The DOI matches its Crossref record; 68 of the 70 references it cites were found in a registry or an index.
Computer-Facilitated Substance Use Screening and Brief Advice for Teens in Primary Care: An International Trial
Open accessAbstract
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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“It has been found to be effective in reducing low, moderate, and high-risk substance use among youth in the US (Winters et al., 2014), Czech Republic (Harris et al., 2012) and South Africa (Carney et al., 2020).”
From Adapting a substance use screening and brief intervention for peer-delivery and for youth in Kenya (2023) · cites this paper as Harris et al., 2012
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“most research has focused on short-term outcomes [18,34]”
From Young Adult Substance Use and Healthcare Use Associated With Screening, Brief Intervention and Referral to Treatment in Pediatric Primary Care. (2022) · cites this paper as [18]
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Brief Interventions for Alcohol Use: Where, When, and How?
Hadland, S. E., & Knight, J. R. (2015) · PEDIATRICS · doi:10.1542/peds.2015-2713 · Cited by 3
Self-citationSeizing the opportunity: improving young adult preventive health care.
Ozer, E. M., Scott, J. T., & Brindis, C. D. (2013) · PubMed · Cited by 3
Adolescent Frequent Heavy Drinking From 1991–2015
Welsh, J. W., Knight, J. R., & Hadland, S. E. (2017) · PEDIATRICS · doi:10.1542/peds.2017-0932 · Cited by 3
Self-citationHarris, B. R., & Rich, J. H. (2021) · Journal of Social Work Practice in the Addictions · doi:10.1080/1533256x.2021.1935153 · Cited by 2
Osborne, M. C., Guastaferro, K., Banks, S., Vedantam, H., & Self‐Brown, S. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1324656 · Cited by 2
The Role of HEXACO Personality Traits on Predicting Problematic and Risky Behaviors in Adolescents
Mottola, F., Senese, V. P., Perugini, M., Gnisci, A., & Sergi, I. (2023) · Smart innovation, systems and technologies · doi:10.1007/978-981-99-3592-5_29 · Cited by 1
Calihan, J. B., & Levy, S. (2023) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2023.03.001 · Cited by 2
Chapter 2. Prevention of Substance Use and Substance Use Disorders
Scheier, L. M., Catalano, R. F., & Winters, K. C. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg02 · Cited by 1
Gust, S. W., Ahumada, G., Copeland, J., Griffiths, P., Howard, J., & Hynes, M. (2018) · Springer eBooks · doi:10.1007/978-3-319-90365-1_26 · Cited by 1
Berger, L., Blair, K., & Hein, C. (2019) · Social Work in Health Care · doi:10.1080/00981389.2019.1575942 · Cited by 1
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Xuan, Z., & Ranker, L. R. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-818872-9.00188-6 · Cited by 1
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Schram, J., Schram, P., & Knight, J. R. (2019) · Springer eBooks · doi:10.1007/978-3-030-01893-1_3
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Novel approaches for preventing substance use
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Thomas, A. A., Bakshi, S., & Rockas, M. (2023) · Springer eBooks · doi:10.1007/978-3-031-26445-0_5
Williams, F. S., Lárez, N. A., Mondesir, L., Curtis, K., Valdivia, S., Becker, S. J., Papineau, K., & Hogue, A. (2025) · Frontiers in Health Services · doi:10.3389/frhs.2025.1469198 · Cited by 2
Spirito, A., Kaminer, Y., & O’Brien, K. H. M. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg13
Chapter 14. Family and Community-Based Therapies
Bobek, M., Godley, S. H., & Hogue, A. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg14
Chapter 12. Continuity of Care for Abstinence and Harm Reduction
Kaminer, Y., Godley, M. D., Winters, K. C., & Bagot, K. S. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg12
Chapter 15. Twelve-Step and Mutual-Help Programs
Kelly, J. F., Abry, A. W., & Fallah‐Sohy, N. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg15
Chapter 16. Electronic Tools and Resources for Assessing and Treating Youth Substance Use Disorders
Gonzales-Castaneda, R., McCarthy, K. C., & Thrasher, B. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg16
Hammond, C. J., Hendrickson, B. P., & Fishman, M. J. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg10
Chapter 11. Youth Club, Prescription, and Over-the-Counter Drug Use
Whitmore, C. A., & Hopfer, C. J. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg11
Chapter 18. Assessment and Treatment of Co-occurring Suicidal Behavior
Goldston, D. B., Tunno, A. M., Curry, J. F., Wells, K. C., & Roley‐Roberts, M. E. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg18
Bagot, K. S., Milin, R., Shapiro, D. N., Finn, D. M., & Moore, S. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg19
Kaminer, Y., Zajac, K., & Winters, K. C. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg17
(2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.fm02
(2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.fm01
Part IV: Co-occurring Disorders in Youth
(2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.pt04
Chapter 3. Screening and Assessing Youth With Substance Use Disorder
Winters, K. C., Stinchfield, R. D., & Botzet, A. M. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg03
Appendix C: Websites for Self-Help and Mutual-Help Organizations
(2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.bm03
Appendix A: Resource Materials on Screening and Assessment Instruments
(2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.bm01
Appendix B: Parent Resources on Adolescent Substance Use
(2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.bm02
(2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.fm03
Chapter 22. Management of Youth With Substance Use Disorders in the Juvenile Justice System
Zajac, K., Drazdowski, T. K., & Sheidow, A. J. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg22
Chapter 1. Diagnosis, Epidemiology, and Course of Youth Substance Use and Use Disorders
Montano, G. T., & Chung, T. A. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg01
Chapter 23. Maternal Substance Use in Pregnancy
Johnson, A. M., & Townsel, C. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg23
Ignaszewski, M. J., Mirza, K. A. H., & Bukstein, O. G. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg20
Chapter 21. Behavioral Addictions: Gambling Disorder and Internet Gaming Disorder
Farhat, L. C., Derevensky, J. L., & Potenza, M. N. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg21
Miranda, R., & Carpenter, R. W. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg07
Thurstone, C., & Kaminer, Y. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg09
Kong, G., & Krishnan‐Sarin, S. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg08
(2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.index
Hassan, A., Harris, S. K., & Knight, J. R. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg04
Self-citationFishman, M. J. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg06
Chapter 5. Bioassays and Detection of Substances of Abuse in Youth
Arias, A. J., Welch, W., & Kaminer, Y. (2019) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615372812.lg05
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Acceptability of screening for substance use among children at Ugandan health facilities
Aber, H., Babirye, J. N., Musoke, D., Tumwesigye, N. M., Engebretsen, I. M. S., & Nuwaha, F. (2026) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/s13011-026-00716-7
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Self-citation
Metadata
- 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
- 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
- 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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