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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Computer-facilitated substance use screening and brief advice for teens in primary care: An international trial
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Computer-facilitated substance use screening and brief advice for teens in primary care: An international trial

机译：计算机辅助药物使用筛查和为初级保健中的青少年提供的简短建议：一项国际试验

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OBJECTIVE: Primary care providers need effective strategies for substance use screening and brief counseling of adolescents. We examined the effects of a new computer-facilitated screening and provider brief advice (cSBA) system. METHODS: We used a quasi-experimental, asynchronous study design in which each site served as its own control. From 2005 to 2008, 12- to 18- year-olds arriving for routine care at 9 medical offices in New England (n = 2096, 58% females) and 10 in Prague, Czech Republic (n = 589, 47% females) were recruited. Patients completed measurements only during the initial treatment-as-usual study phase. We then conducted 1-hour provider training, and initiated the cSBA phase. Before seeing the provider, all cSBA participants completed a computerized screen, and then viewed screening results, scientific information, and true-life stories illustrating substance use harms. Providers received screening results and "talking points" designed to prompt 2 to 3 minutes of brief advice. We examined alcohol and cannabis use, initiation, and cessation rates over the past 90 days at 3-month follow-up, and over the past 12 months at 12-month follow-up. RESULTS: Compared with treatment as usual, cSBA patients reported less alcohol use at follow-up in New England (3-month rates 15.5% vs 22.9%, adjusted relative risk ratio [aRRR] = 0.54, 95% confidence interval 0.38-0.77; 12-month rates 29.3% vs 37.5%, aRRR = 0.73, 0.57-0.92), and less cannabis use in Prague (3-month rates 5.5% vs 9.8%, aRRR = 0.37, 0.17-0.77; 12-month rates 17.0% vs 28.7%, aRRR = 0.47, 0.32-0.71). CONCLUSIONS: Computer-facilitated screening and provider brief advice appears promising for reducing substance use among adolescent primary care patients.
机译：目的：基层医疗服务提供者需要有效的策略来进行药物滥用筛查和青少年简短咨询。我们检查了新的计算机辅助筛查和提供者简要建议（cSBA）系统的效果。方法：我们使用了一个准实验的异步研究设计，其中每个站点都作为自己的控件。从2005年到2008年，有12至18岁的青少年分别在新英格兰的9个医疗机构（n = 2096，女性占58％）和捷克布拉格的10个青少年（n = 589，女性47％）接受常规护理。被招募。患者仅在最初的常规治疗研究阶段才完成测量。然后，我们进行了1小时的提供商培训，并开始了cSBA阶段。在与提供者见面之前，所有cSBA参与者都完成了一个计算机屏幕，然后查看了筛选结果，科学信息以及说明物质使用危害的真实故事。提供者收到了筛选结果和“对话要点”，旨在提示2到3分钟的简短建议。我们在过去3个月的随访中检查了过去90天内以及过去12个月的随访中过去12个月的酒精和大麻使用，开始和戒烟的比率。结果：与常规治疗相比，cSBA患者在新英格兰随访时报告的饮酒较少（3个月比率为15.5％对22.9％，调整后的相对风险比[aRRR] = 0.54，95％的置信区间为0.38-0.77;布拉格的12个月使用率29.3％vs.37.5％，aRRR = 0.73，0.57-0.92）和更少的大麻使用（3个月使用率5.5％vs 9.8％，aRRR = 0.37，0.17-0.77; 12个月使用率17.0％对比28.7％，aRRR = 0.47，0.32-0.71）。结论：计算机辅助筛查和提供者的简短建议似乎有望减少青少年初级保健患者的药物使用。

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