Computer-facilitated Screening and Brief Intervention in pediatric primary care to reduce underage drinking: a large multi-site randomized trial
儿科初级保健中计算机辅助筛查和简短干预以减少未成年人饮酒:一项大型多中心随机试验
基本信息
- 批准号:9886610
- 负责人:
- 金额:$ 68万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-04-10 至 2025-03-31
- 项目状态:未结题
- 来源:
- 关键词:17 year oldAcademyAddressAdolescentAdultAdvisory CommitteesAdvocacyAgeAlcohol consumptionAlcohol or Other Drugs useAlcoholsAmericanAreaAutomobile DrivingBostonCaringCause of DeathChildChildhoodCluster randomized trialComputersContractsCounselingDrunk drivingEarly InterventionEarly identificationEducationEducational process of instructingEnrollmentExperimental DesignsFamilyFeedbackFrequenciesGenderGoalsHealthHealthcareImpairmentInterventionMediator of activation proteinMedicalMotivationNational Institute on Alcohol Abuse and AlcoholismNew EnglandParentsPatientsPediatric ResearchPediatricsPhasePilot ProjectsPlayPopulationPractice based researchPreventive servicePrimary Health CareProtocols documentationRandomizedRandomized Controlled TrialsRecommendationReportingResearchRiskRoleSafetySamplingScienceScreening ResultSelf AdministrationSelf EfficacySeveritiesSiteSurveysSystemTestingTimeTrainingTransportationTrustVehicle crashVisitWorkYouthadolescent patientage groupalcohol misusealcohol screeningalcohol screening and brief interventionalcohol use disorderbasebinge drinkingbrief interventiondesigndrinkingdriving safetyeffectiveness testingfollow-upimpaired driving performanceimprovedindividualized feedbackinterestintervention effectmembermotivational enhancement therapypatient screeningpediatricianpractice settingpractice-based research networkprimary outcomepsychoeducationalrandomized controlled designrandomized trialrecruitresponsescreeningscreening and brief interventionsobrietysocietal costssuccesstreatment as usualunderage drinking reductionyoung adult
项目摘要
PROJECT SUMMARY/ABSTRACT
Alcohol use disorders frequently have a pediatric origin. Pediatric primary care offices, where the majority of
adolescents receive health care, are a promising venue for early identification and intervention through
universal screening and brief counseling. However, while the U.S. Preventive Services Task Force
recommends primary care-based alcohol screening and brief intervention for adults, it found insufficient
evidence to recommend it for adolescents. The goal of the proposed study is to address this evidence gap by
testing the effectiveness of a promising computer-facilitated Screening and Brief Intervention (cSBI) system for
delivery by pediatric primary care clinicians to adolescents at well-visits. This cluster-randomized controlled
trial will be conducted in the American Academy of Pediatrics' (AAP) Pediatric Research in Office Settings
(PROS) national primary care practice-based research network. PROS has demonstrated success in >30
years of practice-based research, with >600 practices participating in recent studies. Drawing on more than 15
years of our prior research on adolescent alcohol screening and brief counseling in primary care offices, the
cSBI system was developed to provide a time-efficient and feasible way for pediatric practices to improve both
the frequency and quality of alcohol screening and counseling. cSBI includes: 1) computer self-administered
screening that adolescents complete prior to seeing their clinician, 2) computer-delivered personalized
feedback to the adolescent, 3) 10 interactive psychoeducational pages for the adolescent on substance use
health risks, 4) a Clinician Report Form with screen results and prompts that clinicians use to provide
motivational interviewing-based individualized counseling, and 5) clinician training materials and protocol. In
our New England-based pilot study, we found that, compared to usual care (UC), the cSBI approach: 1)
increased patient receipt of alcohol-related counseling during well-visits; 2) improved patients' ratings of the
quality of their clinician encounter; and 3) among those who reported past-year use at baseline (n=192), was
associated with a 34% lower risk of a heavy episodic drinking episode during 12 months follow-up. cSBI also
reduced risk of riding with an impaired driver, a major safety risk associated with alcohol, by 42% among those
with prior riding risk. A larger RCT of this approach, which employs an adequately-powered sample and tests
generalizability of effects beyond New England, is needed. We propose to randomize >30 pediatric primary
care clinicians in 10 practices nationwide to deliver UC or cSBI (1:1) to their eligible and assenting 14- to 17-
year-old patients arriving for well-visits. Our aims are to test cSBI's effect on heavy episodic drinking, and on
riding with an impaired driver/driving while impaired, during 12 months follow-up among 1,268 adolescents
screen-identified as at-risk. If effective, cSBI dissemination could leverage existing AAP platforms including
education, teaching, and advocacy, to its 67,000 pediatrician members, greatly increasing the potential for
population-level impact of alcohol screening and brief intervention for U.S. adolescents.
