Why primary care practices should become digital health information hubs for their patients.
Aaron Baird, Samantha Nowak
https://pubmed.ncbi.nlm.nih.gov/25421733Actively Recruiting
Phase Not Applicable
Age: 15Years - 17Years
All Genders
Healthy Volunteers
ID04110756
Promoting Adolescent Health Behavior Change With Clinically Integrated Sample-Efficient Policy Gradient Methods
Led by University of California, San Francisco · Updated on 2025-10-31
200
Participants Needed
1
Research Sites
8 weeks
Total Duration
On this page
Sponsors
U
University of California, San Francisco
Lead Sponsor
N
North Carolina State University
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating a new health behavior change system designed to help adolescents reduce risky behaviors, particularly alcohol use. This study focuses on using advanced machine learning and interactive narrative technology to personalize behavior change experiences for teens aged 15 to 17. The goal is to improve adolescent preventive health by integrating these tools into clinical care and extending the reach of healthcare providers. The intervention, called CHANGEGRADIENTS, is a web-based interactive tool that delivers personalized behavior change stories through a virtual environment. Adolescents will first watch a brief introductory video during their clinic visit and then receive a link to access weekly interactive narratives at home over a four-week period. The study compares this intervention with usual care provided at the clinic. Participants will engage with the system at home using personal devices like laptops or tablets, while also receiving standard clinic visits. The research team will measure outcomes including alcohol use over 30 days, self-efficacy using a specialized assessment tool, and adolescent-reported quality of care immediately after their clinic visit. The study aims to assess the impact of the intervention on adolescent behavior and health outcomes over a one-month period.
CONDITIONS
Brief Title
ChangeGradients: Promoting Adolescent Health Behavior Change
Who Can Participate
Age: 15Years - 17Years
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- Adolescents between the ages of 15 and 17 years
- Report current alcohol use
- Presenting for a well-visit at UCSF Pediatric primary care clinics (Mt. Zion Pediatrics and Adolescent/Young Adult Clinic)
You will not qualify if you...
- Non-English speakers
AI-Screening
AI-Powered Screening
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1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Outpatient Treatment
Duration - 4 weeks
Participants engage with the CHANGEGRADIENTS interactive web-based behavior change system at home over a course of four weeks.
1 clinic visit to introduce the intervention and weekly use at home
Follow-up
Duration - Up to 30 days after baseline
Participants complete assessments of alcohol use, self-efficacy, and quality of care immediately following the baseline clinic visit and after the 4-week intervention period.
1 follow-up assessment visit
Trial Site Locations
Total: 1 location
1
University of California San Francisco Adolescent and Young Adult Medicine Clinic
San Francisco, California, United States, 94107
Actively Recruiting
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Research Team
E
Elizabeth M Ozer, PhD
A
Alison S Giovanelli, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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Published Research Related To This Trial
Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?
Sion K Harris, Matthew C Aalsma, Elissa R Weitzman...
https://pubmed.ncbi.nlm.nih.gov/28011064Mechanisms governing empowerment effects: a self-efficacy analysis.
E M Ozer, A Bandura
https://pubmed.ncbi.nlm.nih.gov/2324938Does delivering preventive services in primary care reduce adolescent risky behavior?
Elizabeth M Ozer, Sally H Adams, Joan K Orrell-Valente...
https://pubmed.ncbi.nlm.nih.gov/22018561Responding to Young People's Health Risks in Primary Care: A Cluster Randomised Trial of Training Clinicians in Screening and Motivational Interviewing.
Lena Sanci, Patty Chondros, Susan Sawyer...
https://pubmed.ncbi.nlm.nih.gov/26422235