Web-Based Adolescent Motivational Enhancement Study

Study Overview
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Brief Summary
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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.

Official Title
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Web-Supported Adolescent Motivational Enhancement to Reduce Alcohol Use

Conditions
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Alcohol Risk Behaviors, Health Care Services Quality of Care

Intervention / Treatment
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* Behavioral: Check Yourself App with Feedback


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 18 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Check Yourself App With Feedback<br>Participants complete Check Yourself, an electronic health screening app and receive personalized, motivational feedback on their health behaviors prior to their visit with their health provider. Key components of Check Yourself include the provision of age normative feedback, goal setting strategies, and strategies to highlight discrepancies. Health providers receive a summary report of health risk behaviors from Check Yourself prior to the visit. | Behavioral: Check Yourself App with Feedback<br> <br> |
| No Intervention: Usual Care<br>Participants are asked to complete health risk screening questions on a tablet computer. No personalized feedback is provided to adolescents and primary care providers do not receive a summary report of the adolescent's health risk behaviors. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Alcohol Use Frequency and Quantity | 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. | 2 months | 
| Adolescent report of whether alcohol was counseled on during health provider visit |  | 1 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Marijuana Use Frequency and Quantity | 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. | 2 months | 
| Adolescent Satisfaction with Care | 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. | 1 day | 
| Interval Receipt of Care for Substance Use | Dichotomous variable indicating receipt of any follow-up care to address substance use identified at baseline. | 2 months | 
| Adolescent Substance Use Problem Recognition | Adolescent reported recognition of alcohol and/or marijuana use as a problem (5-point scale). | 1 day & 2 months | 
| Motivation for Substance Use Behavior Change | Adolescent reported motivation to change alcohol use and/or marijuana use using a readiness to change scale (4-point scale). | 1 day & 2 months |