Evidence map›Paper›PMID 30578116›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2019

Disclosure of Adolescent Substance Use in Primary Care: Comparison of Routine Clinical Screening and Anonymous Research Interviews.

Jan Gryczynski, Shannon G Mitchell, Robert P Schwartz, Sharon M Kelly, Kristi Dušek, Laura Monico, Kevin E O'Grady, Barry S Brown, Marla Oros, Colleen Hosler

Open access · greenAbstract readComparative Study
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Article
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  6. Observational
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

10 authors at 3 institutions in 1 country.

Jan GryczynskiFriends Research Institute, Social Research Center, Baltimore, Maryland. Electronic address: jgryczynski@friendsresearch.org.
Shannon G MitchellFriends Research Institute, Social Research Center, Baltimore, Maryland.
Robert P SchwartzFriends Research Institute, Social Research Center, Baltimore, Maryland.
Sharon M KellyFriends Research Institute, Social Research Center, Baltimore, Maryland.
Kristi DušekFriends Research Institute, Social Research Center, Baltimore, Maryland.
Laura MonicoFriends Research Institute, Social Research Center, Baltimore, Maryland.
Kevin E O'GradyUniversity of Maryland, College Park, Maryland.
Barry S BrownUniversity of North Carolina, Wilmington, North Carolina.
Marla OrosMosaic Group, Baltimore, Maryland.
Colleen HoslerMosaic Group, Baltimore, Maryland.
Friends Research Institute · USUniversity of Maryland, College Park · USUniversity of North Carolina Wilmington · US

Funding

SBIRT in New MexicoR01DA026003 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI SCHWARTZ, ROBERT P · 2009 to 2013
$2.5M
SBIRT Implementation for Adolescents in Urban Federally Qualified Health CentersR01DA034258 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI MITCHELL, SHANNON GWIN · 2012 to 2015
$2.0M
NIDA NIH HHS R01 DA026003NIDA NIH HHS R01 DA034258
6 · The paper itself

Abstract

purposeThe American Academy of Pediatrics recommends substance use screening in adolescent primary care. Many studies of substance use prevalence and screening tool validation are conducted under research protocols that differ from routine clinical screening in context, consequences, and privacy implications.

methodsThis study is a secondary analysis drawing from two projects focused on adolescent primary care patients, aged 12-17, conducted nearly contemporaneously in a Federally Qualified Health Center system. The first project conducted anonymous research interviews with patients (N = 525), while the other tracked routine clinical screening as part of a larger service implementation project (N = 5,971). Both projects assessed substance use with the CRAFFT screening tool.

resultsRates of substance use disclosure and substance use problems were over three and four times higher, respectively, in the anonymous research interview sample compared to rates found in routine clinical screening (p values < .001).

conclusionsRoutine clinical screening may underestimate substance use among adolescents.

Indexed as

Anonymous TestingDisclosurePrimary Health CareAdolescentChildHealth Services ResearchHumansInterviews as TopicPrevalenceSubstance-Related DisordersPrimary careScreeningSubstance use

Identifiers

PMID30578116
PMCPMC6601606
OpenAlexW2904865722

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.