Trial of Computerized SBI to Reduce Teen Alcohol Use

Boston Children's Hospital

Overview

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).

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Conditions

Alcohol Abuse Cannabis Abuse Nicotine Dependence

Interventions

c-ASBIBEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 9 YearsMax age: 20 Years

Medical Language ↔ Plain English

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

Locations (6)

Tufts Medical Center

Boston, Massachusetts, United States

Boston Children's Hospital

Boston, Massachusetts, United States

Longwood Pediatrics

Boston, Massachusetts, United States

East Boston Neighborhood Health Center

Boston, Massachusetts, United States

Outcomes

Primary Outcomes

Days of alcohol use

We will compare rates of any alcohol use over the past twelve months between the groups.

Time frame: 12 months

Secondary Outcomes

Drinking initiation

We will compare rates of drinking initiation over the past 12-months between groups.

Time frame: 12 months

Drinking cessation

We will compare rates of drinking cessation over the past 12 months between groups.

Time frame: 12 months

Driving/Riding risk

We will compare the rates of driving under the influence or riding with a driver under the influence between groups.

Time frame: 12 months

Data from ClinicalTrials.gov

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