# Computer-facilitated Screening and Brief Intervention in pediatric primary care to reduce underage drinking: a large multi-site randomized trial

> **NIH NIH R01** · BOSTON CHILDREN'S HOSPITAL · 2022 · $192,440

## Abstract

PROJECT SUMMARY/ABSTRACT
This is an administrative supplement in support of the parent grant (5R01AA027253) which allows
modifications to be made to study materials and procedures to address challenges to achievement of our study
aims stemming from recent changes in pediatric primary care brought on by the COVID-19 pandemic. The goal
of the parent grant is to test the effectiveness of a promising computer-facilitated adolescent Screening and
Brief Intervention (cSBI) system, designed for delivery by pediatric primary care clinicians, in a cluster-
randomized controlled trial in patients aged 14-17 years arriving for annual well-visits who are screen-identified
as 1) at risk for unhealthy alcohol use or 2) having ridden in the past 12 months with an impaired driver. At
least 36 pediatric primary care clinicians across ~10 practices will be recruited and randomized into either a
Usual Care or cSBI arm, and at least 1,268 of their eligible patients aged 14-17 arriving for well-visits will be
enrolled. Our primary aim is to test the effect of cSBI on adolescents’ heavy episodic drinking during a 12-
months follow-up period. A secondary aim is to test the effect of cSBI on risk of riding with an impaired driver or
driving while impaired. This trial will be conducted in the American Academy of Pediatrics’ (AAP) Pediatric
Research in Office Settings (PROS) national practice-based research network which has conducted studies in
hundreds of pediatric practices over the past 30+ years. The cSBI system is comprised of 1) computer self-
administered screening that adolescents complete prior to seeing their clinician, 2) brief interactive
psychoeducational pages on substance use health risks, and 3) a Clinician Report Form with screen results
and counseling prompts that guide clinicians use in providing individualized counseling that incorporates
motivational interviewing techniques. Because the COVID-19 pandemic required pediatric practices to reduce
and limit the number of individuals that can be on-site at practices, we transformed our study implementation
plan from one that relied on on-site recruitment by study staff to one that can be conducted entirely remotely in
partnership with practice staff. In addition, while the cSBI system was initially intended to be delivered on an
iPad in the office, we now have to plan for the possibility of patients being seen in telemedicine visits due to the
pandemic, rather than in-person in the office. These changes necessitated the development of new online
systems and strategies that would allow for remote study implementation by research staff and remote access
to the cSBI intervention by both clinicians and patients in the event of telemedicine visits. The administrative
supplement supports the increased computer programming costs associated with creation of these new online
technologies that allow remote study implementation and intervention delivery through secure HIPAA-
compliant websites that perform appropriat...

## Key facts

- **NIH application ID:** 10553448
- **Project number:** 3R01AA027253-03S1
- **Recipient organization:** BOSTON CHILDREN'S HOSPITAL
- **Principal Investigator:** Sion Kim Harris
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $192,440
- **Award type:** 3
- **Project period:** 2020-04-10 → 2025-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10553448

## Citation

> US National Institutes of Health, RePORTER application 10553448, Computer-facilitated Screening and Brief Intervention in pediatric primary care to reduce underage drinking: a large multi-site randomized trial (3R01AA027253-03S1). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10553448. Licensed CC0.

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