Web-Based Adolescent Motivational Enhancement Study (Web-AME)

Web-Supported Adolescent Motivational Enhancement to Reduce Alcohol Use

The proposed study is a randomized controlled trial that compares the effectiveness of an electronic personalized health screening app incorporating motivational feedback (i.e. "Check Yourself") to usual care among moderate to high risk alcohol users. The purpose of this study is to determine whether Check Yourself is more effective than usual care in reducing alcohol consumption and binge drinking and improving quality of care among adolescents receiving school-based health clinic services.

Study Overview

• Status: Completed
• Conditions: Health Care Services Quality of Care; Alcohol Risk Behaviors
• Intervention / Treatment: Behavioral: Check Yourself App with Feedback

• Study Type: Interventional
• Enrollment (Actual): 148
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Washington
    • Seattle, Washington, United States, 98118
      • Interagency Teen Health Center
    • Seattle, Washington, United States, 98122
      • Garfield Teen Health Center
    • Seattle, Washington, United States, 98125
      • Nathan Hale Teen Health Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 13 years to 18 years (Child, Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Eligible individuals will be 13-18 years old who are able to read and comprehend English.
• Participants who indicate alcohol use consistent with moderate to high risk on the Check Yourself App.

Exclusion Criteria:

Individuals will be excluded from the study if:

• They do not meet age requirements
• Do not have a study visit at a participating school-based health clinic
• Lack the means to complete follow-up interviews (i.e. have neither telephone or internet access)
• Are not able to read or comprehend English

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Check Yourself App With Feedback; Participants complete Check Yourself, an electronic health screening app and receive personalized, motivational feedback on their health behaviors prior to their visit with their health provider. Key components of Check Yourself include the provision of age normative feedback, goal setting strategies, and strategies to highlight discrepancies. Health providers receive a summary report of health risk behaviors from Check Yourself prior to the visit.	Behavioral: Check Yourself App with Feedback
No Intervention: Usual Care; Participants are asked to complete health risk screening questions on a tablet computer. No personalized feedback is provided to adolescents and primary care providers do not receive a summary report of the adolescent's health risk behaviors.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Alcohol Use Frequency and Quantity	Adolescent reported level for alcohol risk behaviors at 2 months adjusting for baseline level. Specific alcohol behaviors include: 1) number of days in which alcohol was consumed in the past 30 days; 2) number of alcoholic drinks typically consumed per occasion; and 4) maximum number of alcoholic drinks consumed during one drinking episode.	2 months
Adolescent report of whether alcohol was counseled on during health provider visit		1 day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Adolescent Satisfaction with Care	Adolescent satisfaction with care will be assessed using the total score on the 8-item Client Satisfaction Questionnaire (CSQ-8) at 1-day follow-up.	1 day
Marijuana Use Frequency and Quantity	Adolescent reported level for marijuana risk behaviors at 2 months adjusting for baseline level. Specific marijuana behaviors include: 1) number of days in which marijuana was used in the past 30 days; and 2) number of hours high on a typical day of marijuana use.	2 months
Interval Receipt of Care for Substance Use	Dichotomous variable indicating receipt of any follow-up care to address substance use identified at baseline.	2 months
Adolescent Substance Use Problem Recognition	Adolescent reported recognition of alcohol and/or marijuana use as a problem (5-point scale).	1 day & 2 months
Motivation for Substance Use Behavior Change	Adolescent reported motivation to change alcohol use and/or marijuana use using a readiness to change scale (4-point scale).	1 day & 2 months

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of non-substance use health risk behaviors	Total count of non-substance use health risk behaviors at 2-month follow-up (score range=0-11) adjusted by total number of baseline health risk behaviors which include (with risk cut-off): during a typical day >2 sugar-sweetened beverages consumed or <3 servings of fruits/vegetables consumed; during a typical week <3 days with 60+ minutes of exercise; during a typical school day >3 hours of screen time; during a typical night <7 hours of sleep; not "always" using seatbelt; not "always" using helmet when bicycling; having driven/ridden in a car with a driver under the influence of substances; not using birth control during last sexual intercourse; not "always" using a condom; and a score of >10 on the Patient Health Questionnaire (PHQ-9).	2 months
Adolescent perceived support from their health care provider	The total score on the Health Care Climate Questionnaire (HCCQ) will be used to assess adolescent self-report of perceived autonomy support from their health care provider.	1 day
Adolescent report of whether marijuana/other drug use was counseled on during health provider visit		1 day

Collaborators and Investigators

• Sponsor: Seattle Children's Hospital
• Collaborators: National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Study record dates

Study Major Dates

• Study Start: November 1, 2015
• Primary Completion (Actual): February 1, 2017
• Study Completion (Actual): April 1, 2017

Study Registration Dates

• First Submitted: October 21, 2015
• First Submitted That Met QC Criteria: October 21, 2015
• First Posted (Estimate): October 22, 2015

Study Record Updates

• Last Update Posted (Actual): October 5, 2017
• Last Update Submitted That Met QC Criteria: October 4, 2017
• Last Verified: October 1, 2017

More Information

Terms related to this study

• Other Study ID Numbers: 3679948; 1R21AA023050-01A1 (U.S. NIH Grant/Contract)