Alcohol Abuse, Cannabis Abuse, Nicotine Dependence
Conditions
Keywords
substance use, alcohol abuse, cannabis abuse, nicotine dependence, adolescents
Brief summary
The goal of this project is to test the effectiveness of a computer-facilitated alcohol screening and brief intervention (c-ASBI) system for 12- to 18-year-old primary care patients in a multi-site, randomized comparative effectiveness trial. The investigators hypothesize that, among 12- to 18-year olds patients coming for annual well-care, those receiving c-ASBI will have lower rates of any alcohol use at 3-, 6-, and 12-month follow-ups compared to Treatment As Usual (TAU).
Detailed description
The Specific Aims are to 1) Test the effects of c-ASBI on any alcohol use; 2) Test the effects of c-ASBI separately as a prevention, therapeutic, and risk-reduction intervention; 3) Test the effects of c-ASBI separately on cannabis and tobacco use; explore its effects on other drug use; and 4) Assess potential moderators (e.g., age, gender, race/ethnicity, substance use history +/-, parent/sibling/peer substance use), mediators (e.g., Youth to Provider Connectedness,20 perceived harmfulness of alcohol and drug use), and explore c-ASBI's mechanism of action.
Interventions
BEHAVIORALc-ASBI
Participants in the c-ASBI group will complete a computerized screen for alcohol, cannabis, tobacco and other drugs, then view their screen score and 10 pages of information about the health effects of substance use and true-life stories on the computer. Their provider will see a report of their screen results and provide advice to stop or decrease their use, or, for those at high risk, referral to complete a computerized motivational enhancement therapy intervention.
Sponsors
Boston Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
9 Years to 20 Years
Healthy volunteers
No
Inclusion criteria
* Arriving for well or non-emergent care at one of participating study sites * Have an email address * Have internet address
Exclusion criteria
* Unable to read or understand English * Living away at college at the time of the recruitment visit * Not available for computer/telephone follow-ups * Judged by the provider to be medically or emotionally unstable at time of visit
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Days of alcohol use | 12 months | We will compare rates of any alcohol use over the past twelve months between the groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Drinking initiation | 12 months | We will compare rates of drinking initiation over the past 12-months between groups. |
| Drinking cessation | 12 months | We will compare rates of drinking cessation over the past 12 months between groups. |
| Driving/Riding risk | 12 months | We will compare the rates of driving under the influence or riding with a driver under the influence between groups. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Cannabis use | 12 months | We will compare the rates of cannabis use over the past twelve months between groups. |
| Tobacco use | 12 months | We will compare the rates of tobacco use over the past twelve months between groups. |
Countries
United States
Outcome results
None listed