Effectiveness of Brief Intervention in Primary Care for Diverse Young People (Chat)

Not Applicable

Recruiting

• Conditions: Adolescent Drinking; Cannabis Use

• Registration Number: NCT06699251
• Lead Sponsor: RAND

Brief Summary

Brief motivational interviewing intervention to address alcohol use among diverse teens 12-17.

Detailed Description

The six-item CRAFFT will be used to screen teens at our partner clinics for risky AC use. For those that screen in as at-risk and express interest in the study, the teen's case manager will complete an online consent/assent form with the parent and teen that contains contact information for the teen so that investigators can follow up with the teen for surveys and intervention delivery or for providing an informational brochure. When the online consent/assent form is completed, the teen will be sent a personalized link to complete their baseline survey. Upon survey completion, the teen will receive a link that has their electronic gift card payment, and the case manager will be notified that a particular ID has completed the survey. The case manager will be informed by study staff whether to schedule that ID for enhanced usual care (EUC) or the Chat intervention. Investigators expect each teen to be scheduled within 30 days of completing their baseline survey to receive EUC or Chat. The informational brochure for the EUC will be handed to the teen during the visit or securely emailed, and Chat could take place either via a virtual or in-person visit. Whether or not the teen completes EUC or Chat, every teen will be followed by the RAND Survey Research Group to complete their follow-up web-based surveys based on timing of completion of their baseline survey. Teens will receive gift card incentives for completing the 3-month, 6-month, and 12-month surveys. Investigators will begin recruitment in month 9 of the project. Briefly, investigators expect to recruit from study month 9 to month 42 for the baseline survey. Investigators expect the Chat intervention to occur from months 9 to 42 the 3-month follow-up from months 12 to 45, 6-month from months 15 to 48, and the 12-month from months 21 to 53. Out of an anticipated 5,644 clients that our partner clinics will screen, investigators expect approximately 847 (15%) to screen in as at-risk on the CRAFFT and anticipate that approximately 500 (\~60%) will consent into the study.

Study Timeline

• Study First Submitted: 2024-11-15
• Study First Submitted QC: 2024-11-18
• Study First Posted: 2024-11-21
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-10
• Last Update Posted: 2025-04-15
• Study Start: 2025-04-30
• Primary Completion: 2028-07-28
• Study Completion: 2029-02-28

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 500

Inclusion Criteria

• receive health care at one of two participating health systems
• aged 12-17
• screen positive for being at risk for alcohol or cannabis use using the CRAFFT

Exclusion Criteria

• if they don't meet the inclusion criteria, they will be excluded

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Alcohol - change in frequency of use	6 months to 12 months	We will assess both the number of times participants have used alcohol in the past six months (from none to 31 or more times) and the number of days in the past month participants report use of alcohol.
Cannabis - change in frequency of use	6 months to 12 months	We will assess both the number of times participants have used cannabis in the past six months (from none to 31 or more times) and the number of days in the past month participants report use of cannabis.
Alcohol - change in consequences of use	6 months to 12 months	Alcohol consequences (e.g., blacking out, regretted sexual situation) will be assessed with the Brief Young Adult Alcohol Consequences Questionnaire (0 to 20 or more times, with higher scores indicating a worse outcome).
Cannabis - change in consequences of use	6 months to 12 months	Cannabis consequences (e.g., poor memory, too much time using) will be assessed with the Brief Marijuana Consequences Questionnaire (0 to 20 or more times, with higher scores indicating a worse outcome).

Secondary Outcome Measures

Name	Time	Method
Alcohol - change in time spent around peers	6 months to 12 months	Participants will be asked how often they are with people their age who are using alcohol (1=never to 4=often).
Cannabis - change in time spent around peers	6 months to 12 months	Participants will be asked how often they are with people their age who are using cannabis (1=never to 4=often).
Alcohol - change in motivation to change use	6 months to 12 months	We will measure motivation to change use by asking participants where they may be in their thinking about reducing or quitting their alcohol use using a scale of 1-10 where 1 = "I have quit using alcohol and will never go back" and 10 = "I enjoy using alcohol and have decided never to change it."
Cannabis - change in motivation to change use	6 months to 12 months	We will measure motivation to change use by asking participants where they may be in their thinking about reducing or quitting their cannabis use using a scale of 1-10 where 1 = "I have quit using cannabis and will never go back" and 10 = "I enjoy using cannabis and have decided never to change it."
Change in use of behavioral health care services	6 months to 12 months	We will measure use of behavioral health care services (separate items for mental health and substance use), including whether there are unmet needs for behavioral health services (i.e., perceived a need to get treatment but didn't get it) and perceived reasons for those unmet needs (e.g., stigma, transportation, cost).

Trial Locations

Locations (2)

AltaMed Health Services; 🇺🇸 Commerce, California, United States

University of Pittsburgh Medical Center Children's Hospital; 🇺🇸 Pittsburgh, Pennsylvania, United States