Alcohol Drinking
Conditions
Brief summary
The purpose of this study is to evaluate the effects of two programs to prevent/reduce alcohol misuse among youth primary care patients. Depending on their study condition, youth will receive a brief web-based computer program or the web program + 8 weeks of supportive text messages. Parents/caregivers of youth are encouraged to use a freely available app to guide conversations with their child about drinking. This study will have significant impact by evaluating response to these scalable interventions which can be deployed widely in clinical care settings.
Interventions
BEHAVIORALWeb Program + App
Youth receive a brief interactive web program made available online to prevent alcohol misuse. The parent/caregiver app addresses monitoring and skill building for parents to communicate with the child about preventing underage drinking and drug use.
BEHAVIORALWeb Program + App + Text Messages
Youth receive a brief interactive web program made available online to prevent alcohol misuse. This is followed by 8 weeks of supportive text messages. The parent/caregiver app addresses monitoring and skill building for parents to communicate with the child about preventing underage drinking and drug use.
Sponsors
University of Michigan
Patient-Centered Outcomes Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to 19 Years
Healthy volunteers
No
Inclusion criteria
* patients age 12-19 within the Michigan Medicine health system who had a visit within the past 2 years; and * past 12-month alcohol use; and * patient has a phone that can receive text messages
Exclusion criteria
* patients who do not understand English; or * patients deemed unable to provide informed consent due to conditions that preclude understanding of assessment or intervention content; or * parent/guardian consent is not obtained; or * another child in household already enrolled in the study; or * ongoing participation in another behavioral health research study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Alcohol Consumption | 3-, 6-, 9- and 12- months post baseline | Alcohol consumption will be measured using total score on the 3-item Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) which includes typical quantity and frequency, and frequency of binge drinking (# of drinks modified by age based on the NIAAA Youth Guide). Higher score indicates worse outcomes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Alcohol Related Consequences | 3-, 6-, 9- and 12- months post baseline | Alcohol related consequences will be measured using total score on the brief 18-item version of the Rutgers Alcohol Problem Index (RAPI). Higher score indicates worse outcomes. |
| Change in Other Drug Use | 3-, 6-, 9- and 12- months post baseline | Other drug use will be measured using scores derived from National Survey on Drug Use and Health (NSDUH) survey items for illicit (e.g., cannabis, cocaine, heroin) and prescription (i.e., in any way a doctor did not direct you to use; stimulants, sedatives, and opioids) drugs misuse. Higher scores indicate worse outcomes. |
| Change in Other Drug Use Consequences | 3-, 6-, 9- and 12- months post baseline | Other drug use consequences will be measured using total score on an 18-item version of the drug-focused RAPI. Higher score indicates worse outcomes. |
| Change in Depression Symptoms | 3-, 6-, 9- and 12-month post baseline | Depressive symptoms will be measured using the Patient Health Questionnaire-2 (PHQ-2). Higher scores indicate worse outcomes, with a score of ≥ 3 indicating a positive depression screen. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORMaureen Walton, MPH, PhD
University of Michigan
PRINCIPAL_INVESTIGATORErin Bonar, PhD
University of Michigan
Outcome results
None listed