@article{ref1,
title="Screening and brief intervention with adolescents with risky alcohol use in school-based health centers: a randomized clinical trial of the Check Yourself tool",
journal="Substance abuse",
year="2019",
author="McCarty, Carolyn A. and Gersh, Elon and Katzman, Katherine and Lee, Christine M. and Sucato, Gina S. and Richardson, Laura P.",
volume="ePub",
number="ePub",
pages="1-9",
abstract="BACKGROUND: This study aimed to compare care delivery and alcohol and marijuana use for adolescents with risky alcohol use who received a school-based health center (SBHC) visit with and without the Check Yourself tool, an electronic tool that gives motivational feedback on substance use and summarizes results for providers. <br><br>METHODS: We conducted a randomized controlled trial with 148 adolescents aged 13-18 who met criteria for moderate- to high- risk alcohol use, recruited from urban SBHCs. Participants were randomized to receive their SBHC visit with (n = 73) or without (n = 75) the Check Yourself screening and feedback tool. All SBHC providers received a brief training on motivational interviewing. <br><br>RESULTS: Adolescents who received the Check Yourself tool + SBHC visit reported higher levels of alcohol (67%) and marijuana (73%) counseling from the provider during their visit, compared with those who received a SBHC visit without the tool (40% and 45%, respectively, Ps < .005), and had higher motivation to decrease marijuana use relative to those who did not (P = .02). Relative to baseline, adolescents in both groups reduced their typical number of drinks of alcohol, maximum number of drinks of alcohol, and hours high on marijuana over time (Ps < .02) at 2-month follow-up. <br><br>CONCLUSION: When adolescent patients are given an electronic screening and feedback tool, it can prompt providers to increase counseling of adolescents with substance use risk. Overall, participants who had a visit with a trained provider reported high satisfaction with care and decreased the amount of alcohol use over 2 months, suggesting that SBHCs are an excellent venue for delivery of brief substance use interventions.<p /> <p>Language: en</p>",
language="en",
issn="0889-7077",
doi="10.1080/08897077.2019.1576090",
url="http://dx.doi.org/10.1080/08897077.2019.1576090"
}