Integration of (iSBIRT) for Teen Drug Use Into a Pediatric Network

Study Overview
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Brief Summary
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The Goal of this project is to integrate a previously-tested internet-facilitated Screening, Brief Intervention, and Referral to Treatment (iSBIRT) system for adolescent substance use into a large network of primary care offices, the Pediatric Practices of Children's Hospital Boston (PPOC).

Official Title
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Integration of Internet-facilitated Screening, Brief Intervention, Referral to Treatment (iSBIRT) for Teen Drug Use Into a Pediatric Network

Conditions
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Substance Use

Intervention / Treatment
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* Behavioral: iSBIRT


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 12-18 year olds Coming for non-emergent care Access to a private computer Have email address Exclusion Criteria: Not available for follow-up questionnaires Unable to read or understand English at a 6th grade reading level Medically or emotionally unstable on the day of the visit

Ages Eligible for Study
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Minimum Age: 12 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: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Treatment as Usual<br> | |
| Experimental: iSBIRT<br>Participants will receive the internet-facilitated screening, brief intervention and referral to treatment (iSBIRT intervention) | Behavioral: iSBIRT<br>* Participants will be screened for substance use, view information about the health effects of substance use on the computer, and receive advice from the primary care provider regarding the health effects of substance use. Those found to be at high risk will complete an internet-based program encouraging them to change their substance use.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Provider attitude toward iSBIRT | We will evaluate providers' acceptance of and attitude toward integrating iSBIRT into their practices. | 12 months post baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Youth connectedness to provider | We will measure adolescents' attitudes toward their providers' advice regarding the health effects of substance use given during the visit | Baseline | 
| iSBIRT sustainability | We will measure rates of continued use of iSBIRT by practices 12 months after iSBIRT recruitment and implementation ends | 12 months post | 
| Change in rates of adolescent substance use | We will measure the change in rates of adolescent substance use from baseline to 3 months post study visit. | 3 months post baseline | 
| Change in rates of adolescent substance use | We will measure the change in rates of adolescent substance use from baseline to 6 months post study visit. | 6 months post baseline | 
| Change in rates of adolescent substance use | We will measure the change in rates of adolescent substance use from baseline to 12 months post study visit. | 12 months post baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cannabis abuse, alcohol abuse, substance abuse