Evidence map›Paper›PMID 30079877›Full record

ArticleJournal of studies on alcohol and drugs2018

Screening and Brief Advice to Reduce Adolescents' Risk of Riding With Substance-Using Drivers.

John R Knight, Ladislav Csemy, Lon Sherritt, Olga Starostova, Shari Van Hook, Janine Bacic, Caroline Finlay, Jessica Tauber, Traci Brooks, Robert Kossack and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of studies on alcohol and drugs, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00227877 (Screening and Brief Advice to Reduce Teen Substance Use), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00227877 nacompletednot on this map

Screening and Brief Advice to Reduce Teen Substance Use

TypeinterventionalSponsorBoston Children's HospitalRan2005 to 2010Enrolled2,695ConditionsSubstance Related DisordersArmscSBA - New England, USA, cSBA - Prague, CZR
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Harm reduction strategies for cannabis-related problems: a literature review and typology.European archives of psychiatry and clinical neuroscience · 2025
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

John R KnightDepartment of Pediatrics, Harvard Medical School, Boston, Massachusetts.
Ladislav CsemyNational Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic.
Lon SherrittDepartment of Pediatrics, Harvard Medical School, Boston, Massachusetts.
Olga StarostovaNational Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic.
Shari Van HookDepartment of Pediatrics, Harvard Medical School, Boston, Massachusetts.
Janine BacicCenter for Evidence Synthesis in Health, School of Public Health, Brown University, Providence, Rhode Island.
Caroline FinlayDepartment of Medicine, Boston Children's Hospital, Boston, Massachusetts.
Jessica TauberDepartment of Medicine, Boston Children's Hospital, Boston, Massachusetts.
Traci BrooksDepartment of Pediatrics, Cambridge Health Alliance, Cambridge, Massachusetts.
Robert KossackDepartment of Pediatrics, Reliant Medical Group, Worcester, Massachusetts.
John W KuligDepartment of Pediatrics, Tufts Medical Center-Floating Hospital for Children, Boston, Massachusetts.
Judith ShawVermont Child Health Improvement Project, University of Vermont College of Medicine, Burlington, Vermont.
Sion Kim HarrisDepartment of Pediatrics, Harvard Medical School, Boston, Massachusetts.

Funding

Screening and Brief Advice to Reduce Teen Substance UseR01DA018848 · NIDA · CHILDREN'S HOSPITAL BOSTON · PI KNIGHT, JOHN R · 2004 to 2008
$4.1M
Academic Career Award in Adolescent Alcohol AbuseK07AA013280 · NIAAA · CHILDREN'S HOSPITAL BOSTON · PI KNIGHT, JOHN R · 2004 to 2008
$938k
NIAAA NIH HHS K07 AA013280NIDA NIH HHS R01 DA018848
6 · The paper itself

Abstract

objectiveAlcohol- and drug-related car crashes are a leading cause of death for adolescents in the United States. This analysis tested the effects of a computer-facilitated Screening and Brief Advice (cSBA) system for primary care on adolescents' reports of driving after drinking or drug use (driving) and riding with substance-using drivers (riding).

methodTwelve- to 18-year-old patients (N = 2,096) at nine New England pediatric offices completed assessments only during the initial 18-month treatment-as-usual (TAU) phase. Subsequently, the 18-month cSBA intervention phase began with a 1-hour provider training and implementation of the cSBA system at all sites. cSBA included a notebook-computer with self-administered screener, immediate scoring and feedback, and 10 pages of scientific information and true-life stories illustrating substance-related harms. Providers received screening results, "talking points" for 2 to 3 minutes of counseling, and a Contract for Life handout. Logistic regression with generalized estimating equations generated adjusted relative risk ratios (aRRR) for past-90-day driving and riding risk at 3- and 12-month follow-ups, controlling for significant covariates.

resultsWe found no significant effects on driving outcomes. At 3 months, cSBA youth were less likely than TAU to report riding with a drinking driver (aRRR = 0.70, 95% CI [0.49, 1.00]), and less likely to report riding with a driver who had used cannabis or other drugs (aRRR = 0.46, 95% CI [0.29, 0.74]). The effect was even greater (aRRR = 0.34, 95% CI [0.16, 0.71]) for riding with drinking drivers who were adult family members. All effects dissipated by 12-month follow-up.

conclusionsScreening and pediatrician brief advice shows promise for reducing adolescents' risk of riding with substance-using drivers.

Indexed as

AdolescentAdolescent BehaviorAlcohol DrinkingAutomobile DrivingChildCounselingDriving Under the InfluenceFemaleHumansMaleNew EnglandPhysician's RolePrimary Health CareSubstance-Related Disorders

Identifiers

PMID30079877
PMCPMC6090102

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.