Cited by 163Substance Abuse Treatment and OutcomesSmoking Behavior and CessationOpioid Use Disorder Treatment

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Computer-Facilitated Substance Use Screening and Brief Advice for Teens in Primary Care: An International Trial

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Harris, Sion Kim, Csémy, Ladislav, Sherritt, Lon, Starostova, Olga, Van Hook, Shari, Johnson, Julie, Boulter, Suzanne, Brooks, Traci, Carey, Peggy, Kossack, Robert, Kulig, John W., Van Vranken, Nancy, Knight, John R.·2012·Pediatrics

DOI 10.1542/peds.2011-1624PMC PMC3362902

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Abstract

OBJECTIVE: Primary care providers need effective strategies for substance use screening and brief counseling of adolescents. We examined the effects of a new computer-facilitated screening and provider brief advice (cSBA) system. METHODS: We used a quasi-experimental, asynchronous study design in which each site served as its own control. From 2005 to 2008, 12- to 18-year-olds arriving for routine care at 9 medical offices in New England (n = 2096, 58% females) and 10 in Prague, Czech Republic (n = 589, 47% females) were recruited. Patients completed measurements only during the initial treatment-as-usual study phase. We then conducted 1-hour provider training, and initiated the cSBA phase. Before seeing the provider, all cSBA participants completed a computerized screen, and then viewed screening results, scientific information, and true-life stories illustrating substance use harms. Providers received screening results and “talking points” designed to prompt 2 to 3 minutes of brief advice. We examined alcohol and cannabis use, initiation, and cessation rates over the past 90 days at 3-month follow-up, and over the past 12 months at 12-month follow-up. RESULTS: Compared with treatment as usual, cSBA patients reported less alcohol use at follow-up in New England (3-month rates 15.5% vs 22.9%, adjusted relative risk ratio [aRRR] = 0.54, 95% confidence interval 0.38–0.77; 12-month rates 29.3% vs 37.5%, aRRR = 0.73, 0.57–0.92), and less cannabis use in Prague (3-month rates 5.5% vs 9.8%, aRRR = 0.37, 0.17–0.77; 12-month rates 17.0% vs 28.7%, aRRR = 0.47, 0.32–0.71). CONCLUSIONS: Computer-facilitated screening and provider brief advice appears promising for reducing substance use among adolescent primary care patients.

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Authors: Harris, S. K., Csémy, L., Sherritt, L., Starostova, O., Van Hook, S., Johnson, J., Boulter, S., Brooks, T., Carey, P., Kossack, R., Kulig, J. W., Van Vranken, N., & Knight, J. R.
Affiliations: Boston Children's Hospital (US)
National Institute of Mental Health (CZ)
Charles University (CZ)
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts;
Concord Hospital (US)
Cambridge Health Alliance (US)
Family Practice Associates, Cambridge Health Center, Cambridge, Vermont;
Reliant Medical Group (US)
Tufts Medical Center (US)
Dartmouth-Hitchcock Concord, Pediatrics, Concord, New Hampshire
Corresponding author: Harris, Sion Kim
ORCID: Harris, Sion Kim
Csémy, Ladislav
Sherritt, Lon
Knight, John R.
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2012-06-01
Volume: 129
Issue: 6
Pages: 1072-1082
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2011-1624
PMC: PMC3362902
OpenAlex: W2125013925
Semantic Scholar: 842e38c17fdfec3628590eb154b10b2e7b656410
Cited by: 163
References: 70
Citations by year: 2026: 3 · 2025: 1 · 2024: 6 · 2023: 8 · 2022: 5 · 2021: 11 · 2020: 12 · 2019: 44 · 2018: 10 · 2017: 9 · 2016: 19 · 2015: 17 · 2014: 9 · 2013: 8
FWCI: 8.14
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: PEDIATRICS (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: J.F Maddox Foundation
National Institutes of Health
U.S. Public Health Service (T71NC0009, T20MC07462)
National Institute on Alcohol Abuse and Alcoholism (K07AA013280)
National Institute on Drug Abuse (R01DA018848)
Maternal and Child Health Bureau (T20MC07462)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords: brief advice, adolescent substance use, alcohol consumption, cannabis use, primary care, provider training, substance use prevention, substance use initiation, substance use cessation, harm reduction messaging
MeSH terms: Adolescent, Child, Diagnosis, Computer-Assisted, Female, Follow-Up Studies, Humans, Male, New England, Primary Health Care, Substance Abuse Detection, Czech Republic, Substance-Related Disorders, Internationality, Self Report

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Computer-Facilitated Substance Use Screening and Brief Advice for Teens in Primary Care: An International Trial

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