Trial Outcomes & Findings for Computerized Alcohol Screening for Children and Adolescents (cASCA) in Primary Care (NCT NCT02233946)

NCT ID: NCT02233946

Last Updated: 2021-03-11

Results Overview

Median (and interquartile range) for times to first use for the cSBI and Treatment As Usual (TAU) groups

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

871 participants

Primary outcome timeframe

12-months follow-up

Results posted on

2021-03-11

Participant Flow

Participant milestones

Participant milestones
Measure
Computerized Screening w/ Provider Brief Intervention (cSBI)
cSBI consists of adolescents self-administering on a tablet computer a screening questionnaire prior to seeing their provider. The computer program then immediately provides adolescents with personalized feedback, followed by brief psychoeducation illustrating the health-related risks of substance use. Providers then login to the tablet computer to access a Clinician Report Form which presents the patient's screening results, as well as discussion prompts to guide a few minutes of Motivational Interviewing-based brief counseling during the visit.
Computerized Screening With Treatment as Usual (TAU)
The comparison group also completed the computerized screening tool. However, this group did not receive any feedback or psychoeducation, and their providers did not receive the screening results. During the visit, adolescents in this group received treatment as usual.
Baseline
STARTED
628
243
Baseline
COMPLETED
626
243
Baseline
NOT COMPLETED
2
0
Immediate Post-visit Questionnaire
STARTED
626
243
Immediate Post-visit Questionnaire
COMPLETED
624
243
Immediate Post-visit Questionnaire
NOT COMPLETED
2
0
3-months Follow-up
STARTED
624
243
3-months Follow-up
COMPLETED
571
214
3-months Follow-up
NOT COMPLETED
53
29
6-months Follow-up
STARTED
571
214
6-months Follow-up
COMPLETED
550
212
6-months Follow-up
NOT COMPLETED
21
2
9-month Follow-up
STARTED
550
212
9-month Follow-up
COMPLETED
530
201
9-month Follow-up
NOT COMPLETED
20
11
12-month Follow-up
STARTED
530
201
12-month Follow-up
COMPLETED
502
190
12-month Follow-up
NOT COMPLETED
28
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Computerized Screening w/ Provider Brief Intervention (cSBI)
cSBI consists of adolescents self-administering on a tablet computer a screening questionnaire prior to seeing their provider. The computer program then immediately provides adolescents with personalized feedback, followed by brief psychoeducation illustrating the health-related risks of substance use. Providers then login to the tablet computer to access a Clinician Report Form which presents the patient's screening results, as well as discussion prompts to guide a few minutes of Motivational Interviewing-based brief counseling during the visit.
Computerized Screening With Treatment as Usual (TAU)
The comparison group also completed the computerized screening tool. However, this group did not receive any feedback or psychoeducation, and their providers did not receive the screening results. During the visit, adolescents in this group received treatment as usual.
Baseline
Withdrawal by Subject
2
0
3-months Follow-up
Lost to Follow-up
53
29
6-months Follow-up
Lost to Follow-up
21
2
9-month Follow-up
Lost to Follow-up
20
11
12-month Follow-up
Lost to Follow-up
28
11

Baseline Characteristics

We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Computerized Screening w/ Provider Brief Intervention (cSBI)
n=626 Participants
cSBI consists of adolescents self-administering on a tablet computer a screening questionnaire prior to seeing their provider. The computer program then immediately provides adolescents with personalized feedback, followed by brief psychoeducation illustrating the health-related risks of substance use. Providers then login to the tablet computer to access a Clinician Report Form which presents the patient's screening results, as well as discussion prompts to guide a few minutes of Motivational Interviewing-based brief counseling during the visit.
Computerized Screening With Treatment as Usual (TAU)
n=243 Participants
The comparison group also completed the computerized screening tool. However, this group did not receive any feedback or psychoeducation, and their providers did not receive the screening results. During the visit, adolescents in this group received treatment as usual.
Total
n=869 Participants
Total of all reporting groups
Age, Continuous
Participants who reported past-12-month use of alcohol or other drugs at baseline
16.3 years
STANDARD_DEVIATION 1.3 • n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
16.5 years
STANDARD_DEVIATION 1.3 • n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
16.4 years
STANDARD_DEVIATION 1.3 • n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Age, Continuous
Participants who reported no past-12-month use of alcohol or other drugs at baseline
14.1 years
STANDARD_DEVIATION 1.8 • n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
14.5 years
STANDARD_DEVIATION 1.7 • n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
14.3 years
STANDARD_DEVIATION 1.8 • n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Sex: Female, Male
Participants who reported past-12-month use of alcohol or other drugs at baseline · Female
80 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
34 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
114 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Sex: Female, Male
Participants who reported past-12-month use of alcohol or other drugs at baseline · Male
68 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
29 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
97 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Sex: Female, Male
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Female
236 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
91 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
327 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Sex: Female, Male
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Male
242 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
89 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
331 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Race/Ethnicity, Customized
Participants who reported past-12-month use of alcohol or other drugs at baseline · Non-Hispanic White
69 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
36 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
105 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Race/Ethnicity, Customized
Participants who reported past-12-month use of alcohol or other drugs at baseline · Hispanic
40 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
15 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
55 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Race/Ethnicity, Customized
Participants who reported past-12-month use of alcohol or other drugs at baseline · Other or multirace
39 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
12 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
51 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Race/Ethnicity, Customized
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Non-Hispanic White
203 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
79 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
282 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Race/Ethnicity, Customized
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Hispanic
143 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
58 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
201 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Race/Ethnicity, Customized
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Other or multirace
132 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
43 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
175 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Region of Enrollment
United States
626 Participants
n=626 Participants
243 Participants
n=243 Participants
869 Participants
n=869 Participants
In grades 9-12
Participants who reported past-12-month use of alcohol or other drugs at baseline · Yes
141 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
60 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
201 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
In grades 9-12
Participants who reported past-12-month use of alcohol or other drugs at baseline · No
7 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
3 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
10 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
In grades 9-12
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Yes
197 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
100 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
297 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
In grades 9-12
Participants who reported no past-12-month use of alcohol or other drugs at baseline · No
281 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
80 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
361 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Lives with two parents in home
Participants who reported past-12-month use of alcohol or other drugs at baseline · Yes
103 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
41 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
144 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Lives with two parents in home
Participants who reported past-12-month use of alcohol or other drugs at baseline · No
45 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
22 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
67 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Lives with two parents in home
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Yes
380 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
143 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
523 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Lives with two parents in home
Participants who reported no past-12-month use of alcohol or other drugs at baseline · No
98 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
37 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
135 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Parent highest education level is college graduate or higher
Participants who reported past-12-month use of alcohol or other drugs at baseline · Yes
100 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
44 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
144 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Parent highest education level is college graduate or higher
Participants who reported past-12-month use of alcohol or other drugs at baseline · No
48 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
19 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
67 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Parent highest education level is college graduate or higher
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Yes
306 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
108 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
414 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Parent highest education level is college graduate or higher
Participants who reported no past-12-month use of alcohol or other drugs at baseline · No
172 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
72 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
244 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Saw a pediatrician at visit
Participants who reported past-12-month use of alcohol or other drugs at baseline · Yes
128 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
50 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
178 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Saw a pediatrician at visit
Participants who reported past-12-month use of alcohol or other drugs at baseline · No
20 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
13 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
33 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Saw a pediatrician at visit
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Yes
412 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
152 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
564 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Saw a pediatrician at visit
Participants who reported no past-12-month use of alcohol or other drugs at baseline · No
66 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
28 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
94 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Saw a female practitioner
Participants who reported past-12-month use of alcohol or other drugs at baseline · Yes
99 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
50 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
149 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Saw a female practitioner
Participants who reported past-12-month use of alcohol or other drugs at baseline · No
49 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
13 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
62 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Saw a female practitioner
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Yes
321 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
117 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
438 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Saw a female practitioner
Participants who reported no past-12-month use of alcohol or other drugs at baseline · No
157 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
63 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
220 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Had 6 or more prior visits with practitioner
Participants who reported past-12-month use of alcohol or other drugs at baseline · Yes
90 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
33 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
123 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Had 6 or more prior visits with practitioner
Participants who reported past-12-month use of alcohol or other drugs at baseline · No
58 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
30 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
88 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Had 6 or more prior visits with practitioner
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Yes
284 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
106 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
390 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Had 6 or more prior visits with practitioner
Participants who reported no past-12-month use of alcohol or other drugs at baseline · No
194 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
74 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
268 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Had CRAFFT score of 2 or greater
Yes
41 Participants
n=148 Participants • Participants who reported past-12-month use of alcohol or other drugs at baseline
18 Participants
n=63 Participants • Participants who reported past-12-month use of alcohol or other drugs at baseline
59 Participants
n=211 Participants • Participants who reported past-12-month use of alcohol or other drugs at baseline
Had CRAFFT score of 2 or greater
No
107 Participants
n=148 Participants • Participants who reported past-12-month use of alcohol or other drugs at baseline
45 Participants
n=63 Participants • Participants who reported past-12-month use of alcohol or other drugs at baseline
152 Participants
n=211 Participants • Participants who reported past-12-month use of alcohol or other drugs at baseline
Hung out with friends who use alcohol/drugs
Participants who reported past-12-month use of alcohol or other drugs at baseline · Yes
131 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
57 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
188 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Hung out with friends who use alcohol/drugs
Participants who reported past-12-month use of alcohol or other drugs at baseline · No
17 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
6 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
23 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Hung out with friends who use alcohol/drugs
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Yes
169 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
82 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
251 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Hung out with friends who use alcohol/drugs
Participants who reported no past-12-month use of alcohol or other drugs at baseline · No
309 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
98 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
407 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Has substance-involved siblings
Participants who reported past-12-month use of alcohol or other drugs at baseline · Yes
59 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
23 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
82 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Has substance-involved siblings
Participants who reported past-12-month use of alcohol or other drugs at baseline · No
89 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
40 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
129 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Has substance-involved siblings
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Yes
40 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
10 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
50 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Has substance-involved siblings
Participants who reported no past-12-month use of alcohol or other drugs at baseline · No
438 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
170 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
608 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Has substance-involved parents/guardians
Participants who reported past-12-month use of alcohol or other drugs at baseline · Yes
25 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
10 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
35 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Has substance-involved parents/guardians
Participants who reported past-12-month use of alcohol or other drugs at baseline · No
123 Participants
n=148 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
53 Participants
n=63 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
176 Participants
n=211 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Has substance-involved parents/guardians
Participants who reported no past-12-month use of alcohol or other drugs at baseline · Yes
27 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
8 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
35 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
Has substance-involved parents/guardians
Participants who reported no past-12-month use of alcohol or other drugs at baseline · No
451 Participants
n=478 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
172 Participants
n=180 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline
623 Participants
n=658 Participants • We conducted analyses stratified by past-12-month use of any alcohol or other drugs reported at baseline

