- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT00227890
Skills and Motivation at the Rhode Island Training School (Project SMART) - 1
Motivation and Skills for THC/ETOH+ Teens in Jail
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
This proposal is in response to RFA-DA-04-008, Group Treatment for Individuals in Drug Abuse or Alcoholism Treatment. Of particular interest to the agencies are group therapies for Conduct Disordered adolescents, reducing the spread of infectious disease, and mechanisms of action. This proposal targets these areas of interest. This study will focus on treating substance abusing incarcerated teens using 2 individually administered Motivational Interviewing (MI) sessions followed by 10 group sessions of Cognitive Behavior Therapy (CBT). MI is conceptualized as preparation for group CBT. The control group receives individualized Relaxation Training (RT) followed by group Treatment as Usual (TU). Currently, there is little research regarding effective group treatments for incarcerated teens and this study will address this gap in our knowledge base.
In this proposed randomized trial, a one-way design (MI/CBT vs. RT/TU) will be used to determine whether MI/CBT enhances group therapy participation and reduces substance use and related problems (such as crime, injuries and unprotected sex) post discharge in substance-involved juvenile delinquents. RT/TU is based on the 12-step model and includes psycho-educational components. Participants are followed during incarceration and for 6 months post incarceration. Primary outcome variables include alcohol and marijuana use, as well as related behaviors (illegal activity, sex or injuries while drunk or high). It is hypothesized that in comparison to teens in RT/TU, youth receiving MI/CBT will participate more in therapy (according to teen, facility staff, and counselor ratings) and will show lower levels of substance use and related problems after discharge.
Frequently, substance abuse treatment is unavailable to youths in the juvenile justice system, and when treatment is available, it may be provided in group format using untested therapies. A motivation/skills-based intervention (delivered in group format) may prove efficacious in enhancing motivation and in reducing substance abuse and related problems. This study extends previous research by rigorously evaluating group treatment for incarcerated teens. We will examine processes contributing to the efficacy of group MI/CBT, and the influence of race and ethnicity on treatment effects. The development of effective interventions for substance using juvenile offenders has the potential to reduce substance abuse and crime in this population.
Type d'étude
Inscription (Réel)
Phase
- Phase 2
Contacts et emplacements
Lieux d'étude
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Rhode Island
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Cranston, Rhode Island, États-Unis, 02920
- Rhode Island Training School
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Kingston, Rhode Island, États-Unis, 02881
- University of Rhode Island, Social Sciences Research Center
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
Adolescents will be eligible if in the year prior to incarceration they either a) drank alcohol or used marijuana at least once per month or b) binge-drank (> 5 for boys, < 4 for girls) during any two week period; or they drank or used marijuana in the four weeks before the offense for which they were incarcerated; or they used alcohol or marijuana in the four weeks before they were incarcerated.
Exclusion Criteria:
Those teens sentenced for less than 4 months or greater than 12 months, those who are younger than 14 years or older than 19 years, and those for whom have inability to consent/assent (example, language barrier) are not obtained will be excluded from participation.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Double
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
---|---|
Expérimental: 1
Motivational Interviewing followed by Cognitive Behavior Therapy (MI/CBT)
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Expérimental: 2
Relaxation Training followed by Treatment as Usual (RT/TU)
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
---|---|
Alcohol use, using Time-Line Followback, aggregated into quantity and frequency
Délai: 6 months post release
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6 months post release
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Marijuana use, using Time-Line Followback, aggregated into quantity and frequency
Délai: 6 months post release
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6 months post release
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Crime, using Misbehaviors Questionnaire, aggregated into type and frequency
Délai: 6 months post release
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6 months post release
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Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Les enquêteurs
- Chercheur principal: Lynda Stein, Ph.D., University of Rhode Island
Publications et liens utiles
Publications générales
- Stein LA, Clair M, Martin RA, Soenksen S, Lebeau R, Rohsenow DJ, Kahler CW, Hurlbut W, Monti PM. Measuring behaviors of individual adolescents during group-based substance abuse intervention. Subst Abus. 2014;35(4):408-17. doi: 10.1080/08897077.2014.949337.
