- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05736211
Organization-level Youth Engagement Approach for Substance Misuse Prevention
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Background, Rationale and Context Substance misuse is a major public health problem and opioid misuse is an acute problem in rural and high poverty communities. Adolescence and young adulthood is a formative time for positive social development, as young people increase their needs for maturity and autonomy, define their identities, and carve out their roles in society. But many young adults (YAs) are isolated within communities, feel that they do not matter, and lack meaningful opportunities to engage with society and form positive connections with prosocial institutions. Further, community systems and settings that serve YAs often do not effectively involve them. Engaging YAs in their communities and in the prevention systems targeting substance misuse may prevent the use of substances by targeting two pathways. The first is an individual pathway via bolstering psychosocial development and reducing risks for opioids by providing YAs with meaningful prosocial opportunities to fulfill developmental needs. The second is an environmental pathway via affecting health system and community-based settings through improving prevention efforts targeting YAs. This project tests an organization-level Youth Engagement (YE) approach to improve prevention.
Only organizations randomized to treatment will include youth/YA participants. Youth/YA survey data will be collected at the start of their participation in the YE strategy (pre-YE) and 6 months later (post-YE). At the post-YE the study team will interview a subset of interested YE group participants to qualitatively assess their experiences and to identify, in their own voices, what aspects of YE emerge as important to youth development and their health-related decision-making.
The timeframe for this phase will be 12-18 months.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Parissa J Ballard, PhD
- Phone Number: 336-716-0793
- Email: pballard@wakehealth.edu
Study Contact Backup
- Name: Taylor Arnold
- Phone Number: 336-713-5019
- Email: tjarnold@wakehealth.edu
Study Locations
-
-
North Carolina
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Winston-Salem, North Carolina, United States, 27157
- Recruiting
- Wake Forest School of Medicine
-
Contact:
- Parissa J Ballard, PhD
- Phone Number: 336-716-0793
- Email: pballard@wakehealth.edu
-
Contact:
- Taylor Arnold
- Phone Number: 336-713-5019
- Email: tjarnold@wakehealth.edu
-
Principal Investigator:
- Parissa Ballard, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
INCLUSION CRITERIA:
Organizational leaders/staff:
- Leaders or staff of community-based prevention organizations based in North Carolina
- Organizations are youth/young adult-serving and focused on opioid misuse prevention
- Organizations demonstrate readiness, interest, need, and resources to invest in Youth Engagement as part of prevention
- Leaders or staff are or would be involved in implementing Youth Engagement strategy at the organization
- Leaders or staff are able to speak and read English fluently
Youth/young adult participants involved with organizations:
- Adolescents and young adults age 16 - 29
- Engaged as volunteers with the organization's opioid misuse prevention efforts
- Able to speak and read English fluently
EXCLUSION CRITERIA:
• Organizations already incorporating a high level of Youth Engagement in its prevention work
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Phase 2 intervention
In this arm the study will implement an organization-level Youth Engagement prevention strategy by systematically incorporating Youth Engagement into prevention efforts in a community setting.
|
Systematically incorporating Youth Engagement into prevention efforts in a community setting
|
No Intervention: Phase 2 control
This arm will receive no intervention.
Control group organizations will continue their normal prevention strategy without the inclusion of a Youth Engagement component
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Staff Surveys--YE Prevention Programming Value
Time Frame: Month 6
|
This outcome will be assessed through a survey measure administered to the organization leaders and staff in the YE intervention organizations only.
The survey measures will be on a 1-5 scale with a higher score meaning a higher perceived programming value.
Results will be reported as mean/SD.
|
Month 6
|
Retention Percentage of Youth/Young Adults in YE Prevention Programming
Time Frame: Month 6
|
This outcome will be assessed through a survey measure administered to the organization leaders and staff in the YE intervention organizations only.
It will be reported as count/percent.
|
Month 6
|
Perceived Usefulness of YE prevention
Time Frame: Month 6
|
This outcome will be assessed through a survey measure administered to the organization leaders and staff in the YE intervention organizations only.
The survey items will ask about perceived usefulness of the YE intervention for youth/young adults, the organization, and the community.
Items will be on a 1-5 scale with higher scores indicating higher perceived usefulness.
Results will be reported as mean/SD.
|
Month 6
|
Perceived effectiveness, quality, reach, and usefulness of general prevention approaches
Time Frame: Month 6
|
This outcome will be assessed through a survey measure administered to the organization leaders and staff in the YE intervention organizations and comparison organizations.
The survey measures will be on a 1-5 scale with higher scores indicating higher perceived quality, reach, and usefulness.
Results will be reported as mean/SD.
|
Month 6
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Youth/young adults: leadership and communication skills
Time Frame: Baseline and Month 6
|
This outcome will be assessed through a survey measure administered to YAs involved in the YE intervention at baseline (pre-YE) and 6 months later (post-YE).
The survey measures will be on a 1-5 scale with higher scores indicating greater leadership and communication skills and results reported as change in means from pre to post intervention.
|
Baseline and Month 6
|
Youth/young adults: self-efficacy
Time Frame: Baseline and Month 6
|
This outcome will be assessed through a survey measure administered to YAs involved in the YE intervention at baseline (pre-YE) and 6 months later (post-YE).
The survey measures will be on a 1-5 scale with higher scores indicating higher self-efficacy and results reported as change in means from pre to post intervention.
|
Baseline and Month 6
|
Youth/young adults: self esteem
Time Frame: Baseline and Month 6
|
This outcome will be assessed through a survey measure administered to YAs involved in the YE intervention at baseline (pre-YE) and 6 months later (post-YE).
The survey measures will be on a 1-5 scale with higher scores indicating greater self esteem and results reported as change in means from pre to post intervention.
|
Baseline and Month 6
|
Youth/young adults: social connectedness
Time Frame: Baseline and Month 6
|
This outcome will be assessed through a survey measure administered to YAs involved in the YE intervention at baseline (pre-YE) and 6 months later (post-YE).
The survey measures will be on a 1-5 scale with higher scores indicating greater social connectedness and results reported as change in means from pre to post intervention.
|
Baseline and Month 6
|
Youth/young adults: meaningful social role
Time Frame: Baseline and Month 6
|
This outcome will be assessed through a survey measure administered to YAs involved in the YE intervention at baseline (pre-YE) and 6 months later (post-YE).
The survey measures will be on a 1-5 scale with higher scores indicating higher perceived meaningful social role and results reported as change in means from pre to post intervention.
|
Baseline and Month 6
|
Youth/young adults: beliefs and intentions related to substance use
Time Frame: Baseline and Month 6
|
This outcome will be assessed through a survey measure administered to YAs involved in the YE intervention at baseline (pre-YE) and 6 months later (post-YE).
The survey measures will be on a 1-5 scale with higher scores indicating safer beliefs and intentions and results reported as change in means from pre to post intervention.
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Baseline and Month 6
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Exploratory--YE Prevention Programming Value, Qualitative
Time Frame: Month 6
|
This exploratory outcome will be assessed qualitatively through interviews with organizational leaders and staff
|
Month 6
|
Exploratory--Retention of Youth/Young Adults in YE Prevention Programming, Qualitative
Time Frame: Month 6
|
This exploratory outcome will be assessed qualitatively through interviews with organizational leaders and staff
|
Month 6
|
Exploratory--Reach of YE Prevention Efforts in the Community, Qualitative
Time Frame: Month 6
|
This exploratory outcome will be assessed qualitatively through interviews with organizational leaders and staff
|
Month 6
|
Exploratory--Perceived Usefulness of YE prevention, Qualitative
Time Frame: Month 6
|
This exploratory outcome will be assessed qualitatively through interviews with organizational leaders and staff
|
Month 6
|
Exploratory--Perceived effectiveness, quality, reach, and usefulness of general prevention approaches, Qualitative
Time Frame: Month 6
|
This exploratory outcome will be assessed qualitatively through interviews with organizational leaders and staff
|
Month 6
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Parissa J Ballard, PhD, Wake Forest University Health Sciences
Publications and helpful links
General Publications
- Erikson, E. H. Identity: Youth and crisis. (WW Norton & Company, 1968).
- Eccles JS, Midgley C, Wigfield A, Buchanan CM, Reuman D, Flanagan C, Iver DM. Development during adolescence. The impact of stage-environment fit on young adolescents' experiences in schools and in families. Am Psychol. 1993 Feb;48(2):90-101. doi: 10.1037//0003-066x.48.2.90.
- Farrow JA. Youth alienation as an emerging pediatric health care issue. Am J Dis Child. 1991 May;145(5):491-2. doi: 10.1001/archpedi.1991.02160050015002. No abstract available.
- Eccles, J. S. et al. Control versus autonomy during early adolescence. Journal of Social Issues 47, 53-68 (1991).
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB00091590
- 5K01DA048201-03 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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