PRIMARY outcome

Timeframe: 12-months follow-up

Population: Stratified: Participants who reported past-12-month use of alcohol or other drugs at baseline vs. Participants who reported no past-12-month use of alcohol or other drugs at baseline

Median (and interquartile range) for times to first use for the cSBI and Treatment As Usual (TAU) groups

Outcome measures

Outcome measures
Measure
Computerized Screening w/ Provider Brief Intervention (cSBI)
n=570 Participants
cSBI consists of adolescents self-administering on a tablet computer a screening questionnaire prior to seeing their provider. The computer program then immediately provides adolescents with personalized feedback, followed by brief psychoeducation illustrating the health-related risks of substance use. Providers then login to the tablet computer to access a Clinician Report Form which presents the patient's screening results, as well as discussion prompts to guide a few minutes of Motivational Interviewing-based brief counseling during the visit.
Computerized Screening With Treatment as Usual (TAU)
n=212 Participants
The comparison group also completed the computerized screening tool. However, this group did not receive any feedback or psychoeducation, and their providers did not receive the screening results. During the visit, adolescents in this group received treatment as usual.
Time to First Post-visit Drinking Day
Participants who reported past-12-month use of alcohol or other drugs at baseline
97 days
Interval 51.0 to 222.0
44 days
Interval 21.0 to 143.0
Time to First Post-visit Drinking Day
Participants who reported no past-12-month use of alcohol or other drugs at baseline
366 days
Interval 338.0 to 366.0
366 days
Interval 334.0 to 366.0

PRIMARY outcome

Timeframe: 12-months follow-up

Population: Participants who reported past-12-month use of alcohol or other drugs at baseline

