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Advancing Adolescent Screening and Brief Intervention Protocols in Primary Care Settings

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ClinicalTrials.gov Identifier: NCT01523444
Recruitment Status : Withdrawn (Study not funded.)
First Posted : February 1, 2012
Last Update Posted : July 16, 2015
Sponsor:
Information provided by (Responsible Party):
Treatment Research Institute

Brief Summary:
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 or disease Intervention/treatment Phase
Substance Abuse Behavioral: computer-assisted Screening & Brief Advice Behavioral: computer-assisted Screening & Brief Advice Plus Phase 3

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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Advancing Adolescent Screening and Brief Intervention Protocols in Primary Care Settings
Study Start Date : September 2013
Estimated Primary Completion Date : February 2016
Estimated Study Completion Date : November 2017

Arm Intervention/treatment
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.



Primary Outcome Measures :
  1. Reduced substance use [ Time Frame: 3 and 12 months ]

Secondary Outcome Measures :
  1. Initiation of substance use [ Time Frame: 3 and 12 Months ]


Information from the National Library of Medicine

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Ages Eligible for Study:   12 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): 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

Responsible Party: Treatment Research Institute
ClinicalTrials.gov Identifier: NCT01523444     History of Changes
Other Study ID Numbers: ASBIRT-PA-11-311
First Posted: February 1, 2012    Key Record Dates
Last Update Posted: July 16, 2015
Last Verified: July 2015

Keywords provided by Treatment Research Institute:
Adolescents
Screening
Advice
Referral

Additional relevant MeSH terms:
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders