An interventional study of Computer-delivered Brief Intervention (CBI) and Intervener-delivered Brief Intervention (IBI) in Alcohol Misuse, sponsored by University of Michigan. Completed at 1 site in United States. Open to participants aged 14 Years to 20 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-04-22.
Sponsored by University of Michigan · Not applicable, Interventional, and Health services research
The Emergency Department (ED) setting is a unique point of access for reaching underage drinkers (age 14-20). With the aid of computer technology, this study will screen underage drinkers in the ED and fully test promising ED-based brief intervention and 3-month follow-up brief treatment approaches for alcohol misuse. Developing methods to efficiently and effectively optimize these approaches has powerful public health implications for improving outcomes for underage drinkers.
The proposed study will use computerized screening using touchscreen computer tablets with audio (\~5,700 patients) and will test a developmentally appropriate, tailored intervention. Specifically, 900 patients aged 14-20 in the ED who screen positive for problematic alcohol use in the past 3 months will be randomized to the combinations of three ED-based conditions: 1) computer brief intervention-CBI; 2) therapist/intervener delivered brief intervention-IBI; or 3) enhanced usual care-EUC. All participants will be randomized to one of two follow-up conditions: 1) adapted motivational enhancement therapy-AMET; or 2) enhanced usual care-EUC that will take place 3 months post-ED. All participants will receive written information regarding community resources; individuals who meet alcohol use disorder criteria will additionally receive substance use treatment referrals.
Recognizing that brief interventions are important, but not necessarily sufficient, for change in all adolescents and young adults who misuse alcohol, the primary specific aims of the proposed study will determine the independent effectiveness of immediate "on-the-spot" ED-based brief intervention conditions, 3-month follow-up brief treatment conditions, and combinations of conditions, for decreasing alcohol use and improving health-related outcomes (including injury, mental health, and other risk behaviors) at 6- and 12-months follow-up.
University of Michigan is the lead sponsor of 1,476 studies on the registry; 197 are open to participants now.
Of its 162 completed or terminated interventional studies of FDA-regulated products, 128 (79%) have results posted.
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Inclusion Criteria:
Inclusion criteria for screening:
Exclusion Criteria:
computer brief intervention (CBI) at baseline with adapted motivational enhancement therapy-AMET at 3 months
Behavioral: Computer-delivered Brief Intervention (CBI) · Behavioral: Adapted Motivational Enhancement Therapy (AMET)
Behavioral: Computer-delivered Brief Intervention (CBI)
Behavioral: Intervener-delivered Brief Intervention (IBI) · Behavioral: Adapted Motivational Enhancement Therapy (AMET)
Behavioral: Intervener-delivered Brief Intervention (IBI)
Behavioral: Adapted Motivational Enhancement Therapy (AMET)
The multimedia, interactive CBI condition will be delivered using touch-screen tablet computers with audio delivered via headphones. The interventions are highly individualized and designed to address the primary target behavior of alcohol use, and will include a tailored review of participants' goals/values, feedback regarding their present alcohol use patterns and consequences (either actual experiences or potential based on risk behaviors), developing a discrepancy between their alcohol use and ability to meet goals and values through a decisional balance exercise, and formulation of a "change plan" tailored for each participant.
The IBI condition will be delivered by a master's-level clinician with the aid of graphics. The interventions are highly individualized and designed to address the primary target behavior of alcohol use, and will include a tailored review of participants' goals/values, feedback regarding their present alcohol use patterns and consequences (either actual experiences or potential based on risk behaviors), developing a discrepancy between their alcohol use and ability to meet goals and values through a decisional balance exercise, and formulation of a "change plan" tailored for each participant.
The AMET session will have a similar general outline (\~45 minutes) to the BI in the ED, including a review of participants' goals and values, alcohol use and consequences, decisional balance exercises, and change plan.
alcohol use, alcohol related consequences
Time frame: 3 -12 month period
health-related outcomes (injury, mental health, illicit and psychoactive prescription drug use/consequences, and other risk behaviors)
Time frame: 3-12 month period
This study is completed, as verified in Apr 2015. You cannot join it, but the record below documents what was studied.
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