- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT01146665
Pilot Study of a Computer-Based Intervention for Alcohol Misuse in the Emergency Department
31. Oktober 2018 aktualisiert von: Mandi Newton, University of Alberta
Alcohol misuse amongst youth is a significant clinical and public health problem.
The Emergency Department (ED) is an important setting for the treatment of alcohol-related problems as it is often the first point of contact between youth, their families, and the healthcare system.
This pilot study will assess the feasibility and acceptability of a computer-based intervention in the ED for youth with alcohol-related presentations.
The investigators research team will: (1) evaluate the methodological and operational processes involved in study recruitment and intervention implementation, (2) determine recruitment and retention rates, and (3) obtain preliminary data on the difference in alcohol consumption at different time points.
The clinical and health service implications of this research will be used to plan further investigations designed to improve the standard of ED care among youth aged 12 to 16 with alcohol-related presentations.
This research will also help optimize the planning and development of a full-scale randomized controlled clinical trial of a computer-based intervention designed to reduce higher-risk alcohol consumption and alcohol-related health and social problems in this target population.
Studienübersicht
Status
Abgeschlossen
Bedingungen
Intervention / Behandlung
Studientyp
Interventionell
Einschreibung (Tatsächlich)
44
Phase
- Unzutreffend
Kontakte und Standorte
Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.
Studienorte
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Alberta
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Calgary, Alberta, Kanada
- Alberta Children's Hospital Emergency Department
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Edmonton, Alberta, Kanada, T6G 2C8
- Stollery Children's Hospital Emergency Department
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Nova Scotia
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Halifax, Nova Scotia, Kanada, B3K 6R8
- IWK Health Centre
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Teilnahmekriterien
Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.
Zulassungskriterien
Studienberechtigtes Alter
12 Jahre bis 17 Jahre (Kind)
Akzeptiert gesunde Freiwillige
Ja
Studienberechtigte Geschlechter
Alle
Beschreibung
Study Inclusion Criteria:
- Youth aged 12 to 17 years who present to the Emergency Department (ED) with an alcohol-related problem.
- Medically stable
Alcohol involvement will be determined by youth self-report of drinking alcohol prior to event necessitating a visit to the ED and/or a positive Blood Alcohol Content (BAC).
Study Exclusion Criteria:
- Youth who require hospital admission
- Youth whose ED presentation is linked to drugs aside from alcohol
- Youth who report other drug use within the last 24 hours prior to ED presentation
- Youth who do not speak or understand English
- Youth who are currently enrolled in a treatment program for alcohol use
- Youth who are accompanied by a non-guardianship adult but are not considered Mature Minors
- Youth who do not have the capacity to give informed consent as determined by their attending ED physician
- Youth do not have regular access to their own telephone
Studienplan
Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Verdreifachen
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
---|---|
Experimental: Computer-based PAF
Standard medical care followed by computer-based personalized assessment feedback (PAF).
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This intervention includes standard medical care followed by receipt of computer-based Personalized Assessment Feedback (PAF).
PAF is a type of brief intervention that targets norm misperceptions, for example summarizing a person's drinking in comparison to the average male or female in the general population.
Theoretically, such normative feedback corrects norm misperceptions and motivates drinkers to re-evaluate their consumption patterns.
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Schein-Komparator: Computer-based sham
Standard medical care followed by a computer-based sham.
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This intervention includes standard medical care followed by receipt of a computer-based sham.
The sham is similar in format and duration as the computer-based Personalized Assessment Feedback but will engage youth in nutrition and exercise-related questions.
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
---|---|---|
Change in Youth Alcohol Use
Zeitfenster: baseline, 1 and 3 months post-intervention
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AUDIT-C (Alcohol Use Disorders Identification Test Consumption subscale): 1 item regarding frequency of alcohol consumption, 1 item regarding the amount of alcohol consumption, and 1 item regarding the frequency of binge drinking.
Scores range from 0 to 12 with higher scores reflecting more consumption.
The change in alcohol use report below reflects the change in AUDIT-C scores with negative values indicating a reduction in score and positive values indicating an increase in score.
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baseline, 1 and 3 months post-intervention
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
---|---|---|
Recruitment Rate
Zeitfenster: 18 months
|
To be calculated following active recruitment (18 months from study start date of patient enrolment).
