Clinical trial NCT01797835: Alcohol Screening in an Ethnically Diverse Sample of Adolescents in Primary Care
Official title: Alcohol Screening in an Ethnically Diverse Sample of Adolescents in Primary Care
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Alcohol Use
Drug Use
Keywords: adolescents
intervention
motivational interviewing
alcohol and drug use
Lead sponsor: RAND
Sponsor class: OTHER
Collaborators: name: Valley Community Clinic
name: University of Pittsburgh
First posted: 2013-02-25
Enrollment: 294
Sex: ALL
Minimum age (years): 12
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Screening youth in the primary care setting is one way to identify adolescents who may be at-risk for future alcohol problems. The current study tests the new NIAAA screening guide questions, which ask about friend and adolescent drinking, to see how well these questions work to predict subsequent alcohol use, problems, and involvement in other risk behaviors, such as sexual risk-taking and delinquency. In addition, the investigators plan to provide a brief motivational intervention for some at-risk teens and see whether alcohol use differs for those teens who receive the intervention and those teens who receive enhanced usual care. The results of this study have the potential to significantly impact the standard of care for identifying and intervening with at- risk youth in primary care settings.


Eligibility criteria: Inclusion Criteria: 1

* 12-18
* speak English

Exclusion Criteria:

* cognitive impairment

Primary outcomes:
measure: Number of Times Used Alcohol
timeFrame: Past 3 months
Secondary outcomes:
measure: Number of Times Used Marijuana
timeFrame: Past 3 months
Other outcomes:
Locations:
city: North Hollywood
country: United States
facility: Valley Community Clinic
state: California
city: Pittsburgh
country: United States
facility: UPMC St. Margaret
state: Pennsylvania
Study officials:
affiliation: RAND
name: Elizabeth J D'Amico, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: D'Amico EJ, Parast L, Osilla KC, Seelam R, Meredith LS, Shadel WG, Stein BD. Understanding Which Teenagers Benefit Most From a Brief Primary Care Substance Use Intervention. Pediatrics. 2019 Aug;144(2):e20183014. doi: 10.1542/peds.2018-3014. Epub 2019 Jul 11.
citation: Meredith LS, Seelam R, Stein BD, Parast L, Shadel WG, D'Amico EJ. Adolescents with better mental health have less problem alcohol use six months later. Addict Behav. 2019 Aug;95:77-81. doi: 10.1016/j.addbeh.2019.03.006. Epub 2019 Mar 7.
citation: D'Amico EJ, Parast L, Shadel WG, Meredith LS, Seelam R, Stein BD. Brief motivational interviewing intervention to reduce alcohol and marijuana use for at-risk adolescents in primary care. J Consult Clin Psychol. 2018 Sep;86(9):775-786. doi: 10.1037/ccp0000332.
citation: Meredith LS, Ewing BA, Stein BD, Shadel WG, Brooks Holliday S, Parast L, D'Amico EJ. Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings. BMC Fam Pract. 2018 Jan 9;19(1):10. doi: 10.1186/s12875-017-0689-y.
citation: D'Amico EJ, Parast L, Meredith LS, Ewing BA, Shadel WG, Stein BD. Screening in Primary Care: What Is the Best Way to Identify At-Risk Youth for Substance Use? Pediatrics. 2016 Dec;138(6):e20161717. doi: 10.1542/peds.2016-1717. Epub 2016 Nov 18.