Computerized Stage-Matched Intervention for Juvenile Offenders
27 de septiembre de 2016 actualizado por: 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.
Descripción general del estudio
Estado
Desconocido
Condiciones
Intervención / Tratamiento
Descripción detallada
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.
Tipo de estudio
Intervencionista
Inscripción (Anticipado)
1000
Fase
- Fase 2
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Iowa
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Cedar Rapids, Iowa, Estados Unidos, 52404
- Iowa Juvenile Court Services, District 6
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Davenport, Iowa, Estados Unidos, 52801
- Iowa Juvenile Court Services, District 7
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Des Moines, Iowa, Estados Unidos, 50310
- Iowa Juvenile Court Services, District 5
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Sioux City, Iowa, Estados Unidos, 51101
- Iowa Juvenile Court Services, District 3
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Waterloo, Iowa, Estados Unidos, 50704
- Iowa Juvenile Court Services, District 1
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
13 años y mayores (Niño, Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
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
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
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.
|
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Sin intervención: Standard care
Participants receive standard care from the probation officer
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Criminal recidivism based on self-report
Periodo de tiempo: 12 months follow-up
|
Assessed using the General Crime Scale (GCS) of the Global Appraisal of Individual Needs (GAIN)
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12 months follow-up
|
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Criminal recidivism based on official records
Periodo de tiempo: 12 months follow-up
|
Data will be provided by the Iowa Division of Criminal and Juvenile Justice Planning (CJJP)
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12 months follow-up
|
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Substance use abstinence based on self-report
Periodo de tiempo: 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
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Total count of criminal behavior based on self-report
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 12 months follow-up
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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
|
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Substance-related problems
Periodo de tiempo: 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
|
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Stage of change for quitting alcohol and drugs
Periodo de tiempo: 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
|
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Abstinence confirmed by urine drug testing
Periodo de tiempo: 12 months follow-up
|
Among youth who screened positive for substance abuse and/or dependence at baseline
|
12 months follow-up
|
Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Colaboradores
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio
1 de agosto de 2013
Finalización primaria (Anticipado)
1 de octubre de 2016
Finalización del estudio (Anticipado)
1 de octubre de 2016
Fechas de registro del estudio
Enviado por primera vez
18 de diciembre de 2013
Primero enviado que cumplió con los criterios de control de calidad
24 de diciembre de 2013
Publicado por primera vez (Estimar)
30 de diciembre de 2013
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
28 de septiembre de 2016
Última actualización enviada que cumplió con los criterios de control de calidad
27 de septiembre de 2016
Última verificación
1 de septiembre de 2016
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 5R44DA024900 (Subvención/contrato del NIH de EE. UU.)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
No
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .