- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03015805
Teen Success Project (JPO-CM)
November 3, 2023 updated by: Ashli Sheidow, Oregon Social Learning Center
Improving Access to Substance Abuse Evidence-Based Practices for Youth in the Justice System: Strategies Used by JPOs
The purpose of this study is to examine the effectiveness of Juvenile Probation Officers (JPOs) delivering Contingency Management (CM) to teens on their caseload who have problems with drug use.
CM has already been shown to be effective at helping teens with drug problems but CM has never been delivered by JPOs.
This study will test how well it works to have JPOs deliver CM during their regular meetings with teens.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Detailed Description
The overarching purpose of this study is to increase justice-involved youths' access to an evidence-based practice for substance abuse, specifically Contingency Management (CM).
This randomized controlled trial will examine the effectiveness of using juvenile probation officers (JPOs) to deliver CM to youth (aged 12-17 years) on their caseloads.
CM is an evidence-based practice for substance abuse.
The Investigators posit that JPOs are in an ideal position to deliver an evidence-based practice such as CM to youth because of their intensive involvement and frequent contact with the youth offenders under their supervision.
The study randomizes 36 JPOs to 2 conditions: CM versus control (usual JPO services), and then randomizes 504 drug-abusing adolescent probationers across those 2 conditions.
The research team will work with JPOs employed by the Department of Youth Services (DYS) in various counties in Oregon.
JPOs will participate in focus groups and research interviews and will submit monthly audio-tapes of sessions with participating youth.
JPOs randomized to the CM condition will receive training in how to deliver CM.
As stated, participating youth will also be randomized to CM or control and assigned to a JPO in the same condition.
For those in the CM group, the delivery of CM will be added to their regular meetings with their JPO.
Research data will be collected from families via audio-taped interviews and questionnaires from youth and one caretaker.
Urine samples for drug testing will also be collected from youth.
Lastly, arrest records will be collected on youth for the 18 months pre- and post-entry into the study.
The study involves 2 types of participants: youth (n=504) and juvenile probation officers (n=36), for a total of 540 anticipated participants.
Study Type
Interventional
Enrollment (Actual)
310
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Idaho
-
Rupert, Idaho, United States, 83350
- Mini-Cassia Juvenile Probation
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Twin Falls, Idaho, United States, 83301
- Twin Falls Juvenile Probation
-
-
Nevada
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Reno, Nevada, United States, 89512
- Washoe County Juvenile Probation
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
12 years to 17 years (Child)
Accepts Healthy Volunteers
No
Description
There are 2 types of participants in this study: youth and juvenile probation officers.
Inclusion Criteria for youth:
- Newly opened probation case (can have previous cases)
- 12-17 years old
- Diagnostic and Statistical Manual-5 (DSM-5) substance use disorder
Exclusion Criteria for youth:
- Pervasive developmental disorder
- Active psychotic disorder
- Severe/profound mental retardation
Inclusion Criteria for juvenile probation officers:
- Employed as a juvenile probation officer with the Department of Youth Services in a participating county in Oregon
- Serving clients aged 12-17 years old with a substance abuse problem
Exclusion Criteria for juvenile probation officers:
- Not employed as a juvenile probation officer with the Department of Youth Services in a participating county in Oregon
- Not serving clients aged 12-17 years old with a substance abuse problem
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Contingency Management
This group will receive regular probation services but will also receive the Contingency Management program for substance abuse from their juvenile probation officer during regular meetings.
|
Contingency Management (CM) utilizes behavior modification & cognitive behavioral strategies to target adolescent alcohol or other drug (AOD) use.
Protocol components are as follows: (a) The provider introduces CM to the family and engages them in the intervention; (b) The provider conducts Antecedent-Behavior-Consequence (ABC) assessments of the youth's AOD use with the youth and caregiver; (c) Based on the results of the ABC assessments, self-management planning and drug refusal skills training are implemented by the provider in collaboration with the caregiver; (d) Concurrently, a point and level system contract is filled in by the family, which provides rewards/privileges for negative drug and alcohol tests and disincentives (e.g., extra chores) for positive tests.
Until continued abstinence is achieved, components "b" through "d" are repeated; (e) The provider collaborates with the family to develop plans for sustaining long-term abstinence.
Typical duration of CM is 12-16 weeks.
|
Active Comparator: Probation as Usual
This group will receive regular services that are usually provided by juvenile probation officers.
|
Standard services that a young person would receive while under probation supervision in the state of Oregon.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes from Baseline scores compared to 9 months post-Baseline Urine Drug Screens (measured at 0, 3, 6 and 9 months).
Time Frame: Baseline to 9 months
|
The number of positive drug screens from toxicology testing for tetrahydrocannabinol (THC), synthetic THC, amphetamines, methamphetamines, opiates, phencyclidine (PCP), cocaine, benzodiazepines and alcohol metabolites (Ethyl glucuronide, Ethyl sulfate ).
|
Baseline to 9 months
|
Changes from Baseline scores compared to 9 months post-Baseline Substance Use and Problems (measured at 0, 3, 6 and 9 months).
Time Frame: Baseline to 9 months
|
Frequency of substance use and substance-related problems self-reported on the Global Appraisal of Individual Needs.
|
Baseline to 9 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in number and severity of criminal charges in official records in the 18 months pre-Baseline compared with 18 months post-Baseline.
Time Frame: 18 months pre-Baseline to 18 months post-Baseline.
|
Changes from 18 months pre-Baseline in offending, measured in the number and severity of offenses in official arrest records compared to 18 months post-Baseline.
|
18 months pre-Baseline to 18 months post-Baseline.
|
Changes from Baseline scores compared to 9 months post-Baseline Delinquent Behaviors (measured at 0, 3, 6 and 9 months).
Time Frame: Baseline to 9 months.
|
Delinquent behaviors self-reported using the Self-Report Delinquency Scale.
|
Baseline to 9 months.
|
Changes from Baseline scores compared to 9 months post-Baseline Sexual Risk Behaviors (measured at 0, 3, 6 and 9 months).
Time Frame: Baseline to 9 months.
|
Sexual risk behaviors self-reported using the HIV Sexual Risk Behavior Scale.
|
Baseline to 9 months.
|
Changes from Baseline scores compared to 9 months post-BaselineTreatment Usage (measured at 0, 3, 6 and 9 months).
Time Frame: Baseline to 9 months.
|
The number of courses of in-patient and out-patient treatment obtained by youth for substance abuse as measured by the Structured Adolescent Interview (conducted with youth and caregiver together).
|
Baseline to 9 months.
|
Changes from Baseline scores compared to 9 months post-Baseline Internalizing and Externalizing Behaviors (measured at 0, 3, 6 and 9 months).
Time Frame: Baseline to 9 months.
|
The frequency of youth's internalizing and externalizing behaviors as measured using the Brief Problem Checklist (self- and parent-report).
|
Baseline to 9 months.
|
Changes from Baseline scores compared to 31 months post-Baseline Contingency Management (CM) Adherence (measured monthly for 31 months).
Time Frame: Baseline to 31 months.
|
Adherence to CM practices by juvenile probation officers as measured using the CM-Therapist Adherence Measure (CM-TAM) (Self-report version, Tape Coding version and Youth/Caregiver versions).
|
Baseline to 31 months.
|
Changes from Baseline in Training Needs and Training Satisfaction scores compared to 31 months post-Baseline (measured at 0,16 and 31 months).
Time Frame: Baseline to 31 months.
|
Scores in training needs and training satisfaction as measured by the Organizational Readiness for Change-Criminal Justice Version (completed by participating juvenile probation officers).
|
Baseline to 31 months.
|
Changes from Baseline in attitudes towards using rewards in substance abuse treatment compared to 31 months post-Baseline (measured at 0,16 and 31 months).
Time Frame: Baseline to 31 months.
|
Ratings on attitudes towards using rewards in substance use treatment as measured by the Provider Survey of Incentives (completed by participating juvenile probation officers).
|
Baseline to 31 months.
|
Changes from Baseline in attitudes towards Contingency Management (CM) compared to 31 months post-Baseline (measured at 0,16 and 31 months).
Time Frame: Baseline to 31 months.
|
Ratings on attitudes towards Contingency Management as measured by qualitative ratings of audio-taped and transcribed focus groups (focus groups involve participating juvenile probation officers).
|
Baseline to 31 months.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 1, 2017
Primary Completion (Actual)
September 14, 2022
Study Completion (Estimated)
February 1, 2024
Study Registration Dates
First Submitted
January 6, 2017
First Submitted That Met QC Criteria
January 6, 2017
First Posted (Estimated)
January 10, 2017
Study Record Updates
Last Update Posted (Actual)
November 7, 2023
Last Update Submitted That Met QC Criteria
November 3, 2023
Last Verified
November 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- R01DA041434-01 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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