Status:

COMPLETED

Brief Youth Substance Use Intervention for Primary Care

Lead Sponsor:

RAND

Collaborating Sponsors:

National Institute on Drug Abuse (NIDA)

Conditions:

Alcohol Consumption

Drug Abuse

Eligibility:

All Genders

12-18 years

Phase:

NA

Brief Summary

Over the past decade, many new programs intended to prevent substance use among adolescents have been developed and evaluated. There has been a recent shift towards brief interventions for youth in sc...

Detailed Description

Over the past decade, many new programs intended to motivate adolescents to decrease substance use have been developed and evaluated. There has been a recent shift towards brief interventions for yout...

Eligibility Criteria

Inclusion

  • 12-18 years old
  • english speaker
  • screen positive for alcohol and/or drug use
  • We use a brief screener to identify youth at high-risk for drug or alcohol abuse. The CRAFFT was developed by Knight and colleagues to screen youth for alcohol and other drug use and is a mnemonic based on the six questions it asks. The CRAFFT is comprised from items from the RAFFT (Riggs and Alario, 1989), DAP (Drug and Alcohol Problems) (Klitzner et al., 1987) and POSIT (Problem Oriented Screening Instrument for Teenagers) (Rahdert, 1991). The CRAFFT is brief, highly correlated with the Personal Involvement with Chemicals Scale (PICS), a criterion standard (r = .84), and is practical for use in a primary care setting as it takes only a few minutes to administer (Knight et al., 1999). The measure includes the following Yes/No questions: 1) have you ever ridden in a car driven by someone (including yourself) who was high or had been using alcohol or drugs?, 2) do you ever use alcohol or drugs to relax, feel better about yourself, or fit in?, 3) do you ever use alcohol or drugs while you are by yourself (alone)?, 4) do you ever forget things you did while using alcohol or drugs?, 5) have you ever gotten into trouble while you were using alcohol or drugs?, and 6) do your family and friends ever tell you that you should cut down on your drinking or drug use?. The six items have a cut-off score of 2 or greater with a sensitivity of 92.3% and specificity of 82.5% for long-term treatment need (as identified by PICS scores) (Knight et al., 1999). We use a cut-off of 1 or greater, reflecting a less stringent criterion for "high-risk" that includes adolescents with potential problems who could benefit from a brief intervention in the primary care setting.

Exclusion

  • spanish speaker
  • outside of age range
  • does not qualify on screening questionnaire as using alcohol and/or drugs

Key Trial Info

Start Date :

October 1 2004

Trial Type :

INTERVENTIONAL

End Date :

April 1 2007

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT00292240

Start Date

October 1 2004

End Date

April 1 2007

Last Update

April 25 2024

Active Locations (1)

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1

Los Angeles Free Clinic

Los Angeles, California, United States, 90028