effective integration into clinical practice and to establish the feasibility of our approach in a clinic wide implementation in one federally qualified health center siteIf feasibility is established the intervention will be tested in a cluster randomized trial amongpatients recruited byFQHCs randomly assigned to treatment or usual careOutcomes will include days of use of the patient s most problematic drug and other measures of substance use and well being atmonths follow up Given their reachprimary care providers are in a unique position to perform ScreeningBrief Interventionand Referral to TreatmentSBIRTto fill gaps in services and facilitate referrals to specialty care for patients who need itPatientand provider facing Substance Use Risk InterventionSURImobile tools have the potential to reduce barriers to SBIRT in clinical practiceand to facilitate positive change among patients with substance use disorders

* Information listed above is at the time of submission. *

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