Computerized Screening and Brief Physician Advice to Reduce Teen Drinking

Study Overview
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Brief Summary
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The goal of this project is to adapt a computerized Screening and Brief Advice (SBA) protocol that has demonstrated efficacy in reducing underage drinking among adolescent primary care patients and then to test it in a multi-site randomized controlled trial (RCT).

Detailed Description
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The specific aims of the proposed multisite RCT are: To establish the efficacy of the computerized SBA protocol on alcohol use, on DWI/RWID, and other alcohol-related health risk behaviors; To test the effect of Technological Extenders (TE) on prolonging the beneficial effects of the SBA protocol; To identify moderators, mediators, and optimal responders to the SBA/TE interventions; To examine the association between cessation of underage drinking and other health-risk behaviors in an adolescent primary care sample.

Official Title
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Computerized Screening and Brief Physician Advice to Reduce Teen Drinking

Conditions
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Alcohol Abuse, Risk Behavior

Intervention / Treatment
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* Behavioral: Computerized screening and brief physician advice
* Behavioral: Computerized SBA with technological extenders


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 12-21 years old patients arriving for routine medical care provide informed assent (for those <18) or informed consent (for those 18-21) Exclusion Criteria: medically or psychologically unstable at time of visit receiving behavioral health services cannot read or understand English at a 6th grade reading level unavailable for follow-up assessments

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: 1<br>Treatment as Usual (TAU) | |
| Experimental: 2<br>Computerized Screening and Brief Physician Advice (SBA) | Behavioral: Computerized screening and brief physician advice<br>* Participants complete screening for alcohol use and other health risk behaviors on the computer, receive some related health information on the computer, and meet with a primary care provider for a short discussion of health risk behaviors<br>* Other names: Underage drinking;|
| Experimental: 3<br>Computerized screening and brief physician advice with technological extenders (SBA/TE) | Behavioral: Computerized SBA with technological extenders<br>* Participants complete screening for alcohol use and other health risk behaviors on the computer, receive some related health information on the computer, and meet with a primary care provider for a short discussion of health risk behaviors. In addition, the provider sends them a brief email or text message at 4 months and 9 months after study entry to reinforce the brief advice.<br>* Other names: Underage drinking;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Initiation of underage drinking |  | Baseline, 3-months, 6-months, 12-months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cessation of underage drinking |  | Baseline, 3-months, 6-months, 12-months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Screening, Brief intervention, Underage drinking