Alcohol Risk Behaviors, Health Care Services Quality of Care
Conditions
Brief summary
The proposed study is a randomized controlled trial that compares the effectiveness of an electronic personalized health screening app incorporating motivational feedback (i.e. Check Yourself) to usual care among moderate to high risk alcohol users. The purpose of this study is to determine whether Check Yourself is more effective than usual care in reducing alcohol consumption and binge drinking and improving quality of care among adolescents receiving school-based health clinic services.
Interventions
BEHAVIORALCheck Yourself App with Feedback
Sponsors
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Seattle Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
13 Years to 18 Years
Healthy volunteers
Yes
Inclusion criteria
* Eligible individuals will be 13-18 years old who are able to read and comprehend English. * Participants who indicate alcohol use consistent with moderate to high risk on the Check Yourself App.
Exclusion criteria
Individuals will be excluded from the study if: * They do not meet age requirements * Do not have a study visit at a participating school-based health clinic * Lack the means to complete follow-up interviews (i.e. have neither telephone or internet access) * Are not able to read or comprehend English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adolescent report of whether alcohol was counseled on during health provider visit | 1 day | — |
| Alcohol Use Frequency and Quantity | 2 months | Adolescent reported level for alcohol risk behaviors at 2 months adjusting for baseline level. Specific alcohol behaviors include: 1) number of days in which alcohol was consumed in the past 30 days; 2) number of alcoholic drinks typically consumed per occasion; and 4) maximum number of alcoholic drinks consumed during one drinking episode. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adolescent Satisfaction with Care | 1 day | Adolescent satisfaction with care will be assessed using the total score on the 8-item Client Satisfaction Questionnaire (CSQ-8) at 1-day follow-up. |
| Interval Receipt of Care for Substance Use | 2 months | Dichotomous variable indicating receipt of any follow-up care to address substance use identified at baseline. |
| Marijuana Use Frequency and Quantity | 2 months | Adolescent reported level for marijuana risk behaviors at 2 months adjusting for baseline level. Specific marijuana behaviors include: 1) number of days in which marijuana was used in the past 30 days; and 2) number of hours high on a typical day of marijuana use. |
| Adolescent Substance Use Problem Recognition | 1 day & 2 months | Adolescent reported recognition of alcohol and/or marijuana use as a problem (5-point scale). |
| Motivation for Substance Use Behavior Change | 1 day & 2 months | Adolescent reported motivation to change alcohol use and/or marijuana use using a readiness to change scale (4-point scale). |
Other
| Measure | Time frame | Description |
|---|---|---|
| Adolescent perceived support from their health care provider | 1 day | The total score on the Health Care Climate Questionnaire (HCCQ) will be used to assess adolescent self-report of perceived autonomy support from their health care provider. |
| Number of non-substance use health risk behaviors | 2 months | Total count of non-substance use health risk behaviors at 2-month follow-up (score range=0-11) adjusted by total number of baseline health risk behaviors which include (with risk cut-off): during a typical day \>2 sugar-sweetened beverages consumed or \<3 servings of fruits/vegetables consumed; during a typical week \<3 days with 60+ minutes of exercise; during a typical school day \>3 hours of screen time; during a typical night \<7 hours of sleep; not always using seatbelt; not always using helmet when bicycling; having driven/ridden in a car with a driver under the influence of substances; not using birth control during last sexual intercourse; not always using a condom; and a score of \>10 on the Patient Health Questionnaire (PHQ-9). |
| Adolescent report of whether marijuana/other drug use was counseled on during health provider visit | 1 day | — |
Countries
United States
Outcome results
None listed