ChangeGradients for Adolescent Alcohol Use

This study is testing an interactive web-based tool called CHANGEGRADIENTS to help adolescents reduce alcohol use and increase their self-confidence (self-efficacy) in making healthy choices. You might be able to join if you are between 15 and 17 years old, currently use alcohol, and have a well-visit scheduled at specific UCSF pediatric clinics (Mt. Zion Pediatric Primary Care Practices or The Adolescent/Young Adult Clinic). The researchers hope that using CHANGEGRADIENTS will lead to fewer days of alcohol use, less binge drinking, and greater self-efficacy. The current recruitment status is unclear, but the study plans to enroll 200 participants.

Study design
This interventional study plans to enroll 200 participants. The phase of the study is not specified.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Your alcohol use and self-efficacy will be assessed at 30 days. Your report of the clinic visit will be assessed at 1 day, immediately after your baseline clinic visit.

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NCT04110756

ChangeGradients: Promoting Adolescent Health Behavior Change

Recruiting
NAAges 15–17InterventionalPrevention
University of California, San Francisco
~200 participants
Updated 2025-10-31 on ClinicalTrials.gov
What's tested:ChangeGradients

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Mean scores on assessment of Alcohol Use
Measured over 30 days
+2 more outcomes measured
Alcohol Drinking
Self Efficacy
Adolescent Behavior
Risk-Taking
Cancer
1 sites across 1 states
California1
  • Elizabeth Ozer, PhD · PRINCIPAL_INVESTIGATOR · University of California, San Francisco

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Eligibility criteria

Inclusion

Adolescents between the ages of 15 and 17 years of age
Report current alcohol use
Presenting for a well-visit at UCSF Pediatric primary care clinics (the Mt. Zion Pediatric Primary Care Practices at UCSF and The Adolescent/Young Adult Clinic at UCSF)

Exclusion

Non-English speakers
  • Mean scores on assessment of Alcohol Use30 days

    Standard validated questions taken from the "Alcohol and other Drug Use" scale of the Youth Risk Behavior Surveillance Survey (CDC surveillance system that monitors adolescent risk behavior) will be administered. Measures include quantity and frequency of use and safety (drinking and driving), Current use of alcohol measured by quantity and frequency of use in the past 30 days (Centers for Disease Control and Prevention, 2018). Scale ranges vary based on questions and questions are scored individually. Responses to questions about alcohol use in general (past 12 months and ever) are scored as No = 0 and Yes = 1. Values on questions about alcohol use in the past 30 days are scored on a scale from 0-7, with higher values corresponding to greater alcohol consumption. Questions about drinking and driving are scored on a scale from 0-5 with higher numbers corresponding to more frequent instances of driving/being driven by others after alcohol was consumed.

  • Mean score on a Self-efficacy tool developed by Drs Elizabeth Ozer and Dr. Albert Bandura30 days

    Self-efficacy will be measured using a tool developed by Drs Elizabeth Ozer and Dr. Albert Bandura designed for this study. The tool assesses confidence in avoiding drinking in various scenarios. Participants are asked to rate level of confidence in drinking avoidance across various situations. Responses are rated on a scale of 0 to 10, with a rating of 0 indicating 'not at all confident', a rating of 5 indicating 'moderately confident', and rating of 10 indicating t 'completely confident'. Scenarios include: "When a close friend offers you a drink," and, "When you feel depressed or nervous." Scores on this assessment are calculated by summing participant responses and dividing by the number of questions to obtain a mean self-efficacy score.

  • Quality of Care: Adolescent Report of the Visit (AROV)1 day, immediately following baseline clinic visit

    The Adolescent Report of the Visit (AROV) is a validated measure to assess the quality of care delivered to adolescents (Ozer, 2004), which has been utilized in clinics nationally and internationally (Sanci, 2015). The investigators are specifically using questions from this measure assessing provider rates of screening and counseling adolescents for alcohol use during adolescent visits. All questions are scored separately on a binary scale, with response scoring as No = 0 and Yes = 1. An answer of Yes to any item indicates higher quality of care.