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Gilmore AK, Fortson K, Mullican KN, García-Ramírez G, Hutchins A, Bartlett AM, Gooding HC, Wallis E, Levy S, Ruggiero KJ, Kaysen D, Danielson CK, Platner R, Hartman A, Self-Brown S
An eHealth Prevention Program for Substance Use, Sexual Assault, and Sexual Risk Behaviors for Adolescents in Primary Care: Pilot Feasibility Randomized Controlled Trial of Teen Well Check
Pilot Randomized Controlled Feasibility Trial of Teen Well Check: An E-Health Prevention Program for Substance Use, Sexual Assault, and Sexual Risk Behaviors for Adolescents in Primary Care
Amanda Katherine Gilmore;
Kennicia Fortson;
K. Nicole Mullican;
Grisel García-Ramírez;
Anna Hutchins;
Alyssa M. Bartlett;
Holly C. Gooding;
Elizabeth Wallis;
Sharon Levy;
Kenneth J. Ruggiero;
Debra Kaysen;
Carla Kmett Danielson;
Robert Platner;
April Hartman;
Shannon Self-Brown
ABSTRACT
Background:
Primary care visits present a unique opportunity to address health risk behaviors. Teen Well Check is an online, integrated prevention program for substance use, sexual assault, and sexual risk behaviors with demonstrated usability and acceptability among patients and providers.
Objective:
A pilot randomized controlled trial was conducted to assess feasibility.
Methods:
Adolescents (N=123) aged 14-18 years from diverse backgrounds were recruited from primarily Medicaid-serving pediatric primary care clinics. Participants completed a baseline survey, were randomized to receive Teen Well Check or an assessment-only control, and completed 1-, 3- and 6-month follow-up surveys. Feasibility was assessed in terms of recruitment and retention rates. Preliminary changes from baseline to follow-up periods were examined separately in the Teen Well Check and control conditions.
Results:
We recruited 123 participants (n=61: Teen Well Check; n=62: control) and 90% assigned to the Teen Well Check condition completed the full program and viewed all intervention content. More than 85% of participants were retained across at least one follow-up period and there was no difference in follow-up rates between conditions. Completion of the Teen Well Check averaged 6.2 minutes (SD=5.8). Preliminary analyses revealed there were significant reductions in perceived peer norms (descriptive norms) for substance use before sex across follow-ups among participants in the Teen Well Check condition, whereas there were significant increases in the control condition. Additionally, there were non-significant reductions in substance misuse risk from baseline to 6-month follow-up among participants in the Teen Well Check condition.
Conclusions:
These findings support feasibility of Teen Well Check delivery within pediatric primary care clinics. A randomized clinical trial is needed to assess efficacy. Clinical Trial: ClinicalTrials.gov NCT03489434
Citation
Please cite as:
Gilmore AK, Fortson K, Mullican KN, García-Ramírez G, Hutchins A, Bartlett AM, Gooding HC, Wallis E, Levy S, Ruggiero KJ, Kaysen D, Danielson CK, Platner R, Hartman A, Self-Brown S
An eHealth Prevention Program for Substance Use, Sexual Assault, and Sexual Risk Behaviors for Adolescents in Primary Care: Pilot Feasibility Randomized Controlled Trial of Teen Well Check