Technology-Based Prevention for Adolescents in Primary Care

Aim 1: Adaptation and integration of evidence-based content for substance use, SA, and SRB
prevention into an integrated, technology-based prevention program for adolescents aged 14-18
in primary care. Focus groups or interviews with adolescents aged 14-18, combined with
guidance from the mentorship team, will inform the adaptation and integration of
evidence-based content. Focus groups or interviews will include discussion of integration of
evidence-based content and attitudes towards substance use, SA, and SRB prevention.

Aim 2: Usability Testing of Integrated Prevention Program. Usability testing will include
adolescents (n = 15-20) and physicians (n = 15-20) recruited from community-based primary
care clinics and feedback will include reactions and obtain direct input from end users
regarding design and content. Information obtained from this phase of development will be
used to guide refinements of the tablet-based prevention program.

Aim 3: Pilot feasibility trial in preparation for RCT. Adolescents aged 14-18 will be
recruited for screening from community-based primary care clinics to ensure ease of
dissemination and representation of community-based primary care settings. The primary goal
is to develop feasibility to apply for an R01 to conduct an RCT. Power analyses indicate that
280 participants would be needed for an RCT after accounting for attrition. Given that the
RCT would be conducted over a 3-year period, a recruitment rate of 8 adolescents per month
would indicate feasibility for a larger RCT. A secondary goal is to preliminarily examine
outcomes.

Inclusion Criteria:

- Self-identify as using substances or peers who use substances

Exclusion Criteria:

- No substance use