Screening and Brief Advice to Reduce Teen Substance Use
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 12 - 18 |
| Updated: | 9/23/2018 |
| Start Date: | December 2005 |
| End Date: | February 2010 |
The purpose of this study is to test the effectiveness of a brief intervention for alcohol
and drug use in adolescents that a primary care doctor can give in his/her office. The study
will be conducted in nine primary care offices in three New England states, and in ten
pediatric offices in Prague, Czech Republic (CZR).
We hypothesize that:
1. Among 12-18 year old well care patients who screen positive for drug/alcohol use, the
experimental intervention administered by trained primary care providers will be more
effective than standard care in decreasing drug and alcohol use;
2. Among 12-18 year old well care patients who screen negative for drug/alcohol use, the
experimental intervention administered by trained primary care providers will be more
effective than standard care in decreasing initiation of drug and alcohol use as
measured by self-reports of substance use;
3. Among 12-18 year old well care patients who are at risk for driving/riding while
impaired (DRWI), the experimental intervention administered by trained primary care
providers will be more effective than standard care in decreasing DRWI risk behavior as
measured by a standardized scale.
and drug use in adolescents that a primary care doctor can give in his/her office. The study
will be conducted in nine primary care offices in three New England states, and in ten
pediatric offices in Prague, Czech Republic (CZR).
We hypothesize that:
1. Among 12-18 year old well care patients who screen positive for drug/alcohol use, the
experimental intervention administered by trained primary care providers will be more
effective than standard care in decreasing drug and alcohol use;
2. Among 12-18 year old well care patients who screen negative for drug/alcohol use, the
experimental intervention administered by trained primary care providers will be more
effective than standard care in decreasing initiation of drug and alcohol use as
measured by self-reports of substance use;
3. Among 12-18 year old well care patients who are at risk for driving/riding while
impaired (DRWI), the experimental intervention administered by trained primary care
providers will be more effective than standard care in decreasing DRWI risk behavior as
measured by a standardized scale.
We are trying to find out the best way for doctors to talk with their adolescent patients
about alcohol and drug use. Adolescents 12-18 who are coming to their doctor's office for a
routine well-care or follow-up visit will be invited to participate in the study.
Participants do not have to have ever used alcohol or drugs. All participants will answer a
computerized questionnaire about alcohol and drug use three times. The first one will be at
the time of a doctor's visit. The second time will be three months later and the third time a
year later. Adolescents who agree to be in the study during the first year will be in the
'control' group. Their doctor will talk to them about drugs and alcohol the same as he/she
usually does for all his/her patients. Those who agree to be in the study during the second
year will be in the 'intervention' group. Everyone in the 'intervention' group will receive
some advice on the computer about their alcohol and drug use. Their doctor will also give
them some specific advice about drug and alcohol use. The researchers have chosen what that
advice will be, and all doctors involved in the study will give advice according to the study
protocol. Participants and their parents will also be given educational information about
alcohol and drugs. We will test the effectiveness of the intervention by comparing drug and
alcohol use between those who are in the 'control' group, and those who are in the
'intervention' group.
We we will also validate the Czech version of the CRAFFT screen before conducting the
effectiveness trial outlined above in the Czech Republic.
about alcohol and drug use. Adolescents 12-18 who are coming to their doctor's office for a
routine well-care or follow-up visit will be invited to participate in the study.
Participants do not have to have ever used alcohol or drugs. All participants will answer a
computerized questionnaire about alcohol and drug use three times. The first one will be at
the time of a doctor's visit. The second time will be three months later and the third time a
year later. Adolescents who agree to be in the study during the first year will be in the
'control' group. Their doctor will talk to them about drugs and alcohol the same as he/she
usually does for all his/her patients. Those who agree to be in the study during the second
year will be in the 'intervention' group. Everyone in the 'intervention' group will receive
some advice on the computer about their alcohol and drug use. Their doctor will also give
them some specific advice about drug and alcohol use. The researchers have chosen what that
advice will be, and all doctors involved in the study will give advice according to the study
protocol. Participants and their parents will also be given educational information about
alcohol and drugs. We will test the effectiveness of the intervention by comparing drug and
alcohol use between those who are in the 'control' group, and those who are in the
'intervention' group.
We we will also validate the Czech version of the CRAFFT screen before conducting the
effectiveness trial outlined above in the Czech Republic.
Inclusion Criteria:
12-18 year old patients coming for well care or follow-up visits to one of the study sites,
All levels of substance use, Able to read and understand English
Exclusion Criteria:
Will not be available for 12 month follow-up period, Medically unstable at the time of the
visit
We found this trial at
6
sites
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