Feasibility of SBIRT-PN
| Status: | Recruiting |
|---|---|
| Conditions: | Infectious Disease, HIV / AIDS, Psychiatric |
| Therapuetic Areas: | Immunology / Infectious Diseases, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - 85 |
| Updated: | 3/2/2019 |
| Start Date: | February 12, 2018 |
| End Date: | March 31, 2021 |
| Contact: | Nicole Ennis, PhD |
| Email: | nennis@phhp.ufl.edu |
| Phone: | 352-273-6145 |
Feasibility of Screening, Brief Intervention, Referral to Treatment With Peer Navigation (SBIRT-PN) for Underserved HIV+ Adults 50+ in Primary Care Settings.
Substance misuse is a common problem among HIV+ individuals. Research suggests that a
Screening, Brief Intervention, and Treatment (SBIRT) model can be effective in reducing
substance misuse in the general older adult population; however these findings have not been
verified in the more vulnerable HIV+ older adult population. The present study seeks to
address the problem of substance misuse in older HIV+ adults by piloting a SBIRT model for
older HIV+ adults in a in a primary care setting. Individual reductions in alcohol and drug
use can have significant effects on public health and safety when observed over a large
population at risk for substance use problems. With wider dissemination statewide, a
relatively low-cost intervention such as SBIRT could offer demonstrated benefits in this
population.
Screening, Brief Intervention, and Treatment (SBIRT) model can be effective in reducing
substance misuse in the general older adult population; however these findings have not been
verified in the more vulnerable HIV+ older adult population. The present study seeks to
address the problem of substance misuse in older HIV+ adults by piloting a SBIRT model for
older HIV+ adults in a in a primary care setting. Individual reductions in alcohol and drug
use can have significant effects on public health and safety when observed over a large
population at risk for substance use problems. With wider dissemination statewide, a
relatively low-cost intervention such as SBIRT could offer demonstrated benefits in this
population.
The current project will pilot SBIRT with a peer navigator (SBIRT-PN) versus treatment at
usual (TAU) to increase substance use treatment engagement among HIV-positive adults aged 50
years and older. The investigators will recruit patients from the Southern HIV and Alcohol
Research Consortium (SHARC) HIV primary care clinic network.
In order to develop effective substance use intervention models for HIV care settings the
specific aims of the current project are:
Aim1: Examine the feasibility of the SBIRT-PN model at the UF Health Infectious
Disease-Medical Specialties Clinic. The investigators hypothesize that the SBIRT-PN model
will demonstrate high feasibility among providers within the UF Health Infectious Disease -
Medical Specialties Clinic.
Aim2a: Assess the acceptability of SBIRT-PN. The investigators hypothesize that SBIRT-PN will
demonstrate high acceptability among patients enrolled in this condition.
Aim2b: Assess the acceptability of SBIRT-PN among HIV-positive individuals by age cohort
(younger vs older). The investigators hypothesize that SBIRT-PN will demonstrate higher
acceptability among older HIV-positive patients enrolled in this condition.
Aim3: Assess influence of SBIRT-PN model on treatment engagement and substance use compared
to enhanced treatment as usual (TAU).The investigators hypothesize that those in the SBIRT-PN
condition will evidence greater treatment engagement and a reduction in substance use.
usual (TAU) to increase substance use treatment engagement among HIV-positive adults aged 50
years and older. The investigators will recruit patients from the Southern HIV and Alcohol
Research Consortium (SHARC) HIV primary care clinic network.
In order to develop effective substance use intervention models for HIV care settings the
specific aims of the current project are:
Aim1: Examine the feasibility of the SBIRT-PN model at the UF Health Infectious
Disease-Medical Specialties Clinic. The investigators hypothesize that the SBIRT-PN model
will demonstrate high feasibility among providers within the UF Health Infectious Disease -
Medical Specialties Clinic.
Aim2a: Assess the acceptability of SBIRT-PN. The investigators hypothesize that SBIRT-PN will
demonstrate high acceptability among patients enrolled in this condition.
Aim2b: Assess the acceptability of SBIRT-PN among HIV-positive individuals by age cohort
(younger vs older). The investigators hypothesize that SBIRT-PN will demonstrate higher
acceptability among older HIV-positive patients enrolled in this condition.
Aim3: Assess influence of SBIRT-PN model on treatment engagement and substance use compared
to enhanced treatment as usual (TAU).The investigators hypothesize that those in the SBIRT-PN
condition will evidence greater treatment engagement and a reduction in substance use.
Inclusion Criteria:
- Receiving care at an Infectious disease Medical Clinic
- HIV-positive (seropositive confirmed by medical records)
- have a substance misuse screening score indicating moderate or high risk.
Exclusion Criteria:
- lack fluency in English
- are unwilling to provide information for follow-up
- plan to leave the area within 6 months
- already have a referral to treatment from another provider
- unable to provide informed consent due to cognitive impairment.
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