Computerized Substance Use and Depression Screening and Behavioral Treatment in HIV Primary Care

Conditions

• Anxiety
• Depression
• HIV
• Substance Use Disorders

Eligibility Criteria

Sex

ALL

Age

N/A - N/A

Healthy Volunteers

Not accepted

Interventions

• Clinic-based screening and behavioral interventions — BEHAVIORAL
  As part of routine HIV primary care visits, patients will complete self-administered computerized substance use, anxiety and depression screening measures. Results will be integrated into the electronic health record. A behavioral health specialist on the clinic staff will contact patients who screen positive for high-risk substance use, anxiety or depression, and offer behavioral interventions including motivational interviewing and cognitive behavioral therapy.

Study Details

Substance use disorders (SUDs), depression and anxiety in HIV-infected patients result in poor HIV outcomes, yet are often unrecognized and untreated. To address these problems, this study examines the implementation and effectiveness of a clinical intervention consisting of self-administered tablet-based SUD and depression screening at routine HIV primary care clinic visits, followed by evidence-based treatments for SUD, anxiety and depression delivered by a behavioral health specialist. If successful, this study has potential to reduce SUD-, anxiety- and depression-related problems and reduce HIV treatment disparities for patients with these comorbidities.

Key Dates

Start date

Aug 1, 2016

Status verified

Sep 2025

Primary completion

Jul 31, 2020

Completion

Jul 31, 2020

Study Design

Enrollment

10,821 participants (actual)

Allocation

NON_RANDOMIZED

Intervention model

SEQUENTIAL

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• No Intervention: Pre-implementation
  The pre-implementation cohort includes data from 5000 HIV primary care clinic patients in Kaiser Permanente Northern California, who receive services prior to implementation of computerized screening and behavioral intervention in the clinics.
• Experimental: Post-implementation
  The post-implementation cohort includes data from 5000 HIV primary care clinic patients in Kaiser Permanente Northern California, who receive services after computerized screening and behavioral intervention have been implemented in the clinics.

Primary Outcome Measure

Change in Mental Health and Substance Use Screening Rates [ Time Frame: 12 months pre-implementation period to the end of the implementation period, up to 21 months ]

Locations (1)

Find similar trials in Oakland, CA

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