RECRUITING

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

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

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.

Official Title

Improving Alcohol and Substance Use Care Access, Outcomes, and Equity During the Reproductive Years: A Type 1 Hybrid Trial in Family Planning Clinics

Quick Facts

Study Start:2025-07-03
Study Completion:2027-05-31
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05910580

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Over the age of 18 years
  2. * U.S. residing
  3. * Have internet access (own a computer or smart phone)
  4. * Screen positive to one or more risky alcohol and substance use behaviors as determined by our standardized abbreviated instruments
  1. * Not capable of communicating (reading, speaking, writing) in English or Spanish

Contacts and Locations

Study Contact

Kelli S Hall, PhD MS
CONTACT
212-305-4805
ksh2110@cumc.columbia.edu
Jessica LaHote, MPH
CONTACT
212-305-4805
jl5348@cumc.columbia.edu

Principal Investigator

Kelli S Hall, MD
PRINCIPAL_INVESTIGATOR
Columbia University
Justine Welsh, MD
PRINCIPAL_INVESTIGATOR
Emory University

Study Locations (Sites)

Greater Boston Health Center
Boston, Massachusetts, 02215
United States
Metro West Health Center
Marlborough, Massachusetts, 01752
United States
Western Massachusetts Health Center
Springfield, Massachusetts, 01107
United States
Central Massachusetts Health Center
Worcester, Massachusetts, 01609
United States

Collaborators and Investigators

Sponsor: Emory University

  • Kelli S Hall, MD, PRINCIPAL_INVESTIGATOR, Columbia University
  • Justine Welsh, MD, PRINCIPAL_INVESTIGATOR, Emory University

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-07-03
Study Completion Date2027-05-31

Study Record Updates

Study Start Date2025-07-03
Study Completion Date2027-05-31

Terms related to this study

Keywords Provided by Researchers

  • Implementation Science
  • Mass Screening
  • Motivational Interviewing
  • Referral and Consultation
  • Quality of Health Care
  • Early Medical Intervention
  • Family Planning Services
  • Primary Health Care
  • Reproductive Health Services
  • Telemedicine
  • Preconception Care
  • Young Adult

Additional Relevant MeSH Terms

  • Alcohol-Related Disorders
  • Substance-Related Disorders
  • Mental Health
  • Reproductive Health
  • Sexual Health
  • Sexually Transmitted Diseases
  • Contraception
  • Maternal Health
  • Pregnancy
  • Women's Health