Advancing Adolescent Screening and Brief Intervention Protocols in Primary Care Settings

This study has been withdrawn prior to enrollment.
(Study not funded.)
Sponsor:
Information provided by (Responsible Party):
Amy Mericle, Treatment Research Institute
ClinicalTrials.gov Identifier:
NCT01523444
First received: January 27, 2012
Last updated: March 7, 2013
Last verified: March 2013
  Purpose

This proposed study tests the effectiveness and examines the implementation of screening and brief intervention techniques to delay initiation and reduce substance use among adolescents accessing medical care in Federally Qualified Health Care settings with a computer-facilitated intervention. The primary hypothesis is that participants in the intervention groups will be more likely to cease or reduce substance use at follow-up compared to clients in the treatment as usual condition.


Condition Intervention Phase
Substance Abuse
Behavioral: computer-assisted Screening & Brief Advice
Behavioral: computer-assisted Screening & Brief Advice Plus
Phase 3

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Advancing Adolescent Screening and Brief Intervention Protocols in Primary Care Settings

Further study details as provided by Treatment Research Institute:

Primary Outcome Measures:
  • Reduced substance use [ Time Frame: 3 and 12 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Initiation of substance use [ Time Frame: 3 and 12 Months ] [ Designated as safety issue: No ]

Enrollment: 0
Study Start Date: September 2013
Estimated Study Completion Date: November 2017
Estimated Primary Completion Date: February 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Treatment as Usual
Active Comparator: computer Screening & Brief Advice
All participants receiving care at the site assigned to the computer-facilitated screening and brief advice (cSBA) condition will receive the cSBA intervention as part of their care at that clinic.
Behavioral: computer-assisted Screening & Brief Advice
The computer-facilitated screening and brief advice (cSBA) intervention is a self-administered, computer-facilitated screening that asks about lifetime and past-12-month use of substances followed by scientific information about how substance use affects health and true-life stories illustrating the health risks of substance use. The cSBA program prints out a Report Form with the screening results, risk level, and "talking points" designed to prompt a 2 to 3-minute provider/teen conversation about the health effects of substance use, which recommends abstinence.
Experimental: computer Screening & Brief Advice Plus
All participants receiving care at the site assigned to the cSBA+ condition will receive the cSBA intervention elements plus the delivery of a brief, two-session motivational enhancement therapy (MET) intervention to be delivered a Behavioral Health Counselor (BHC) at the clinic immediately after meeting with the primary care provider as part of care at that clinic.
Behavioral: computer-assisted Screening & Brief Advice Plus
The cSBA+ intervention contains cSBA intervention elements plus the delivery of a brief, two-session motivational enhancement therapy (MET) intervention to be delivered a Behavioral Health Counselor (BHC) at the clinic immediately after meeting with the primary care provider. In the first session of this intervention, youth should be encouraged to think about: (1) The role alcohol and drugs play in his/her life; (2) His/her personal goals for changing alcohol and drug use; (3) Strategies for reaching and maintaining goals. The goal at the end of the session is positive movement in the direction of abstinence or change. The aim of the second session is reinforcement of goals set forth in the prior meeting with the BHC.

Detailed Description:

The aims of the proposed 5-year study are threefold: (1) To examine the effectiveness of a computer-facilitated Screening and Brief Advice (cSBA) to reduce initiation and substance abuse among adolescents in a novel setting; (2) To examine the comparative effectiveness of adding a Brief Intervention and Referral to Treatment component to the cSBA intervention among adolescents in these centers; (3) To examine factors facilitating and inhibiting the implementation of SBIRT-type procedures with adolescents in FQHCs.

  Eligibility

Ages Eligible for Study:   12 Years to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • 12-18 year old patients seeking care at the primary care participating sites

Exclusion Criteria:

  • Unable to read and understand English
  • Medically unstable
  • Unavailable for follow-up
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01523444

Locations
United States, Pennsylvania
Treatment Research Institute
Philadelphia, Pennsylvania, United States, 19106
Sponsors and Collaborators
Treatment Research Institute
Investigators
Principal Investigator: Amy Mericle, Ph.D. Treatment Research Institute
  More Information

No publications provided

Responsible Party: Amy Mericle, Principal Investigator, Treatment Research Institute
ClinicalTrials.gov Identifier: NCT01523444     History of Changes
Other Study ID Numbers: ASBIRT-PA-11-311
Study First Received: January 27, 2012
Last Updated: March 7, 2013
Health Authority: United States: Federal Government

Keywords provided by Treatment Research Institute:
Adolescents
Screening
Advice
Referral

Additional relevant MeSH terms:
Substance-Related Disorders
Mental Disorders

ClinicalTrials.gov processed this record on April 17, 2014