cSBIRT to Reduce Teen Tobacco, Alcohol and Drug Use

cSBIRT to Reduce Teen Tobacco, Alcohol and Drug Use

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.

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.

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