Screening and Brief Intervention for Unhealthy Drug Use in Primary Care Settings: Randomized Clinical Trials Are Needed
Open accessAbstract
The efficacy of screening and brief intervention (SBI) for drug use in primary care patients is largely unknown. Because of this lack of evidence, US professional organizations do not recommend it. Yet, a strong theoretical case can be made for drug SBI. Drug use is common and associated with numerous health consequences, patients usually do not seek help for drug abuse and dependence, and SBI has proven efficacy for unhealthy alcohol use. On the other hand, the diversity of drugs of abuse and the high prevalence of abuse and dependence among those who use them raise concerns that drug SBI may have limited or no efficacy. Federal efforts to disseminate SBI for drug use are underway, and reimbursement codes to compensate clinicians for these activities have been developed. However, the discrepancies between science and policy developments underscore the need for evidence-based research regarding the efficacy of SBI for drug use. This article discusses the rationale for drug SBI and existing research on its potential to improve drug-use outcomes and makes the argument that randomized controlled trials to determine its efficacy are urgently needed to bridge the gap between research, policy, and clinical practice.
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A decade ago, researchers called for additional randomized trials of brief intervention for unhealthy drug use.
“The call for more RCTs in BI for unhealthy drug use was made a decade ago. 15,20”
From Efficacy of Brief Intervention for Unhealthy Drug Use in Outpatient Medical Care: a Systematic Review and Meta-analysis (2022) · cites this paper as [20]
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Hodgkin, D., Gao, W., Merrick, E. L., Drebing, C. E., Larson, M. J., Horgan, C. M., Sharma, M., Petry, N. M., & Saitz, R. (2018) · Substance Abuse · doi:10.1080/08897077.2018.1449165 · Cited by 2 · see citing works
Self-citationBrief Interventions as Evidence-Based Prevention Strategies
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Access to and Engagement in Evidence-Based Integrated Care
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Patient abusing alcohol or drugs? Help starts with a single question.
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Brief Intervention for Illicit Drug Users
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- Authors
- Saitz, R., Alford, D. P., Bernstein, J., Cheng, D. M., Samet, J., & Palfai, T.
- Affiliations
- Boston University (US)
- Corresponding author
- Saitz, Richard
- Venue
- Journal of Addiction Medicine
- Published
- 2010-09
- Volume
- 4
- Issue
- 3
- Pages
- 123-130
- ISSN
- 1932-0620 (ISSN-L)
- PMC
- PMC2950314
- OpenAlex
- W2169008012
- Cited by
- 95
- References
- 121
- Citations by year
- 2023: 1 · 2022: 6 · 2021: 3 · 2020: 3 · 2019: 5 · 2018: 5 · 2017: 8 · 2016: 7 · 2015: 8 · 2014: 17 · 2013: 9 · 2012: 16
- FWCI
- 7.45
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Addiction Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R01DA025068)
- Center for Substance Abuse Treatment
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- screening and brief intervention, drug use, substance abuse, substance dependence, primary care, randomized controlled trials, evidence-based practice, research-policy gap, reimbursement codes
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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