Using electronic health record data for substance use Screening, Brief Intervention, and Referral to Treatment among adults with type 2 diabetes: Design of a National Drug Abuse Treatment Clinical Trials Network study.

BACKGROUND: The Affordable Care Act encourages healthcare systems to integrate behavioral and medical healthcare, as well as to employ electronic health records (EHRs) for health information exchange and quality improvement. Pragmatic research paradigms that employ EHRs in research are needed to produce clinical evidence in real-world medical settings for informing learning healthcare systems. Adults with comorbid diabetes and substance use disorders (SUDs) tend to use costly inpatient treatments; however, there is a lack of empirical data on implementing behavioral healthcare to reduce health risk in adults with high-risk diabetes. Given the complexity of high-risk patients' medical problems and the cost of conducting randomized trials, a feasibility project is warranted to guide practical study designs. METHODS: We describe the study design, which explores the feasibility of implementing substance use Screening, Brief Intervention, and Referral to Treatment (SBIRT) among adults with high-risk type 2 diabetes mellitus (T2DM) within a home-based primary care setting. Our study includes the development of an integrated EHR datamart to identify eligible patients and collect diabetes healthcare data, and the use of a geographic health information system to understand the social context in patients' communities. Analysis will examine recruitment, proportion of patients receiving brief intervention and/or referrals, substance use, SUD treatment use, diabetes outcomes, and retention. DISCUSSION: By capitalizing on an existing T2DM project that uses home-based primary care, our study results will provide timely clinical information to inform the designs and implementation of future SBIRT studies among adults with multiple medical conditions.

National Survey of Substance Abuse Treatment Services (N-SSATS) : 2000 data on substance abuse treatment facilities.

"June 2002"--T.p. verso."

Drug interdiction [microform] : hearing before the Select Committee on Narcotics Abuse and Control, House of Representatives, One hundredth Congress, first session, April 30, 1987.

"SCNAC-100-1-6."

Oversight of the Anti-Drug Abuse Act of 1986 and the federal drug strategy [microform] : hearing before the Select Committee on Narcotics Abuse and Control, House of Representatives, One Hundredth Congress, first session, December 8, 1987.

"SCNAC-100-1-19."

Drug legalization--catastrophe for Black Americans [microform] : hearing before the Select Committee on Narcotics Abuse and Control, House of Representatives, One Hundredth Congress, second session, Friday, September 16, 1988.

"SCNAC-100-2-9."

Drug Interdiction and Anti-Drug Abuse Act of 1988 [microform] : hearing before a subcommittee of the Committee on Appropriations, United States Senate, One Hundredth Congress, second session, special hearing.

"Fiscal year 1989"--Cover.

Summary report of the U.S. Department of Transportation conference on drug free transportation.

Mode of access: Internet.

Assessment of behavior problems in persons with mental retardation living in the community : report on a workshop, September 9, 1988 /

Mode of access: Internet.

The neuroscience of mental health : a report on neuroscience research : status and potential for mental health and mental illness from panels of scientists representative of contributing disciplines.

Mode of access: Internet.

Q's & A's on child mental health : an interview with Dr. T. Berry Brazelton.

Mode of access: Internet.

Interagency coordination in drug research and regulation. Hearings before the Subcommittee on Reorganization and International Organizations of the Committee on Government Operations, United States Senate, Eighty-eighth Congress, first session. Agency coordination study, pursuant to S. Res. 27, 88th Cong. Review of cooperation on drug policies among Food and Drug Administration, National Institutes of Health, Veterans' Administration, and other agencies. Mar. 20-June 26, 1963.

Mode of access: Internet.

Advertising 1972. Hearings, Ninety-second Congress, second session, on S. 1461, to require the furnishing of documentation of claims concerning safety, performance, efficacy, characteristics, and comparative price of advertised products and services [and] S. 1753 amendment no. 1118 to establish a National Institute of Advertising, Marketing, Society. May 16, 18, and 31, 1972

"Serial no. 92-72."

Research on victims of crime : accomplishments, issues, and new directions /

Mode of access: Internet.

Proceedings of the Alternatives to Drug Abuse Conference... May 16-18, 1972.

Mode of access: Internet.

Effect of alcohol and drug abuse on productivity : joint hearing before the Subcommittee on Alcoholism and Drug Abuse and the Subcommittee on Employment and Productivity of the Committee on Labor and Human Resources, United States Senate, Ninety-seventh Congress, second session, on to review employee assistance programs for alcohol and drug abuse problems in American industry and professions, July 14, 1982.

Mode of access: Internet.