Carolyn A McCarty1,2, Elon Gersh3,4, Katherine Katzman2, Christine M Lee5, Gina S Sucato6, Laura P Richardson1,2. 1. a Department of Pediatrics , University of Washington , Seattle , Washington , USA. 2. b Center for Child Health, Behavior and Development , Seattle Children's Research Institute , Seattle , Washington , USA. 3. c Orygen, the National Centre of Excellence in Youth Mental Health, Department of Research and Translation , Melbourne , Australia. 4. d University of Melbourne, Centre for Youth Mental Health , Melbourne , Australia. 5. e Department of Psychiatry and Behavioral Sciences , University of Washington , Seattle , Washington , USA. 6. f Kaiser Permanente Washington Health Research Institute , Seattle , Washington , USA.
Abstract
BACKGROUND: This study aimed to compare care delivery and alcohol and marijuana use for adolescents with risky alcohol use who received aschool-based health center (SBHC) visit with and without the Check Yourself tool, an electronic tool that gives motivational feedback on substance use and summarizes results for providers. METHODS: We conducted a randomized controlled trial with 148 adolescents aged 13-18 who met criteria for moderate- to high- risk alcohol use, recruited from urban SBHCs. Participants were randomized to receive their SBHC visit with (n = 73) or without (n = 75) the Check Yourself screening and feedback tool. All SBHC providers received a brief training on motivational interviewing. RESULTS: Adolescents who received the Check Yourself tool + SBHC visit reported higher levels of alcohol (67%) and marijuana (73%) counseling from the provider during their visit, compared with those who received a SBHC visit without the tool (40% and 45%, respectively, Ps < .005), and had higher motivation to decrease marijuana use relative to those who did not (P = .02). Relative to baseline, adolescents in both groups reduced their typical number of drinks of alcohol, maximum number of drinks of alcohol, and hours high on marijuana over time (Ps < .02) at 2-month follow-up. CONCLUSION: When adolescent patients are given an electronic screening and feedback tool, it can prompt providers to increase counseling of adolescents with substance use risk. Overall, participants who had a visit with a trained provider reported high satisfaction with care and decreased the amount of alcohol use over 2 months, suggesting that SBHCs are an excellent venue for delivery of brief substance use interventions.
RCT Entities:
BACKGROUND: This study aimed to compare care delivery and alcohol and marijuana use for adolescents with risky alcohol use who received a school-based health center (SBHC) visit with and without the Check Yourself tool, an electronic tool that gives motivational feedback on substance use and summarizes results for providers. METHODS: We conducted a randomized controlled trial with 148 adolescents aged 13-18 who met criteria for moderate- to high- risk alcohol use, recruited from urban SBHCs. Participants were randomized to receive their SBHC visit with (n = 73) or without (n = 75) the Check Yourself screening and feedback tool. All SBHC providers received a brief training on motivational interviewing. RESULTS: Adolescents who received the Check Yourself tool + SBHC visit reported higher levels of alcohol (67%) and marijuana (73%) counseling from the provider during their visit, compared with those who received a SBHC visit without the tool (40% and 45%, respectively, Ps < .005), and had higher motivation to decrease marijuana use relative to those who did not (P = .02). Relative to baseline, adolescents in both groups reduced their typical number of drinks of alcohol, maximum number of drinks of alcohol, and hours high on marijuana over time (Ps < .02) at 2-month follow-up. CONCLUSION: When adolescent patients are given an electronic screening and feedback tool, it can prompt providers to increase counseling of adolescents with substance use risk. Overall, participants who had a visit with a trained provider reported high satisfaction with care and decreased the amount of alcohol use over 2 months, suggesting that SBHCs are an excellent venue for delivery of brief substance use interventions.
Authors: Elon Gersh; Laura P Richardson; Tumaini R Coker; David J Inwards-Breland; Carolyn A McCarty Journal: J Gay Lesbian Ment Health Date: 2021-09-01
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