Alcohol Screening in an Ethnically Diverse Sample of Adolescents in Primary Care

NCT01797835 | Completed Results DMC

• 1 other identifier: 1R01AA021786
• Study Type: interventional
• Target: 294
• Locations: 1 country
• Sites: 2

Brief Summary

Screening youth in the primary care setting is one way to identify adolescents who may be at-risk for future alcohol problems. The current study tests the new NIAAA screening guide questions, which ask about friend and adolescent drinking, to see how well these questions work to predict subsequent alcohol use, problems, and involvement in other risk behaviors, such as sexual risk-taking and delinquency. In addition, the investigators plan to provide a brief motivational intervention for some at-risk teens and see whether alcohol use differs for those teens who receive the intervention and those teens who receive enhanced usual care. The results of this study have the potential to significantly impact the standard of care for identifying and intervening with at- risk youth in primary care settings.

Conditions

Alcohol Use; Drug Use

Keywords

adolescents; intervention; motivational interviewing; alcohol and drug use

Outcome Measures

Primary Outcomes (1)

• Number of Times Used Alcohol

  in the past three months: Number of times used alcohol; The 6-point frequency response scale (0= "Never" to 5= "More than 20 times") was rescaled to a pseudo-continuous variable ranging from 0 to 20 using the mid-point of any range as the new value (e.g. 3-10 times was recoded as 6.5 times).

  Past 3 months

Secondary Outcomes (1)

• Number of Times Used Marijuana

  Past 3 months

Study Arms (2)

Usual Care

PLACEBO COMPARATOR

Youth in usual care will receive screening for alcohol and drug use. Those youth who are at risk will have a chance to talk to their provider about their use. They will also receive an informational brochure.

Behavioral: usual care

CHAT brief MI intervention

EXPERIMENTAL

Youth in CHAT will receive screening for alcohol and drug use. Those youth who are at risk will have a chance to talk to their provider about their use. In addition, these youth will CHAT. CHAT is a brief motivational intervention that takes places in the primary care setting. It is a 15-20 minute intervention for adolescents age 12-18 focused on discussing alcohol and drug use. They will also receive a booster call one month later to check in on how they are doing.

Behavioral: CHAT brief MI intervention

Interventions

CHAT brief MI intervention BEHAVIORAL

CHAT is one 15-20 minute session delivered in a single PC visit and utilizes motivational interviewing with youth to target alcohol and drug use in primary care.

CHAT brief MI intervention

usual care BEHAVIORAL

Youth receive a brochure with information on AOD use.

Usual Care

Eligibility Criteria

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

You may qualify if:

• speak English

You may not qualify if:

• cognitive impairment

Sponsors & Collaborators

• RAND: lead
• Valley Community Clinic: collaborator
• University of Pittsburgh: collaborator

Study Sites (2)

Valley Community Clinic

North Hollywood, California, 91605, United States

Location

UPMC St. Margaret

Pittsburgh, Pennsylvania, 15215, United States

Location

Related Publications (5)

• D'Amico EJ, Parast L, Osilla KC, Seelam R, Meredith LS, Shadel WG, Stein BD. Understanding Which Teenagers Benefit Most From a Brief Primary Care Substance Use Intervention. Pediatrics. 2019 Aug;144(2):e20183014. doi: 10.1542/peds.2018-3014. Epub 2019 Jul 11.

  PMID: 31296568 DERIVED

• Meredith LS, Seelam R, Stein BD, Parast L, Shadel WG, D'Amico EJ. Adolescents with better mental health have less problem alcohol use six months later. Addict Behav. 2019 Aug;95:77-81. doi: 10.1016/j.addbeh.2019.03.006. Epub 2019 Mar 7.

  PMID: 30861475 DERIVED

• D'Amico EJ, Parast L, Shadel WG, Meredith LS, Seelam R, Stein BD. Brief motivational interviewing intervention to reduce alcohol and marijuana use for at-risk adolescents in primary care. J Consult Clin Psychol. 2018 Sep;86(9):775-786. doi: 10.1037/ccp0000332.

  PMID: 30138016 DERIVED

• Meredith LS, Ewing BA, Stein BD, Shadel WG, Brooks Holliday S, Parast L, D'Amico EJ. Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings. BMC Fam Pract. 2018 Jan 9;19(1):10. doi: 10.1186/s12875-017-0689-y.

  PMID: 29316897 DERIVED

• D'Amico EJ, Parast L, Meredith LS, Ewing BA, Shadel WG, Stein BD. Screening in Primary Care: What Is the Best Way to Identify At-Risk Youth for Substance Use? Pediatrics. 2016 Dec;138(6):e20161717. doi: 10.1542/peds.2016-1717. Epub 2016 Nov 18.

  PMID: 27940696 DERIVED

MeSH Terms

Conditions

Alcohol Drinking

Condition Hierarchy (Ancestors)

Drinking Behavior; Behavior

Results Point of Contact

• Title: Dr. Elizabeth D'Amico
• Organization: RAND

damico@rand.org

3103930411

Study Officials

• Elizabeth J D'Amico, PhD

  RAND

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 21, 2013
• First Posted: February 25, 2013
• Study Start: March 1, 2013
• Primary Completion: November 1, 2015
• Study Completion: August 1, 2018
• Last Updated: July 17, 2019
• Results First Posted: June 26, 2019

Record last verified: 2019-07

Locations

US (2)