Impact of a Computer-Assisted SBIRT Program in an HIV Care Setting

University of California, San Francisco210 enrolled

Overview

The goal of this research is to assess the impact of the "screening, brief intervention, and referral to treatment" (SBIRT) intervention strategy for harmful substance use among HIV-positive people.

The specific aims of the study are: 1. To assess the feasibility of conducting SBIRT using (1) a patient self-administered intervention embedded in a web-based Personal Health Record (PHR) compared to (2) a provider-administered SBIRT intervention guided by the Electronic Medical Record (EMR) during clinic appointments. 2. To examine the acceptability of web-based PHRs to conduct and communicate SBIRT compared to EMR-activated SBIRT conducted by clinic staff, from the perspective of the patient and the provider. 3. To assess the impact of SBIRT on risky drug and alcohol use in an HIV/AIDS population and subsequent effects on sexual risk behaviors and antiretroviral therapy (ART) adherence.

Study Type

OBSERVATIONAL

Enrollment

210

Conditions

Substance Use

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 18 years of age * confirmed prior HIV+ serostatus * ability to provide informed consent to be a participant over a 6 month period * English or Spanish speaking Exclusion Criteria: Inability to answer questions with interviewer assistance. Not receiving primary care in clinic.

Outcomes

Primary Outcomes

reduced substance use among HIV-positive people

Time frame: 6 months

Secondary Outcomes

technological innovation to improve the quality of medical care

Time frame: 6 months

Data from ClinicalTrials.gov

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