cSBIRT to Reduce Teen Tobacco, Alcohol and Drug Use

Study Overview
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Brief Summary
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In this project we will conduct a pilot study of a brief intervention to reduce teen tobacco, alcohol and drug use that primary care dental practitioners can provide in their offices.

Detailed Description
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The goal of this project is to prepare for a large multi-site comparative effectiveness trial of a behavioral intervention, computer-facilitated Screening, Brief Intervention, and Referral to Treatment (cSBIRT) system that targets tobacco, alcohol, and drug use among adolescent dental patients. This enhanced computerized screening system includes: (1) screening, feedback, and provider talking points for tobacco and non-medical use of prescription drugs, (2) an interactive 2-part Motivational Enhancement Therapy module for adolescents at highest risk to complete from home, and (3) technological extenders (TEs), which are computer-generated messages that the provider sends to adolescents during the months following the clinic visit to reinforce the effect of the intervention over time.

Official Title
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cSBIRT to Reduce Teen Tobacco, Alcohol and Drug Use

Conditions
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Tobacco Abuse, Alcohol Abuse, Drug Abuse

Intervention / Treatment
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* Behavioral: Computer Screening, Brief Intervention, Referral toTreatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 12-21 years of age arriving for routine care to dental office Exclusion Criteria: dentally, medically, or psychologically unstable at the time of the visit cannot read or understand English at a 6th grade level unavailable for 1-month post-visit assessment

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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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Treatment as Usual Group 1<br>Participants will receive treatment as usual and will complete a baseline and 1-month post-visit assessment | |
| No Intervention: Treatment as Usual Group 2<br>Participants will receive treatment as usual and complete only the 1-month post-visit assessment | |
| Experimental: Intervention Group 1<br>Computer Screening, Brief Intervention, Referral toTreatment. Participants will receive the intervention and complete a baseline and 1-month post-visit assessment | Behavioral: Computer Screening, Brief Intervention, Referral toTreatment<br>* A computerized screening for tobacco, alcohol and drug use accompanied by 10-15 pages of health information regarding the risks of tobacco, alcohol and drug use. This is followed by a brief conversation with the primary care provider regarding the health risks of tobacco, alcohol and drug use and a referral to treatment for those at high risk of substance use problems.<br>* Other names: Screen and Brief Advice;|
| Experimental: Intervention Group 2<br>Computer Screening, Brief Intervention, Referral toTreatment Participants will receive the intervention and complete only the 1-month post-visit assessment | Behavioral: Computer Screening, Brief Intervention, Referral toTreatment<br>* A computerized screening for tobacco, alcohol and drug use accompanied by 10-15 pages of health information regarding the risks of tobacco, alcohol and drug use. This is followed by a brief conversation with the primary care provider regarding the health risks of tobacco, alcohol and drug use and a referral to treatment for those at high risk of substance use problems.<br>* Other names: Screen and Brief Advice;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percent days abstinent of tobacco, alcohol and drugs |  | Past 90 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prevalence of tobacco, alcohol and drug use |  | Past 90 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Tobacco use, Alcohol abuse, Drug abuse, Substance use, Prevention, Brief intervention, Screening, Adolescents