The recruitment rate relates to recruitment into the study, and not recruitment per arm as randomization and allocation occurred after enrolment.
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18 months
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Retention Rates
Zeitfenster: 1 and 3 months post-intervention
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1 and 3 months post-intervention
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Knowledge of Treatment Allocation
Zeitfenster: post-intervention (day 1)
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post-intervention (day 1)
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PAF Feasibility and Acceptability
Zeitfenster: youth: post-intervention (day 1)
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The acceptability of the Personalized Assessment Feedback (PAF) intervention will be assessed by youth post-intervention (only youth allocated to the PAF intervention).
Measure assessed acceptability (satisfaction with the intervention, perceptions of the helpfulness, credibility of the personalized assessment feedback) and feasibility (time to completion, user friendliness).
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youth: post-intervention (day 1)
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Change in Health Care System Utilization by Youth
Zeitfenster: Baseline
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The Child and Adolescent Services Assessment (CASA) is a self-report instrument designed to assess the use of community- and hospital-based health and social services.
We focused each question so that we collected service use for an alcohol use problem.
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Baseline
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Receptivity to Receiving Services: Seeking Help/Treatment
Zeitfenster: Baseline
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As part of CASA measure (secondary outcome measure to measure health and social services utilization) adolescents were asked two additional questions on receptivity to receiving services.
The data below reflects the first question: On a scale of 1-5, where 1 is it's definitely a bad idea and 5 it's definitely a good idea, do you think that if someone you knew had an alcohol use problem they should get help or seek treatment?
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Baseline
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Perceived Barriers to Services
Zeitfenster: Baseline
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As part of CASA measure (secondary outcome measure to measure health and social services utilization) adolescents answered 8 additional questions on perceived barriers to services: 1) Do you have any feelings such as dislike, distrust or fear about talking with doctors, counselors or other professionals?
2) Do you have any feelings about what other people would think if you sought help?
3) Do you find there is a lack of information that affected health services sought?
4) Do you have any concerns about the amount of time it takes to get help?
5) Were the health services you sought just not readily available?
6) Did you feel you just didn't want to talk to anyone about such a sensitive problem?
7) Was there a problem with registration, setting up appointments or contacting professionals?
8) Was there a problem getting to where treatment was available?
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Baseline
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Receptivity to Services: Doctors/Counselors Can Help
Zeitfenster: Baseline
|
As part of CASA measure (secondary outcome measure to measure health and social services utilization) adolescents were asked two additional questions on receptivity to receiving services.
The data below reflects the second question: On a scale of 1-5, where 1 is it's definitely cannot help and 5 it definitely can help, do you think that doctors or counselors can help with alcohol use problems in general?
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Baseline
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Change in Health Care System Utilization by Youth
Zeitfenster: 1-month post-intervention
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The Child and Adolescent Services Assessment (CASA) is a self-report instrument designed to assess the use of community- and hospital-based health and social services.
We focused each question so that we collected service use for an alcohol use problem.
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1-month post-intervention
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Change in Health Care System Utilization by Youth
Zeitfenster: 3-months post-intervention
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The Child and Adolescent Services Assessment (CASA) is a self-report instrument designed to assess the use of community- and hospital-based health and social services.
We focused each question so that we collected service use for an alcohol use problem.
|
3-months post-intervention
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Mitarbeiter und Ermittler
Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.
Sponsor
Ermittler
- Hauptermittler: Amanda Newton, PhD, Faculty of Medicine and Dentistry, University of Alberta
- Hauptermittler: Kathryn Dong, MD, Faculty of Medicine and Dentistry, University of Alberta
Publikationen und hilfreiche Links
Die Bereitstellung dieser Publikationen erfolgt freiwillig durch die für die Eingabe von Informationen über die Studie verantwortliche Person. Diese können sich auf alles beziehen, was mit dem Studium zu tun hat.
Studienaufzeichnungsdaten
Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.
Haupttermine studieren
Studienbeginn
1. Juli 2010
Primärer Abschluss (Tatsächlich)
1. Januar 2013
Studienabschluss (Tatsächlich)
1. März 2013
Studienanmeldedaten
Zuerst eingereicht
15. Juni 2010
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
16. Juni 2010
Zuerst gepostet (Schätzen)
17. Juni 2010
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
29. November 2018
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
31. Oktober 2018
Zuletzt verifiziert
1. Oktober 2018
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- Pro00011650
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