Screening for Youth Alcohol and Drug Use: A Study of Primary Care Providers
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|ClinicalTrials.gov Identifier: NCT02408952|
Recruitment Status : Active, not recruiting
First Posted : April 6, 2015
Last Update Posted : May 3, 2017
|Condition or disease||Intervention/treatment||Phase|
|Substance Related Disorders||Behavioral: Primary Care Physician Behavioral: Behavioral Medicine Specialist||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||9084 participants|
|Intervention Model:||Factorial Assignment|
|Masking:||None (Open Label)|
|Official Title:||Screening for Youth Alcohol and Drug Use: A Study of Primary Care Providers|
|Study Start Date :||October 2011|
|Actual Primary Completion Date :||October 2013|
|Estimated Study Completion Date :||June 2018|
Experimental: Primary Care Physician
If the adolescent is identified at risk for substance use, the screening and brief intervention referral to treatment delivered is by the primary care physician
Behavioral: Primary Care Physician
The screening, brief intervention and referral to treatment is delivered by the Primary Care Physician
Experimental: Behavioral Medicine Specialist
If the adolescent is identified at risk for substance use, the screening and brief intervention referral to treatment delivered by the behavioral medicine specialist
Behavioral: Behavioral Medicine Specialist
The screening, brief intervention and referral to treatment is delivered by the Behavioral Medicine Specialist.
No Intervention: Usual Care
Care is administered as usual
- Screening rate [ Time Frame: Initial screening rate - at index well-visit ]The proportion of patients who are screened with the Teen Well Check Questionnaire AOD use or Mood symptom questions, among all patients with Teen well-child visits.
- Problem Identification rate [ Time Frame: Initital problem identification rate - at index well-visit, following screening ]The proportion of patients screened who answer "yes" to AOD use or Mood symptoms in past 12 months and "yes" to at least one non-car CRAFFT question. (Being in a car with someone using AOD may not be related to child's problem, but to having a parent/other adult who has driven while drinking/using).
- Assessment rate [ Time Frame: Within 2 weeks following index well-visit date ]Proportion of patients screening positive for alcohol or other drug, or mental health risk, who are assessed further using the CRAFFT tool.
- Brief Intervention rate [ Time Frame: Within 14 days of assessment at index well visit ]The proportion of patients who receive an intervention within 14 days, among those who are identified with AOD risk (based on CRAFFT score). Documented in EHR by clinicians, using an ICD-9 Administrative V-code for substance use counseling or behavioral counseling.
- Referral to specialty treatment rate [ Time Frame: Within 6 months of index well-visit ]The proportion of patients who receive referrals to specialty behavioral health treatment, among those identified through the CRAFFT as needing such treatment. Documented in the EHR.
- Specialty Behavioral Health Treatment Initiation [ Time Frame: Within 2 years post-intervention ]Defined as the percent referred, who have at least one specialty behavioral health visit among those identified with a behavioral health problem. Documented in the EHR.
- Alcohol and other drug use [ Time Frame: Use in past 6 months, at 1 and 2 years post-intervention ]Alcohol and drug use: The items in the EHR measure past 30-day and 6-month use of alcohol, marijuana and other drugs and tobacco, including days of use, quantity consumed (any, 3+ and 5+ drinks), and days of binge drinking (3+ and 5+).
- Substance Use-related outcomes [ Time Frame: in past 6 months, at 1 and 2 years post-intervention ]AOD-related legal, school, and family problems: The EHR questions also include measures from the Comprehensive Adolescent Severity Inventory (CASI),148 a semi-structured questionnaire which measures adolescent health and functioning across education, legal, and family relations domains.
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): NCT02408952
|United States, California|
|Stacy A Sterling|
|Oakland, California, United States, 94612|