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NCT Number: NCT06699251

Effectiveness of Brief Intervention in Primary Care for Diverse Young People (Chat)

Brief motivational interviewing intervention to address alcohol use among diverse teens 12-17.

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Key information

Conditions

Adolescent Drinking Adolescent Behavior Alcohol Drinking Behavior Cannabis Use Drinking Behavior Underage Drinking

Age range

12 year–19 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

AltaMed Health Services, Commerce, California, United States

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About this study

The six-item CRAFFT will be used to screen teens at our partner clinics for risky AC use. For those that screen in as at-risk and express interest in the study, the teen's case manager will complete an online consent/assent form with the parent and teen that contains contact information for the teen so that investigators can follow up with the teen for surveys and intervention delivery or for providing an informational brochure. When the online consent/assent form is completed, the teen will be sent a personalized link to complete their baseline survey. Upon survey completion, the teen will receive a link that has their electronic gift card payment, and the case manager will be notified that a particular ID has completed the survey. The case manager will be informed by study staff whether to schedule that ID for enhanced usual care (EUC) or the Chat intervention. Investigators expect each teen to be scheduled within 30 days of completing their baseline survey to receive EUC or Chat. The informational brochure for the EUC will be handed to the teen during the visit or securely emailed, and Chat could take place either via a virtual or in-person visit. Whether or not the teen completes EUC or Chat, every teen will be followed by the RAND Survey Research Group to complete their follow-up web-based surveys based on timing of completion of their baseline survey. Teens will receive gift card incentives for completing the 3-month, 6-month, and 12-month surveys. Investigators will begin recruitment in month 9 of the project. Briefly, investigators expect to recruit from study month 9 to month 42 for the baseline survey. Investigators expect the Chat intervention to occur from months 9 to 42 the 3-month follow-up from months 12 to 45, 6-month from months 15 to 48, and the 12-month from months 21 to 53. Out of an anticipated 5,644 clients that our partner clinics will screen, investigators expect approximately 847 (15%) to screen in as at-risk on the CRAFFT and anticipate that approximately 500 (~60%) will consent into the study.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • receive health care at one of two participating health systems
  • aged 12-17
  • screen positive for being at risk for alcohol or cannabis use using the CRAFFT

Exclusion criteria

  • if they don't meet the inclusion criteria, they will be excluded

Treatment and study plan

Chat

Behavioral

Chat is a brief motivational interviewing intervention for partner clinic participants with an alcohol or cannabis use condition.

Enhanced Usual Care

Behavioral

An informational brochure will be give to partner clinic participants with an alcohol or cannabis use condition.

Primary outcomes

  1. Alcohol - change in frequency of use

    Time frame: Baseline to 3 months

    We will assess both the number of times participants have used alcohol in the past three months (from none to 31 or more times) and the number of days in the past month participants report use of alcohol.

  2. Alcohol - change in frequency of use

    Time frame: 3 months to 6 months

    We will assess both the number of times participants have used alcohol in the past three months (from none to 31 or more times) and the number of days in the past month participants report use of alcohol.

  3. Alcohol - change in frequency of use

    Time frame: 6 months to 12 months

    We will assess both the number of times participants have used alcohol in the past six months (from none to 31 or more times) and the number of days in the past month participants report use of alcohol.

  4. Cannabis - change in frequency of use

    Time frame: Baseline to 3 months

    We will assess both the number of times participants have used cannabis in the past three months (from none to 31 or more times) and the number of days in the past month participants report use of cannabis.

  5. Cannabis - change in frequency of use

    Time frame: 3 months to 6 months

    We will assess both the number of times participants have used cannabis in the past three months (from none to 31 or more times) and the number of days in the past month participants report use of cannabis.

  6. Cannabis - change in frequency of use

    Time frame: 6 months to 12 months

    We will assess both the number of times participants have used cannabis in the past six months (from none to 31 or more times) and the number of days in the past month participants report use of cannabis.

  7. Alcohol - change in consequences of use

    Time frame: Baseline to 3 months

    Alcohol consequences (e.g., blacking out, regretted sexual situation) will be assessed with the Brief Young Adult Alcohol Consequences Questionnaire (0 to 20 or more times, with higher scores indicating a worse outcome).

  8. Alcohol - change in consequences of use

    Time frame: 3 months to 6 months

    Alcohol consequences (e.g., blacking out, regretted sexual situation) will be assessed with the Brief Young Adult Alcohol Consequences Questionnaire (0 to 20 or more times, with higher scores indicating a worse outcome).

  9. Alcohol - change in consequences of use

    Time frame: 6 months to 12 months

    Alcohol consequences (e.g., blacking out, regretted sexual situation) will be assessed with the Brief Young Adult Alcohol Consequences Questionnaire (0 to 20 or more times, with higher scores indicating a worse outcome).

  10. Cannabis - change in consequences of use

    Time frame: Baseline to 3 months

    Cannabis consequences (e.g., poor memory, too much time using) will be assessed with the Brief Marijuana Consequences Questionnaire (0 to 20 or more times, with higher scores indicating a worse outcome).

