{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:27:54Z","timestamp":1787164074277,"version":"build-2736575974"},"reference-count":64,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>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 \u201ctalking points\u201d 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>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\u20130.77; 12-month rates 29.3% vs 37.5%, aRRR = 0.73, 0.57\u20130.92), and less cannabis use in Prague (3-month rates 5.5% vs 9.8%, aRRR = 0.37, 0.17\u20130.77; 12-month rates 17.0% vs 28.7%, aRRR = 0.47, 0.32\u20130.71).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Computer-facilitated screening and provider brief advice appears promising for reducing substance use among adolescent primary care patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2011-1624","type":"journal-article","created":{"date-parts":[[2012,5,8]],"date-time":"2012-05-08T01:24:59Z","timestamp":1336440299000},"page":"1072-1082","source":"Crossref","is-referenced-by-count":112,"title":["Computer-Facilitated Substance Use Screening and Brief Advice for Teens in Primary Care: An International Trial"],"prefix":"10.1542","volume":"129","author":[{"given":"Sion Kim","family":"Harris","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Harvard Medical School, Boston, Massachusetts;"},{"name":"Division of Developmental Medicine,"},{"name":"Division of Adolescent\/Young Adult Medicine, and"},{"name":"The Center for Adolescent Substance Abuse Research, Children\u2019s Hospital Boston, Boston, Massachusetts (Coordinating 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