Alcohol Abuse, Risk Behavior
Conditions
Keywords
Screening, Brief intervention, Underage drinking
Brief summary
The goal of this project is to adapt a computerized Screening and Brief Advice (SBA) protocol that has demonstrated efficacy in reducing underage drinking among adolescent primary care patients and then to test it in a multi-site randomized controlled trial (RCT).
Detailed description
The specific aims of the proposed multisite RCT are: 1. To establish the efficacy of the computerized SBA protocol on alcohol use, on DWI/RWID, and other alcohol-related health risk behaviors; 2. To test the effect of Technological Extenders (TE) on prolonging the beneficial effects of the SBA protocol; 3. To identify moderators, mediators, and optimal responders to the SBA/TE interventions; 4. To examine the association between cessation of underage drinking and other health-risk behaviors in an adolescent primary care sample.
Interventions
BEHAVIORALComputerized screening and brief physician advice
Participants complete screening for alcohol use and other health risk behaviors on the computer, receive some related health information on the computer, and meet with a primary care provider for a short discussion of health risk behaviors
BEHAVIORALComputerized SBA with technological extenders
Participants complete screening for alcohol use and other health risk behaviors on the computer, receive some related health information on the computer, and meet with a primary care provider for a short discussion of health risk behaviors. In addition, the provider sends them a brief email or text message at 4 months and 9 months after study entry to reinforce the brief advice.
Sponsors
Cambridge Health Alliance
Dartmouth-Hitchcock Medical Center
Fallon Clinic
Tufts Medical Center
University of Vermont
Boston Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to 21 Years
Healthy volunteers
Yes
Inclusion criteria
* 12-21 years old * patients arriving for routine medical care * provide informed assent (for those \<18) or informed consent (for those 18-21)
Exclusion criteria
* medically or psychologically unstable at time of visit * receiving behavioral health services * cannot read or understand English at a 6th grade reading level * unavailable for follow-up assessments
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Initiation of underage drinking | Baseline, 3-months, 6-months, 12-months |
Secondary
| Measure | Time frame |
|---|---|
| Cessation of underage drinking | Baseline, 3-months, 6-months, 12-months |
Countries
United States
Outcome results
None listed