Trial of Computerized SBI to Reduce Teen Alcohol Use

Randomized Controlled Trial of Computerized SBI to Reduce Teen Alcohol Use

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.

Inclusion Criteria:

• Arriving for well or non-emergent care at one of participating study sites
• Have an email address
• Have internet address

Exclusion Criteria:

• Unable to read or understand English
• Living away at college at the time of the recruitment visit
• Not available for computer/telephone follow-ups
• Judged by the provider to be medically or emotionally unstable at time of visit