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Sponsors and Collaborators: |
Children's Hospital Boston Cambridge Health Alliance Concord Hospital Fallon Clinic Tufts Medical Center University of Vermont |
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Information provided by: | Children's Hospital Boston |
ClinicalTrials.gov Identifier: | NCT00592956 |
The major goal of this project is to assess the efficacy of a screening/brief provider advice intervention within a network of primary care practices.
We hypothesize that:
Condition | Intervention | Phase |
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Substance-Related Disorders |
Behavioral: Computerized CRAFFT screen and brief physician advice |
Phase II |
Study Type: | Interventional |
Study Design: | Prevention, Non-Randomized, Open Label, Single Group Assignment, Efficacy Study |
Official Title: | Screening and Brief Advice to Reduce Teen Substance Use |
Estimated Enrollment: | 2500 |
Study Start Date: | September 2004 |
Estimated Study Completion Date: | November 2009 |
Estimated Primary Completion Date: | November 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: No Intervention
Control participants will receive "care as usual" from their provider.
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2: Experimental
Participants who receive the intervention will complete the CRAFFT screen on the computer, and receive information and advice on the computer regarding health effects of substance use. Their provider will be given the results of their CRAFFT screen and a list of suggested "talking points" which they will use to guide a discussion with the patient about drug and alcohol use. Participants and their families will also receive educational brochures about substance use.
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Behavioral: Computerized CRAFFT screen and brief physician advice
Participants who receive the intervention will complete the CRAFFT screen on the computer, and receive information and advice on the computer regarding health effects of substance use. Their provider will be given the results of their CRAFFT screen and a list of suggested "talking points" which they will use to guide a discussion with the patient about drug and alcohol use. Participants and their families will also receive educational brochures about substance use.
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Primary medical care providers have a unique opportunity to screen adolescent patients for substance abuse, to provide early intervention for those who screen positive, and to provide positive reinforcement to those who screen negative. We have previously developed a brief substance abuse screening test, the CRAFFT, which is developmentally appropriate for adolescents, practical for use in busy primary care offices, and both valid and reliable among adolescent medical patients. We have also developed a computerized version of the CRAFFT screen, which delivers information about the health effects of substance use and advice to adolescents, and gives to providers the patient's CRAFFT score and suggested "talking points" about drug and alcohol use to discuss with the patient. We now plan to develop and test an intervention that can be widely applied by busy primary care providers, within the confines of the usual well care visit, to youth at all levels of substance involvement.
The goal of this project is to augment the screening/brief advice intervention with educational materials, and then to assess the efficacy of this approach within a network of primary care practices. The specific aims of the project are:
Ages Eligible for Study: | 12 Years to 18 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
United States, Massachusetts | |
Cambridge Health Alliance | |
Cambridge, Massachusetts, United States, 02139 | |
Fallon Clinic | |
Worcester, Massachusetts, United States, 01605 | |
Tufts-New England Medical Center | |
Boston, Massachusetts, United States, 02111 | |
United States, New Hampshire | |
Capital Region Family Health Center | |
Concord, New Hampshire, United States, 03301 | |
United States, Vermont | |
University of Vermont | |
Burlington, Vermont, United States, 05405 |
Principal Investigator: | John R Knight, MD | Children's Hospital Boston |
Responsible Party: | Children's Hospital Boston ( John R. Knight, MD ) |
Study ID Numbers: | R01 DA018848, R01 DA018848 |
Study First Received: | January 3, 2008 |
Last Updated: | February 23, 2009 |
ClinicalTrials.gov Identifier: | NCT00592956 History of Changes |
Health Authority: | United States: Institutional Review Board |
Alcohol abuse Substance abuse Substance related disorders |
Mental Disorders Substance-Related Disorders Disorders of Environmental Origin Ethanol |
Mental Disorders Substance-Related Disorders Disorders of Environmental Origin |