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The goal of this project is to test the effectiveness of a computer-facilitated alcohol screening and brief intervention (c-ASBI) system for 12- to 18-year-old primary care patients in a multi-site, randomized comparative effectiveness trial. The investigators hypothesize that, among 12- to 18-year olds patients coming for annual well-care, those receiving c-ASBI will have lower rates of any alcohol use at 3-, 6-, and 12-month follow-ups compared to Treatment As Usual (TAU).
The Specific Aims are to 1) Test the effects of c-ASBI on any alcohol use; 2) Test the effects of c-ASBI separately as a prevention, therapeutic, and risk-reduction intervention; 3) Test the effects of c-ASBI separately on cannabis and tobacco use; explore its effects on other drug use; and 4) Assess potential moderators (e.g., age, gender, race/ethnicity, substance use history +/-, parent/sibling/peer substance use), mediators (e.g., Youth to Provider Connectedness,20 perceived harmfulness of alcohol and drug use), and explore c-ASBI's mechanism of action.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment at Usual | No Intervention | Participants in this group will receive treatment as usual (TAU) from their provider, which may or may not include screening and brief advice regarding alcohol use. | |
| c-ASBI | Experimental | Participants in this group will receive the computerized alcohol screening and brief intervention (c-ASBI). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| c-ASBI | Behavioral | Participants in the c-ASBI group will complete a computerized screen for alcohol, cannabis, tobacco and other drugs, then view their screen score and 10 pages of information about the health effects of substance use and true-life stories on the computer. Their provider will see a report of their screen results and provide advice to stop or decrease their use, or, for those at high risk, referral to complete a computerized motivational enhancement therapy intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Days of alcohol use | We will compare rates of any alcohol use over the past twelve months between the groups. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Drinking initiation | We will compare rates of drinking initiation over the past 12-months between groups. | 12 months |
| Drinking cessation | We will compare rates of drinking cessation over the past 12 months between groups. |
| Measure | Description | Time Frame |
|---|---|---|
| Cannabis use | We will compare the rates of cannabis use over the past twelve months between groups. | 12 months |
| Tobacco use | We will compare the rates of tobacco use over the past twelve months between groups. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John R Knight, MD | Boston Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tufts Medical Center | Boston | Massachusetts | 02111 | United States | ||
| Boston Children's Hospital |
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| ID | Term |
|---|---|
| D000437 | Alcoholism |
| D002189 | Marijuana Abuse |
| D014029 | Tobacco Use Disorder |
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D019973 | Alcohol-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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|
| 12 months |
| Driving/Riding risk | We will compare the rates of driving under the influence or riding with a driver under the influence between groups. | 12 months |
| 12 months |
| Boston |
| Massachusetts |
| 02115 |
| United States |
| Longwood Pediatrics | Boston | Massachusetts | 02115 | United States |
| East Boston Neighborhood Health Center | Boston | Massachusetts | 02128 | United States |
| Cambridge Pediatrics | Cambridge | Massachusetts | 02139 | United States |
| Lexington Pediatrics | Lexington | Massachusetts | 02421 | United States |