- Bernstein MH, Stein LA. Do bisexual girls report higher rates of substance use than heterosexual girls? A failure to replicate with incarcerated and detained youth. J Bisex. 2015;15(4):498-508. doi: 10.1080/15299716.2015.1057889. Epub 2015 Nov 17.
- Martin RA, Stein LA, Clair M, Cancilliere MK, Hurlbut W, Rohsenow DJ. Adolescent Substance Treatment Engagement Questionnaire for Incarcerated Teens. J Subst Abuse Treat. 2015 Oct;57:49-56. doi: 10.1016/j.jsat.2015.04.011. Epub 2015 May 7.
- Stein LA, Clair M, Rossi JS, Martin RA, Cancilliere MK, Clarke JG. Gender, ethnicity and race in incarcerated and detained youth: services and policy implications for girls. Psychiatr Rehabil J. 2015 Mar;38(1):65-73. doi: 10.1037/prj0000089. Epub 2014 Sep 1.
- Stein LA, Clair M, Soenksen S, Martin RA, Clarke JG. Studying Process and Proximal Outcomes of Supervision for Motivational Interviewing. Train Educ Prof Psychol. 2015 May;9(2):175-182. doi: 10.1037/tep0000073. No abstract available.
- Bassett SS, Stein LA, Rossi JS, Martin RA. Evaluating Measures of Fidelity for Substance Abuse Group Treatment With Incarcerated Adolescents. J Subst Abuse Treat. 2016 Jul;66:9-15. doi: 10.1016/j.jsat.2016.02.011. Epub 2016 Mar 9.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- NIDA-18851-1
- R01DA018851 (Subvention/contrat des NIH des États-Unis)
- R01-18851-1
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .
Essais cliniques sur Alcoholic, Marijuana Misuse
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National Institute on Drug Abuse (NIDA)ComplétéTabagisme, MarijuanaÉtats-Unis
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Brown UniversityComplété
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New York State Psychiatric InstituteNational Institute on Drug Abuse (NIDA); Research Foundation for Mental Hygiene...ComplétéFumer de la marijuanaÉtats-Unis
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Johns Hopkins UniversityNational Institute on Drug Abuse (NIDA)Complété
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State University of New York at BuffaloComplété
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New York State Psychiatric InstituteNational Institute on Drug Abuse (NIDA); Research Foundation for Mental Hygiene...ComplétéFumer de la marijuanaÉtats-Unis
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University of British ColumbiaComplété
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New York State Psychiatric InstituteNational Institute on Drug Abuse (NIDA)ComplétéTrouble de consommation de marijuanaÉtats-Unis
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American Academy of PediatricsNational Institute on Drug Abuse (NIDA)Complété
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University of MemphisNational Institute on Alcohol Abuse and Alcoholism (NIAAA)ComplétéConsommation de marijuanaÉtats-Unis
Essais cliniques sur MI/CBT
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University of MichiganActif, ne recrute pasConsommation de substances | Troubles liés à l'utilisation de substances | Dépendance à une substanceÉtats-Unis
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Florida State UniversityComplété
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University of ManitobaComplétéTrouble lié à la consommation d'alcoolCanada
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Stony Brook UniversityNational Institute for Occupational Safety and Health (NIOSH/CDC)ComplétéSignes et symptômes respiratoires | Trouble de stress post-traumatique | TabagismeÉtats-Unis
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National Institute of Diabetes and Digestive and...Complété
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Medical University of South CarolinaComplétéTrouble de stress post-traumatiqueÉtats-Unis
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Centro Trattamento Integrato: Disturbi Alimentari...RecrutementMICBT pour les adultes sans insuffisance pondérale atteints de troubles de l'alimentation (MICBT-ED)Troubles de la personnalité | Dysfonctionnement cognitif | Perfectionnisme | Régulation des émotions | Troubles de l'alimentation | Amour propre | Interaction sociale | Personnalité | Trait de personnalité inadapté | Comportement dysfonctionnel, PsychologieItalie
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Massachusetts General HospitalRecrutementInsuffisance cardiaque | Insuffisance cardiaque Classe NYHA II | Insuffisance cardiaque Classe NYHA III | Insuffisance cardiaque Classe I de la NYHAÉtats-Unis
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University of NebraskaRetiré
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Karolinska InstitutetMinistry of Health and Social Affairs, SwedenComplété