Advancing Adolescent Screening and Brief Intervention Protocols in Primary Care Settings

NCT01523444 | Withdrawn Phase 3 DMC

• 1 other identifier: ASBIRT-PA-11-311
• Study Type: interventional
• Target: N/A
• Locations: 1 country
• Sites: 1

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.

Conditions

Substance Abuse

Keywords

Adolescents; Screening; Advice; Referral

Outcome Measures

Primary Outcomes (1)

• Reduced substance use

  3 and 12 months

Secondary Outcomes (1)

• Initiation of substance use

  3 and 12 Months

Study Arms (3)

Treatment as Usual

NO INTERVENTION

computer Screening & Brief Advice

ACTIVE COMPARATOR

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

computer Screening & Brief Advice Plus

EXPERIMENTAL

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

Interventions

computer-assisted Screening & Brief Advice BEHAVIORAL

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.

computer Screening & Brief Advice

computer-assisted Screening & Brief Advice Plus BEHAVIORAL

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.

computer Screening & Brief Advice Plus

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• year old patients seeking care at the primary care participating sites

You may not qualify if:

• Unable to read and understand English
• Medically unstable
• Unavailable for follow-up

Sponsors & Collaborators

• Treatment Research Institute: lead

Study Sites (1)

Treatment Research Institute

Philadelphia, Pennsylvania, 19106, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders

Interventions

Crisis Intervention

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Amy Mericle, Ph.D.

  Treatment Research Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 27, 2012
• First Posted: February 1, 2012
• Study Start: September 1, 2013
• Primary Completion: February 1, 2016
• Study Completion: November 1, 2017
• Last Updated: March 28, 2023

Record last verified: 2023-03

Locations

US (1)