  11. Cannabis - change in consequences of use

    Time frame: 3 months to 6 months

    Cannabis consequences (e.g., poor memory, too much time using) will be assessed with the Brief Marijuana Consequences Questionnaire (0 to 20 or more times, with higher scores indicating a worse outcome).

  12. Cannabis - change in consequences of use

    Time frame: 6 months to 12 months

    Cannabis consequences (e.g., poor memory, too much time using) will be assessed with the Brief Marijuana Consequences Questionnaire (0 to 20 or more times, with higher scores indicating a worse outcome).

Secondary outcomes

  1. Alcohol - change in time spent around peers

    Time frame: Baseline to 3 months

    Participants will be asked how often they are with people their age who are using alcohol (1=never to 4=often).

  2. Alcohol - change in time spent around peers

    Time frame: 3 months to 6 months

    Participants will be asked how often they are with people their age who are using alcohol (1=never to 4=often).

  3. Alcohol - change in time spent around peers

    Time frame: 6 months to 12 months

    Participants will be asked how often they are with people their age who are using alcohol (1=never to 4=often).

  4. Cannabis - change in time spent around peers

    Time frame: Baseline to 3 months

    Participants will be asked how often they are with people their age who are using cannabis (1=never to 4=often).

  5. Cannabis - change in time spent around peers

    Time frame: 3 months to 6 months

    Participants will be asked how often they are with people their age who are using cannabis (1=never to 4=often).

  6. Cannabis - change in time spent around peers

    Time frame: 6 months to 12 months

    Participants will be asked how often they are with people their age who are using cannabis (1=never to 4=often).

  7. Alcohol - change in motivation to change use

    Time frame: Baseline to 3 months

    We will measure motivation to change use by asking participants where they may be in their thinking about reducing or quitting their alcohol use using a scale of 1-10 where 1 = "I have quit using alcohol and will never go back" and 10 = "I enjoy using alcohol and have decided never to change it."

  8. Alcohol - change in motivation to change use

    Time frame: 3 months to 6 months

    We will measure motivation to change use by asking participants where they may be in their thinking about reducing or quitting their alcohol use using a scale of 1-10 where 1 = "I have quit using alcohol and will never go back" and 10 = "I enjoy using alcohol and have decided never to change it."

  9. Alcohol - change in motivation to change use

    Time frame: 6 months to 12 months

    We will measure motivation to change use by asking participants where they may be in their thinking about reducing or quitting their alcohol use using a scale of 1-10 where 1 = "I have quit using alcohol and will never go back" and 10 = "I enjoy using alcohol and have decided never to change it."

  10. Cannabis - change in motivation to change use

    Time frame: Baseline to 3 months

    We will measure motivation to change use by asking participants where they may be in their thinking about reducing or quitting their cannabis use using a scale of 1-10 where 1 = "I have quit using cannabis and will never go back" and 10 = "I enjoy using cannabis and have decided never to change it."

  11. Cannabis - change in motivation to change use

    Time frame: 3 months to 6 months

    We will measure motivation to change use by asking participants where they may be in their thinking about reducing or quitting their cannabis use using a scale of 1-10 where 1 = "I have quit using cannabis and will never go back" and 10 = "I enjoy using cannabis and have decided never to change it."

  12. Cannabis - change in motivation to change use

    Time frame: 6 months to 12 months

    We will measure motivation to change use by asking participants where they may be in their thinking about reducing or quitting their cannabis use using a scale of 1-10 where 1 = "I have quit using cannabis and will never go back" and 10 = "I enjoy using cannabis and have decided never to change it."

  13. Change in use of behavioral health care services

    Time frame: Baseline to 3 months

    We will measure use of behavioral health care services (separate items for mental health and substance use), including whether there are unmet needs for behavioral health services (i.e., perceived a need to get treatment but didn't get it) and perceived reasons for those unmet needs (e.g., stigma, transportation, cost).

  14. Change in use of behavioral health care services

    Time frame: 3 months to 6 months

    We will measure use of behavioral health care services (separate items for mental health and substance use), including whether there are unmet needs for behavioral health services (i.e., perceived a need to get treatment but didn't get it) and perceived reasons for those unmet needs (e.g., stigma, transportation, cost).

  15. Change in use of behavioral health care services

    Time frame: 6 months to 12 months

    We will measure use of behavioral health care services (separate items for mental health and substance use), including whether there are unmet needs for behavioral health services (i.e., perceived a need to get treatment but didn't get it) and perceived reasons for those unmet needs (e.g., stigma, transportation, cost).

Study contacts

Contact information is provided by the study sponsor or research team.

Elizabeth J D'Amico, PhD

CONTACT

[email protected]

3103930411 ext. 6487

Michael J Woodward

CONTACT

[email protected]

3103930411 ext. 6595

Sponsors and collaborators

Lead sponsor

RAND

Other

Collaborators

  • AltaMed Health Services Corporation
  • Patient-Centered Outcomes Research Institute
  • University of Pittsburgh Medical Center

Registry information

Official study title

Effectiveness of Brief Intervention in Primary Care for Diverse Young People

Important dates

Study start
2025
Primary completion
2028
Study completion
2029
First posted
Nov 21, 2024
Registry last updated
Mar 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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