Site Influences on Treatment Effects Screening, Motivational Assessment, Referral, and Treatment in Emergency Departments (SMART-ED)

Dennis McCarty, PhD
Lead Investigator
Professor, Department of Public Health and Preventive Medicine
Oregon Health & Science University

This ancillary study is related to CTN-0047, "Screening, Motivational Assessment, Referral and Treatment in Emergency Departments (SMART-ED): Evaluation of Screening, Brief Intervention, Referral to Treatment (SBIRT) and Booster Session for Drug Use Patients Presenting for Treatment in the Emergency Department."

Site variations in study outcomes are apparent in clinical trials conducted within the National Drug Abuse Treatment Clinical Trials Network (CTN).  Systematic and standardized collection of organizational and workforce variables may help elucidate site variations and increase the CTN’s understanding of patient outcomes in protocols.  The SMART-ED trial (CTN-0047) will be used to assess the influence of organizational and workforce characteristics on trial operations (e.g., rates of participant recruitment and follow-up) and patient outcomes (e.g., reductions in drug use).  This study will build on the analysis of organizational and workforce data in the Baseline Protocol (CTN-0008) and the collection of pre-implementation site data for STAGE-12 (CTN-0031-A-3).  The study’s specific aim is the assessment of associations between site organizational and practitioner variables and site differences in clinical trial outcomes.


The SITE analysis for the SMART-ED protocol (CTN-0047) assessed variation in workforce characteristics and variation in attitudes and beliefs related to screening and brief interventions for drug use disorders in emergency departments. During visits to 6 study sites, 41 respondents (5-8 per study site) completed the SITE assessment tool. The workforce varies across study sites. Goal commitment was strong at all study sites.



Publications about CTN-0047-A-1

Southwest (Lead) search www
University of New Mexico Department of Emergency Medicine search
Pacific Northwest (Lead) search www
Appalachian Tri-State search www
Chestnut Ridge Hospital search
Greater New York search www
Bellevue Hospital Center search
New England Consortium search www
Massachusetts General Hospital search
Ohio Valley search www
University of Cincinnati University Hospital search
Western States search www
San Francisco General Hospital (Division of Substance Abuse and Addiction Medicine) search

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 5/2018 --