Screening, Brief Intervention, and Referral to Treatment in Primary Care
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric, Diabetes, Diabetes |
| Therapuetic Areas: | Endocrinology, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 7/5/2018 |
| Start Date: | August 2013 |
| End Date: | June 2016 |
Screening, Brief Intervention, and Referral to Treatment in Primary Care (SBIRT-PC): An add-on Project to "Duke University Southeastern Diabetes Initiative"
This add-on study of providing tobacco, alcohol and other drug screening, brief intervention
and referral for treatment to a primary care high risk diabetic population leverages the
existing research resources of a funded parent project "Duke University CMS Innovation Award
Southeastern Diabetes initiative (PI: Robert M. Califf, MD)" to explore the feasibility of
implementing Screening for substance use, Brief Intervention, and Referral to Treatment
services in Primary Care (SBIRT-PC) and to examine the effects of substance use status on
diabetes health care outcomes. This pilot study also examines the feasibility of the CTN's
common data element algorithms of SBIRT for illicit and nonmedical drug use in the primary
care setting.
and referral for treatment to a primary care high risk diabetic population leverages the
existing research resources of a funded parent project "Duke University CMS Innovation Award
Southeastern Diabetes initiative (PI: Robert M. Califf, MD)" to explore the feasibility of
implementing Screening for substance use, Brief Intervention, and Referral to Treatment
services in Primary Care (SBIRT-PC) and to examine the effects of substance use status on
diabetes health care outcomes. This pilot study also examines the feasibility of the CTN's
common data element algorithms of SBIRT for illicit and nonmedical drug use in the primary
care setting.
Duke University Translational Medicine Institute has received funds from the Bristol-Myers
Squibb Foundation and the Centers for Medicare and Medicaid Services (2012-2016) to augment
existing standard of care for patients with diabetes in community-based medical settings in
order to achieve goals of better health, better health care, and reduced costs ("Duke
University CMS Innovation Award Southeastern Diabetes initiative"; Principal Investigator,
Robert M. Califf, MD). Its goals are to (1) improve population-level diabetes management,
health outcomes, and quality of life for diagnosed and undiagnosed adults living with type 2
diabetes, (2) reduce disparities in diabetes management, health outcomes and quality of life
for adults living with type 2 diabetes, and (3) reduce healthcare costs associated with type
2 diabetes. This already funded diabetes care project provides a cost-effective platform for
conducting an add-on project to examine the feasibility of the CTN's clinical decision
support algorithms for SBIRT in primary care settings, as the study team can leverage
existing organizational and research infrastructure to facilitate the completion of the
study. The add-on study is supported by strong rationale, including the fact that primary
care settings serve as common points of contact for adults and provide many opportunities to
detect drug misuse and to intervene early in low or mild severity (better outcomes), which in
turn may reduce substance use, increase awareness and drug-medication interactions, enhance
patient medication adherence, and decrease high inpatient costs and repeat emergency
department visits.
Squibb Foundation and the Centers for Medicare and Medicaid Services (2012-2016) to augment
existing standard of care for patients with diabetes in community-based medical settings in
order to achieve goals of better health, better health care, and reduced costs ("Duke
University CMS Innovation Award Southeastern Diabetes initiative"; Principal Investigator,
Robert M. Califf, MD). Its goals are to (1) improve population-level diabetes management,
health outcomes, and quality of life for diagnosed and undiagnosed adults living with type 2
diabetes, (2) reduce disparities in diabetes management, health outcomes and quality of life
for adults living with type 2 diabetes, and (3) reduce healthcare costs associated with type
2 diabetes. This already funded diabetes care project provides a cost-effective platform for
conducting an add-on project to examine the feasibility of the CTN's clinical decision
support algorithms for SBIRT in primary care settings, as the study team can leverage
existing organizational and research infrastructure to facilitate the completion of the
study. The add-on study is supported by strong rationale, including the fact that primary
care settings serve as common points of contact for adults and provide many opportunities to
detect drug misuse and to intervene early in low or mild severity (better outcomes), which in
turn may reduce substance use, increase awareness and drug-medication interactions, enhance
patient medication adherence, and decrease high inpatient costs and repeat emergency
department visits.
Inclusion Criteria:
- Adults ≥ 18 years
- Diagnosis of Type 2 diabetes
- Reside in Durham County, NC, or the neighboring areas and receive the majority of
their healthcare in the county
- Referral from the primary care clinician or patient's medical home if one has been
designated
- Have capacity to make decisions
Exclusion Criteria:
- Lack capacity to make decisions and do not have a surrogate with authority to make
health care decisions.
- Have a terminal illness with a life expectancy of 6 months or less
- Diagnosis of Type 1 diabetes or gestational diabetes
- Currently pregnant
- Unable to comply with study requirement
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