项目总结/文摘
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Sion Kim Harris其他文献
Predicting Time to Return to Cannabis Use After a Cessation Attempt: Impact of Cumulated Exposure to Nicotine-Containing Products
预测尝试戒烟后恢复使用大麻的时间:累积接触含尼古丁产品的影响
- DOI:
- 发表时间:
2024 - 期刊:
- 影响因子:2.2
- 作者:
Natalia Poliakova;L. Shrier;Sion Kim Harris;Richard E Bélanger - 通讯作者:
Richard E Bélanger
25. Testing Feasibility/Acceptability and Initial Outcomes of a Spiritually-Based Character Strengths Training Curriculum to Enhance Resilience and Reduce Substance Use Rates Among Zambian Adolescents
- DOI:
10.1016/j.jadohealth.2019.11.028 - 发表时间:
2020-02-01 - 期刊:
- 影响因子:
- 作者:
Sion Kim Harris;Dana Seale;Yvonne Pande;Troy M. Lewis;Erin Gibson;Kristin Hadfield;Jordan Levinson;Paul Seale - 通讯作者:
Paul Seale
Young and invisible: an explanatory model for service engagement by people who inject drugs in India
年轻而隐形:印度注射吸毒者服务参与的解释模型
- DOI:
- 发表时间:
2021 - 期刊:
- 影响因子:0
- 作者:
Lakshmi Ganapathi;A. K. Srikrishnan;Clarissa Martinez;Gregory M Lucas;S. Mehta;Vinita Verma;A. Mcfall;Kenneth H. Mayer;Areej Hassan;Shobini Rajan;C. O’Cleirigh;Sion Kim Harris;Sunil S. Solomon - 通讯作者:
Sunil S. Solomon
The Design of Medical Marijuana Laws and Adolescent Use and Heavy Use of Marijuana: Analysis of 45 States from 1991–2011
医用大麻法律的设计与青少年使用和大量使用大麻:1991-2011 年 45 个州的分析
- DOI:
- 发表时间:
2016 - 期刊:
- 影响因子:0
- 作者:
Julie K Johnson;Dominic Hodgkin;Sion Kim Harris - 通讯作者:
Sion Kim Harris
Associations of Momentary Mindfulness With Affect and Cannabis Desire in a Trial of Cannabis Use Interventions With and Without Momentary Assessment
- DOI:
10.1016/j.jadohealth.2022.09.002 - 发表时间:
2023-01-01 - 期刊:
- 影响因子:
- 作者:
Lydia A. Shrier;Sion Kim Harris - 通讯作者:
Sion Kim Harris
Sion Kim Harris的其他文献
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{{ truncateString('Sion Kim Harris', 18)}}的其他基金
Computer-facilitated Screening and Brief Intervention in pediatric primary care to reduce underage drinking: a large multi-site randomized trial
儿科初级保健中计算机辅助筛查和简短干预以减少未成年人饮酒:一项大型多中心随机试验
- 批准号:
10553448 - 财政年份:2020
- 资助金额:
$ 68万 - 项目类别:
Computer-facilitated Screening and Brief Intervention in pediatric primary care to reduce underage drinking: a large multi-site randomized trial
儿科初级保健中计算机辅助筛查和简短干预以减少未成年人饮酒:一项大型多中心随机试验
- 批准号:
10598536 - 财政年份:2020
- 资助金额:
$ 68万 - 项目类别:
Computer-facilitated Screening and Brief Intervention in pediatric primary care to reduce underage drinking: a large multi-site randomized trial
儿科初级保健中计算机辅助筛查和简短干预以减少未成年人饮酒:一项大型多中心随机试验
- 批准号:
10379996 - 财政年份:2020
- 资助金额:
$ 68万 - 项目类别:
Computer-facilitated Screening and Brief Intervention in pediatric primary care to reduce underage drinking: a large multi-site randomized trial (ADMIN SUPP: Special Interest)
儿科初级保健中计算机辅助筛查和简短干预以减少未成年人饮酒:一项大型多中心随机试验(ADMIN SUPP:特别兴趣)
- 批准号:
10675332 - 财政年份:2020
- 资助金额:
$ 68万 - 项目类别:
Online System for Primary Care to Prevent and Address Teen Substance Use
预防和解决青少年药物滥用的初级保健在线系统
- 批准号:
10399933 - 财政年份:2019
- 资助金额:
$ 68万 - 项目类别:
Online System for Primary Care to Prevent and Address Teen Substance Use
预防和解决青少年药物滥用的初级保健在线系统
- 批准号:
9557687 - 财政年份:2019
- 资助金额:
$ 68万 - 项目类别:
Online System for Primary Care to Prevent and Address Teen Substance Use
预防和解决青少年药物滥用的初级保健在线系统
- 批准号:
10179532 - 财政年份:2019
- 资助金额:
$ 68万 - 项目类别:
Online System for Primary Care to Prevent and Address Teen Substance Use
预防和解决青少年药物滥用的初级保健在线系统
- 批准号:
10451691 - 财政年份:2019
- 资助金额:
$ 68万 - 项目类别:
Online System for Primary Care to Prevent and Address Teen Substance Use
预防和解决青少年药物滥用的初级保健在线系统
- 批准号:
10227258 - 财政年份:2019
- 资助金额:
$ 68万 - 项目类别:
Computer adaptation of screening, brief MET intervention to reduce teen drinking
计算机适应筛查、简短的 MET 干预以减少青少年饮酒
- 批准号:
8684407 - 财政年份:2014
- 资助金额:
$ 68万 - 项目类别:
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