Advancing Adolescent Screening and Brief Intervention Protocols in Primary Care Settings

Treatment Research Institute

Status and phase: Withdrawn; Phase 3

Conditions: Substance Abuse

Treatments: Behavioral: computer-assisted Screening & Brief Advice; Behavioral: computer-assisted Screening & Brief Advice Plus

Study type: Interventional

Funder types: Other

Identifiers

NCT01523444

ASBIRT-PA-11-311

Details and patient eligibility

About

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.

Full description

The aims of the proposed 5-year study are threefold: (1) To examine the effectiveness of a computer-facilitated Screening and Brief Advice (cSBA) to reduce initiation and substance abuse among adolescents in a novel setting; (2) To examine the comparative effectiveness of adding a Brief Intervention and Referral to Treatment component to the cSBA intervention among adolescents in these centers; (3) To examine factors facilitating and inhibiting the implementation of SBIRT-type procedures with adolescents in FQHCs.

Sex: All

Ages: 12 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 12-18 year old patients seeking care at the primary care participating sites

Exclusion criteria

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

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 3 patient groups

Treatment as Usual

No Intervention group

computer Screening & Brief Advice

Active Comparator group

Description:

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.

Treatment:

Behavioral: computer-assisted Screening & Brief Advice

computer Screening & Brief Advice Plus

Experimental group

Description:

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.

Treatment:

Behavioral: computer-assisted Screening & Brief Advice Plus