Clinical Trials Logo

Clinical Trial 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.


Clinical Trial Description

The primary goal of this project is to develop a computerized screening program for primary care offices that is based on the NIAAA's new Alcohol Screening Guide for Children and Adolescents and assess its psychometric properties among nine- to 18-yr-old primary care patients. There is substantial evidence supporting the effectiveness of screening and brief intervention among adult primary care patients, primarily in the reduction of harmful drinking. However, there have been few studies of alcohol screening and brief intervention conducted among adolescents seen in busy primary care settings. This project will develop and validate a new computerized Alcohol Screening for Children and Adolescents (cASCA) program which incorporates the age-specific screening questions of the NIAAA Guide and includes the CRAFFT and AUDIT as secondary risk/problem assessments. We will add tobacco screening because tobacco use is the leading cause of cancer-related mortality in the US as well as screening for marijuana and other drug use so as to create a comprehensive screening instrument that includes all major substances that adolescents use. Additionally, the NIAAA guide recommends that providers deliver a brief intervention in response to the screening results. Therefore, a secondary aim of this project will be to pilot-test a computer-facilitated Brief Intervention component using a randomized design comparing three groups: 1) screening with treatment as usual [cASCA/TAU]; 2) screening with the computer-facilitated brief intervention [cASCA/BI]. The BI component consists of patients viewing on the computer, immediately after the screening, their score and level of risk for a substance use problem, as well as several interactive pages of science and true-life stories about the health risks of substance use. Clinicians are then given the screen results and suggested talking points for a few minutes of brief counseling during the visit. Hypothesis: Among 9- to 18-year-old primary care patients, those receiving cASCA/BI will have lower rates of any alcohol use, days of alcohol use, drinks per drinking day, and days of heavy episodic drinking, at 3, 6, 9 and 12-months follow-up than those receiving treatment as usual. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT02233946
Study type Interventional
Source Boston Children's Hospital
Contact
Status Completed
Phase N/A
Start date January 2015
Completion date May 31, 2018

See also
  Status Clinical Trial Phase
Completed NCT02099305 - Randomized, School-based Effectiveness Trial of the Adolescent Depression Awareness Program N/A
Completed NCT01707537 - To Determine the Safety and Immunogenicity of an Oral(Whole Cell) Euvichol Cholera Vaccine in Healthy Adult Men Phase 1
Completed NCT01482975 - Tailored Interventions to Prevent Substance Abuse N/A
Completed NCT01896765 - Intensive Prevention Program After Myocardial Infarction N/A
Completed NCT02144571 - Sistas Inspiring Sistas Through Activity and Support N/A
Completed NCT02164110 - To Evaluate the Efficacy (Immunogenicity) and Safety of Euvichol in Healthy Adults and Children Phase 3
Completed NCT02187939 - Get in the GROOVE! N/A
Completed NCT02069249 - Sleep, Nutrition and Psychological Functioning in Kindergarten Children N/A
Completed NCT01619202 - Comparing Driving Performance Among Trained and Untrained Drivers Using a Driving Simulator N/A
Completed NCT02758054 - Patient Navigation for Lung Cancer Screening in an Urban Safety-Net System N/A
Completed NCT02899975 - Interventional Validation Study (WeTakeCare-Project) N/A
Not yet recruiting NCT02909374 - "Stay Balanced" - Prevention of Falls in Older Adults - From Clinical Research to Clinical Practice N/A
Withdrawn NCT01310829 - Virtual Reality Intervention in Cancer Genetics N/A
Recruiting NCT02879045 - Comparison of 2 Body Oil in Prevention of Striae Gravidarum Phase 2/Phase 3
Active, not recruiting NCT01195337 - Social Contextual Influences on Physical Activity