Computerized Alcohol Screening for Children and Adolescents (cASCA) in Primary Care
cASCA
2 other identifiers
interventional
871
1 country
5
Brief Summary
The purpose of this study is to assess the psychometric properties of a brief screening questionnaire for alcohol problems among 9- to 18-year-old patients in pediatricians' offices, and to pilot test a personalized, computer-facilitated brief intervention delivered on a tablet computer and by the provider based on screening results.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2015
Longer than P75 for not_applicable
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 19, 2014
CompletedFirst Posted
Study publicly available on registry
September 9, 2014
CompletedStudy Start
First participant enrolled
January 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 31, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
May 31, 2018
CompletedResults Posted
Study results publicly available
March 11, 2021
CompletedMarch 11, 2021
February 1, 2021
3.4 years
August 19, 2014
December 28, 2020
February 18, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Time to First Post-visit Drinking Day
Median (and interquartile range) for times to first use for the cSBI and Treatment As Usual (TAU) groups
12-months follow-up
Time to First Post-visit Heavy Episodic Drinking Day
The number of days post-visit to first reported heavy episodic drinking day
12-months follow-up
Secondary Outcomes (2)
Time to First Post-visit Cannabis Use Day
12-months follow-up
Past-3-month Riding Risk
12 months follow-up
Study Arms (2)
screening w/ computer brief intervention
EXPERIMENTALscreening with computer-facilitated brief intervention
Screening with Treatment as Usual
NO INTERVENTIONScreening with Treatment as Usual
Interventions
Immediate feedback to patient of screening results and risk for substance use problem, followed by 11 pages of science and true-life stories about health risks of adolescent substance use. Screening results then go to provider who reviews them with patient and gives brief counseling, and refers to an online motivational enhancement therapy intervention for patients at moderate/high risk for substance use problems.
Eligibility Criteria
You may qualify if:
- access to computer and email address
- available and willing to complete all follow ups by email or phone
- medically and emotionally stable
- can read and understand English
You may not qualify if:
- Patient has already participated in this study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (5)
Tufts Medical Center
Boston, Massachusetts, 02111, United States
Boston Childrens Primary Care Center
Boston, Massachusetts, 02115, United States
Longwood Pediatrics
Boston, Massachusetts, 02115, United States
East Boston Neighborhood Health Center
East Boston, Massachusetts, 02128, United States
Lexington Pediatrics
Lexington, Massachusetts, 02421, United States
Related Publications (1)
Harris SK, Csemy L, Sherritt L, Starostova O, Van Hook S, Johnson J, Boulter S, Brooks T, Carey P, Kossack R, Kulig JW, Van Vranken N, Knight JR. Computer-facilitated substance use screening and brief advice for teens in primary care: an international trial. Pediatrics. 2012 Jun;129(6):1072-82. doi: 10.1542/peds.2011-1624. Epub 2012 May 7.
PMID: 22566420BACKGROUND
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Same practitioners delivering both the CSBI and UC may have contaminated UC arm; only group difference we could assure was the CRAFFT screen. Relied on patients' reporting of intervention; did not obtain independent observations of practitioner behaviors. Relied on self-report. Unable to examine effects on use of certain drugs (low prevalence). Did not collect parents' views of CSBI system.
Results Point of Contact
- Title
- Dr. Sion Kim Harris
- Organization
- Boston Children's Hospital
Study Officials
- PRINCIPAL INVESTIGATOR
John R Knight, MD
Boston Children's Hospital
- PRINCIPAL INVESTIGATOR
Sion K Harris, PhD
Boston Children's Hospital
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
- PRINCIPAL INVESTIGATOR
- PI Title
- Co-Director, Center for Adolescent Substance Abuse Research
Study Record Dates
First Submitted
August 19, 2014
First Posted
September 9, 2014
Study Start
January 1, 2015
Primary Completion
May 31, 2018
Study Completion
May 31, 2018
Last Updated
March 11, 2021
Results First Posted
March 11, 2021
Record last verified: 2021-02