Computerized Stage-Matched Intervention for Juvenile Offenders
27. September 2016 aktualisiert von: Deborah Levesque, Pro-Change Behavior Systems
Juvenile crime imposes enormous costs on victims, on society, and on juvenile offenders themselves.
However, research assessing the efficacy of interventions for young offenders show, on average, only small effects on recidivism, substance abuse, and other behavioral outcomes.
A major problem with existing interventions is that they tend to neglect individual differences in motivation and readiness to make positive changes.
In earlier research, we used an empirically validated model of behavior change, the Transtheoretical Model (TTM, the "stage" model), and expert system technology to develop the Rise Above Your Situation program (RAYS), a prototype of a multimedia computerized tailored intervention designed as an adjunct to traditional juvenile justice programs.
The intervention delivers assessments and individualized feedback matched to readiness to stay out of trouble with the law and quit alcohol and drugs.
At the end each session the program also generates a helpgiver report that summarizes the youth's feedback and presents concrete, easy-to-implement strategies helpgivers can use to reinforce stage-matched concepts.
In the current research, the goals are to complete development of the computerized tailored intervention; develop training and other support materials for helpgivers; and assess the efficacy of the intervention package in a randomized clinical trial involving 700 medium- to high-risk court-involved juveniles aged 13-17 recruited by 54 probation officers randomly assigned to treatment or standard care.
Primary outcomes will be criminal recidivism and substance abuse abstinence at 6 and 12 months follow-up.
Studienübersicht
Status
Unbekannt
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
Fifty-four probation officers employed by the Iowa's Juvenile Court Services agreed to participate in the study and to be randomly assigned to treatment or standard care. A Multiattribute Utility Measurement Approach (Graham, Flay, Johnson, Hansen, & Collins, 1984) was used to ensure that probation officers assigned to the two conditions were approximately equivalent on level of education, years of experience working with juvenile offenders, number of hours of training on the TTM, and confidence using the TTM in their work.
Probation officers were responsible for recruiting moderate- and high-risk youth on probation, and delivering baseline assessment sessions and intervention sessions. However, local project site coordinators were available to provide assistance, as needed.
Computerized follow-up assessments and urine drug testing at 6 and 12 months follow-up are being administered by "trackers" at a time and place that is convenient for the youth. Study protocols include best practices (Scott, 2004) for maximizing retention at follow-up in research involving high-risk populations.
Studientyp
Interventionell
Einschreibung (Voraussichtlich)
1000
Phase
- Phase 2
Kontakte und Standorte
Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.
Studienorte
-
-
Iowa
-
Cedar Rapids, Iowa, Vereinigte Staaten, 52404
- Iowa Juvenile Court Services, District 6
-
Davenport, Iowa, Vereinigte Staaten, 52801
- Iowa Juvenile Court Services, District 7
-
Des Moines, Iowa, Vereinigte Staaten, 50310
- Iowa Juvenile Court Services, District 5
-
Sioux City, Iowa, Vereinigte Staaten, 51101
- Iowa Juvenile Court Services, District 3
-
Waterloo, Iowa, Vereinigte Staaten, 50704
- Iowa Juvenile Court Services, District 1
-
-
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
13 Jahre und älter (Kind, Erwachsene, Älterer Erwachsener)
Akzeptiert gesunde Freiwillige
Nein
Studienberechtigte Geschlechter
Alle
Beschreibung
Inclusion Criteria:
Juvenile offenders:
- Score in the moderate- to high-risk range on the short-form Iowa Delinquency Assessment
- Age 13 to 17 at the time of recruitment
- Able to understand and read English
Probation officers:
- Employed by Iowa Juvenile Court Services
- Work with moderate- to high-risk youth
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: Single
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Experimental: RAYS intervention
In addition to standard care, participants receive three monthly online RAYS sessions, each followed by a one-on-one discussion with the probation officer
|
The Rise Above Your Situation program (RAYS) is a multimedia computer-tailored intervention that relies on the Transtheoretical Model of Behavior Change (TTM) and expert system technology to deliver assessments, feedback, printed reports, and helpgiver reports with intervention ideas.
Helpgivers (probation officers in this case) use the reports to guide 1/2 hour follow-up discussions to reinforce intervention ideas and provide support.
|
|
Kein Eingriff: Standard care
Participants receive standard care from the probation officer
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Criminal recidivism based on self-report
Zeitfenster: 12 months follow-up
|
Assessed using the General Crime Scale (GCS) of the Global Appraisal of Individual Needs (GAIN)
|
12 months follow-up
|
|
Criminal recidivism based on official records
Zeitfenster: 12 months follow-up
|
Data will be provided by the Iowa Division of Criminal and Juvenile Justice Planning (CJJP)
|
12 months follow-up
|
|
Substance use abstinence based on self-report
Zeitfenster: 12 months follow-up
|
Among youth who screened positive for substance abuse and/or dependence at baseline, assessed using the Substance Frequency Scale (SFS) from the GAIN
|
12 months follow-up
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Total count of criminal behavior based on self-report
Zeitfenster: 12 months follow-up
|
Assessed using the General Crime Scale (GCS) of the Global Appraisal of Individual Needs (GAIN)
|
12 months follow-up
|
|
Stage of change for staying out of trouble with the law
Zeitfenster: 12 months follow-up
|
Assessed using a self-report Transtheoretical Model of Behavior Change (TTM) stage of change measure developed by the PI
|
12 months follow-up
|
|
Emotional distress
Zeitfenster: 12 months follow-up
|
Assessed using the 5-item Internalizing Disorder Screener (IDScr) of the GAIN Short Screener
|
12 months follow-up
|
|
Substance use frequency
Zeitfenster: 12 months follow-up
|
Among youth who screened positive for substance abuse and/or dependence at baseline, assessed using the Substance Frequency Scale (SFS) from the GAIN
|
12 months follow-up
|
|
Substance-related problems
Zeitfenster: 12 months follow-up
|
Among youth who screened positive for substance abuse and/or dependence at baseline, assessed using the Substance Problem Scale (SPS) from the GAIN
|
12 months follow-up
|
|
Stage of change for quitting alcohol and drugs
Zeitfenster: 12 months follow-up
|
Among youth who screened positive for substance abuse and/or dependence at baseline, assessed using a self-report Transtheoretical Model of Behavior Change (TTM) stage of change measure developed by the PI
|
12 months follow-up
|
|
Abstinence confirmed by urine drug testing
Zeitfenster: 12 months follow-up
|
Among youth who screened positive for substance abuse and/or dependence at baseline
|
12 months follow-up
|
Mitarbeiter und Ermittler
Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.
Sponsor
Mitarbeiter
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. August 2013
Primärer Abschluss (Voraussichtlich)
1. Oktober 2016
Studienabschluss (Voraussichtlich)
1. Oktober 2016
Studienanmeldedaten
Zuerst eingereicht
18. Dezember 2013
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
24. Dezember 2013
Zuerst gepostet (Schätzen)
30. Dezember 2013
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
28. September 2016
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
27. September 2016
Zuletzt verifiziert
1. September 2016
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- 5R44DA024900 (US NIH Stipendium/Vertrag)
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Nein
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .