Online System for Primary Care to Prevent and Address Teen Substance Use

Summary

This Quality Improvement (QI) project for physician education will build on an existing platform, CHADIS (Comprehensive Health and Decision Information System; www.CHADIS.com). We plan to further develop and test innovations that will assist primary care providers (PCPs) in addressing the serious morbidity of teen substance use during routine check-up visits and follow up care using a new Module of CHADIS that facilitates guideline-based care. The CHADIS c-SBI (computer-facilitated Substance screening and provider Brief Intervention) Module will include pre-visit screening tools that cover substance use and strengths and goals. It will also include reminders to the patient about their goals and commitments for change and a teleprompter for interview hints for the PCP. These hints will be aimed at enhancing a patient focused discussion of individual strengths and barriers related to the teens' goals in a motivational interviewing style.

Conditions

• Substance Use

Interventions

BEHAVIORAL

cSBI

The standard CRAFFT SU screen has additional questions about reasons to use or not use, SU expectancies of effect and embedded education. The teens of enhanced care PCPs will also complete a Strengths and Goals tool. Data from both will be used by the PCP in counseling regarding continued abstention, reduction or cessation of SU or referral. Teens will also get monthly text messages about goals.

Sponsors & Collaborators

• Boston Children's Hospital

  collaborator OTHER

• Total Child Health, Inc.

  lead INDUSTRY

Principal Investigators

• Barbara J Howard, MD · CHADIS aka Total Child Health

• Raymond Sturner, MD · Center for Promotion of Child Devlopment

• Sion Harris, PhD · Boston Children's Hospital

• Lydia Shrier, MD · Boston Children's Hospital

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

12 Years

Max Age

19 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2021-02-01

Primary Completion

2024-08-31

Completion

2024-08-31

Countries

• United States

Study Locations