The number of days post-visit to first reported heavy episodic drinking day

Outcome measures

Outcome measures
Measure
Computerized Screening w/ Provider Brief Intervention (cSBI)
n=114 Participants
cSBI consists of adolescents self-administering on a tablet computer a screening questionnaire prior to seeing their provider. The computer program then immediately provides adolescents with personalized feedback, followed by brief psychoeducation illustrating the health-related risks of substance use. Providers then login to the tablet computer to access a Clinician Report Form which presents the patient's screening results, as well as discussion prompts to guide a few minutes of Motivational Interviewing-based brief counseling during the visit.
Computerized Screening With Treatment as Usual (TAU)
n=46 Participants
The comparison group also completed the computerized screening tool. However, this group did not receive any feedback or psychoeducation, and their providers did not receive the screening results. During the visit, adolescents in this group received treatment as usual.
Time to First Post-visit Heavy Episodic Drinking Day
366 days
Interval 124.0 to 366.0
213 days
Interval 51.0 to 366.0

SECONDARY outcome

Timeframe: 12-months follow-up

Population: Stratified: Participants who reported past-12-month use of alcohol or other drugs at baseline vs. Participants who reported no past-12-month use of alcohol or other drugs at baseline

The number of days post-visit to first reported cannabis use day.

Outcome measures

Outcome measures
Measure
Computerized Screening w/ Provider Brief Intervention (cSBI)
n=516 Participants
cSBI consists of adolescents self-administering on a tablet computer a screening questionnaire prior to seeing their provider. The computer program then immediately provides adolescents with personalized feedback, followed by brief psychoeducation illustrating the health-related risks of substance use. Providers then login to the tablet computer to access a Clinician Report Form which presents the patient's screening results, as well as discussion prompts to guide a few minutes of Motivational Interviewing-based brief counseling during the visit.
Computerized Screening With Treatment as Usual (TAU)
n=191 Participants
The comparison group also completed the computerized screening tool. However, this group did not receive any feedback or psychoeducation, and their providers did not receive the screening results. During the visit, adolescents in this group received treatment as usual.
Time to First Post-visit Cannabis Use Day
Participants who reported past-12-month use of alcohol or other drugs at baseline
101 Days
Interval 33.0 to 226.0
83 Days
Interval 27.0 to 152.0
Time to First Post-visit Cannabis Use Day
Participants who reported no past-12-month use of alcohol or other drugs at baseline
366 Days
Interval 366.0 to 366.0
366 Days
Interval 366.0 to 366.0

SECONDARY outcome

Timeframe: 12 months follow-up

Population: Participants with riding risk at baseline vs. those with no riding risk at baseline. (Differences in number of participants analyzed at each follow-up time point is due to number of survey respondents at that time point. For example, in the cSBI group at baseline, 64 participants reported having riding risk. At 3 months follow-up, 44 of those completed a survey, and 20 of those 44 reported having riding risk at the 3-months follow-up.)

Self-reported riding in the past 3 months with a driver who had been drinking or using other drugs, stratified by reported riding risk in the past 3 months at baseline

Outcome measures

Outcome measures
Measure
Computerized Screening w/ Provider Brief Intervention (cSBI)
n=625 Participants
cSBI consists of adolescents self-administering on a tablet computer a screening questionnaire prior to seeing their provider. The computer program then immediately provides adolescents with personalized feedback, followed by brief psychoeducation illustrating the health-related risks of substance use. Providers then login to the tablet computer to access a Clinician Report Form which presents the patient's screening results, as well as discussion prompts to guide a few minutes of Motivational Interviewing-based brief counseling during the visit.
Computerized Screening With Treatment as Usual (TAU)
n=243 Participants
The comparison group also completed the computerized screening tool. However, this group did not receive any feedback or psychoeducation, and their providers did not receive the screening results. During the visit, adolescents in this group received treatment as usual.
Past-3-month Riding Risk
Riding risk at baseline : Baseline, No.
64 participants
35 participants
Past-3-month Riding Risk
Riding risk at baseline : 6 months
20 participants
12 participants
Past-3-month Riding Risk
Riding risk at baseline : 9 months
16 participants
13 participants
Past-3-month Riding Risk
Riding risk at baseline : 12 months
18 participants
13 participants
Past-3-month Riding Risk
No riding risk at baseline : Baseline, No.
561 participants
208 participants
Past-3-month Riding Risk
No riding risk at baseline : 6 months
35 participants
19 participants
Past-3-month Riding Risk
No riding risk at baseline : 9 months
33 participants
10 participants
Past-3-month Riding Risk
No riding risk at baseline : 12 months
28 participants
11 participants

Adverse Events

Computerized Screening w/ Provider Brief Intervention (cSBI)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Computerized Screening With Treatment as Usual (TAU)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Sion Kim Harris

Boston Children's Hospital

Phone: 8572184304

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place