Alcohol Abuse, Substance Use, Tobacco Use Disorder
Conditions
Keywords
Alcohol abuse, Substance use, Tobacco use disorder, Motivational Enhancement Therapy, Adolescents
Brief summary
The goal of this project is to evaluate the feasibility, acceptability, and effect size of a new computerized Motivational Enhancement Therapy (cMET) intervention for alcohol-involved adolescents in primary care.
Detailed description
The study aims are to: 1. Assess cMET feasibility and acceptability and estimate its effect size on underage drinking. Hypothesis: Among 14- to 20-yr-old primary care patients, those receiving cMET will have lower rates of any alcohol use, days of alcohol use, drinks per drinking day, and days of heavy episodic drinking, than those receiving treatment as usual. 2. Estimate effect sizes for tobacco, cannabis, and other drug use, and other substance-related risks and outcomes including substance-related driving/riding, and experience of substance-related problems. 3. Identify potential moderators and mediators of cMET's effect.
Interventions
BEHAVIORALcMET
Those in cMET complete the 2-session self-administered computerized intervention which includes 8 exercises designed to encourage adolescents to evaluate the impact of alcohol and other substance use on their health and well-being and consider changing their use.
Sponsors
Boston Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
14 Years to 20 Years
Healthy volunteers
No
Inclusion criteria
* 14- to 20- yr-olds * arriving for routine care to one of our participating pediatric practices (Lexington Pediatrics, Lexington, MA; East Boston Community Health Center, Longwood Pediatrics, Tufts Medical Center Adolescent Clinic, Boston, MA; Cambridge Health Alliance Dept. of Pediatrics, Cambridge, MA) * any alcohol use days in the past 90 days, * have an email address and internet access at home, school, or library * provide informed assent/consent.
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 the time of the visit.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Alcohol use | up to 9-months follow-up | The study investigators will measure the past 90 day alcohol use at 3-, 6-, and 9-months follow-up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Drinks per drinking day | up to 9-months follow-up | The study investigators will measure the number of drinks per drinking day in the past 90 days at 3-, 6-, and 9-months follow-up |
Other
| Measure | Time frame | Description |
|---|---|---|
| Heavy episodic drinking | up to 9-months follow-up | The study investigators will measure the occurrences of heavy episodic drinking in the past 90 days at 3-, 6-, and 9-months follow-up. |
Countries
United States
Contacts
Primary ContactJohn R Knight, MD
Outcome results
None listed