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

RanD

Status: Completed

Conditions: Alcohol Use; Drug Use

Treatments: Behavioral: CHAT brief MI intervention; Behavioral: usual care

Study type: Interventional

Funder types: Other

Identifiers

NCT01797835

1R01AA021786

Details and patient eligibility

About

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.

Enrollment: 294 patients

Sex: All

Ages: 12 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria: 1

• 12-18
• speak English

Exclusion Criteria:

• cognitive impairment

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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294 participants in 2 patient groups, including a placebo group

Usual Care

Placebo Comparator group

Description:

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.

Treatment:

Behavioral: usual care

CHAT brief MI intervention

Experimental group

Description:

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.

Treatment:

Behavioral: CHAT brief MI intervention