- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT01511380
Targeting HIV Risk Behaviors in Juvenile Drug Court-Involved Youth
3 mai 2016 mis à jour par: Medical University of South Carolina
This study is designed to gain knowledge about effective interventions for reducing HIV risk in a high risk population.
A new Risk Reduction Therapy for Adolescents (RRTA) will be compared to usual services received by youth in juvenile drug courts.
It is expected that youth treated with RRTA will show greater reductions in substance use and risky sexual behaviors.
Reducing HIV risk by effectively targeting substance use and risky sexual behaviors in high-risk groups such as juvenile drug court-involved youth could favorably impact society at multiple levels (individual, family, peer, community, fiscal).
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Description détaillée
The overriding purpose of this study is to develop and test an intervention for reducing substance use and risky sexual behaviors among youth involved in juvenile drug court.
Juvenile drug court provides an excellent setting in which to pursue the key study objectives by providing access to a well identified high risk population.
Second, in addition to frequent judicial oversight, juvenile drug courts include several features that can enhance intervention effectiveness, sustainability, and potential for adoption.
In addition, the fact that all juvenile drug courts have community-based treatment components and that such courts have been disseminated nationwide suggests the possibility of eventual widespread adoption if the proposed intervention is effective.
The proposed intervention integrates evidence-based protocols for contingency management (CM) for substance abusing youth and family engagement strategies, with an evidence-informed family systems intervention for sexual risk originally developed to address substance use and sexual risk behaviors in HIV+ youth.
These three interventions will be integrated into an efficient intervention that, if effective, can be amenable to adoption by juvenile drug courts.
Following protocol development and beta testing, 160 drug court youth and their families will be randomized to the experimental intervention condition (Risk Reduction Therapy for Adolescents or "RRTA") versus Drug Court with Community Services (DC) conditions.
Key outcomes will be assessed through 18-months post-baseline using a multi-method approach that will include assessment of substance use, risky sexual behaviors, criminal behavior, and participation in HIV counseling and testing services.
Specific aims include: 1: Adapt existing intervention and training protocols into a single, efficient RRTA intervention, beta test this RRTA protocol with four youth in juvenile drug court and their families, and revise treatment and research protocols accordingly; 2: Conduct a randomized trial with 160 youth in juvenile drug court and their families to examine youth-level intervention effects (i.e., on substance use, sexual risk behavior, HIV counseling and testing, delinquent behavior) in comparison to DC through 18- months post referral and assess intervention fidelity.
3.
If results suggest a positive RRTA treatment effect, revise the intervention and training protocols in preparation for an effectiveness study and extended follow-up study.
Importantly, the proposed study will (1) consider the multiple levels of influence on juvenile drug use, criminal justice involvement, and HIV risk behaviors, (2) integrate a drug abuse and HIV prevention intervention for youth in the criminal justice system with drug-related offenses, (3) address health disparities by targeting a primarily minority population of youth, and (4) increase referrals to HIV testing and counseling of drug court-involved youth.
This study is designed to reduce HIV risk by addressing the potent interaction of drug use and risky sexual behaviors in drug court youth with evidence-based treatment components to maximize the likelihood of reversing these youths' adverse behavioral trajectories.
Type d'étude
Interventionnel
Inscription (Réel)
120
Phase
- Phase 2
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
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South Carolina
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Charleston, South Carolina, États-Unis, 29401
- Medical University of South Carolina
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
12 ans à 17 ans (Enfant)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Tout
La description
Inclusion Criteria:
- enrolled in juvenile drug court or pre-enrollment status
- residing with permanent caregiver
- youth and caregiver fluent in English
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
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Expérimental: Risk Reduction Therapy for Adolescents
Youth randomly assigned to RRTA will complete a family focused treatment program that will work with the youth and his or her caregiver to help reduce youth substance use and risky sexual behavior using principals of behavior modification and contingency management.
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This project integrates CM and a family systems intervention for sexual risk with evidence-based family engagement strategies, and tests this intervention in a juvenile drug court setting.
Due to the individualized nature of the proposed intervention, the specific course of treatment will vary by youth and family.
Based on our experience with clinic-based treatment models it is anticipated that most families will remain in active treatment for 4-6 months and that, during this time, they will attend approximately 1-2 sessions per week, for 1-2 hours per session.
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Comparateur actif: Usual services
For youth randomly assigned to usual treatment services, the youth will receive the treatment services recommended by the drug court.
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In addition to the standard juvenile drug court requirements, youth randomly assigned to the usual services condition are also ordered to receive treatment services from the local state or privately-funded alcohol and drug treatment provider agencies.
The service delivery model for agencies typically includes intensive outpatient, traditional outpatient, and home-based services, depending upon assessment of youth and family needs.
Groups focus on risk reduction, peer influence, conflict resolution, and anger management.
Additionally, youth might receive treatment pertaining to drug selling behavior, individual sessions and/or family group therapy.
The theoretical orientations of the provider agencies are cognitive-behavioral and systems theory.
Interventions are not usually manual driven, and selection of material is typically left to the therapists' discretion.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
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Change in substance use frequency
Délai: Baseline through 18 months post-baseline
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Self-reported substance use by the adolescent will be assessed using a variation of the Form 90.
Urine drug screens for cannabis, cocaine, opiates, methamphetamines, and amphetamines will be collected using the "5-Test Integrated Cup" supplied by BioTechNostix.
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Baseline through 18 months post-baseline
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
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Change in delinquent behavior
Délai: Baseline through 18 months post-baseline
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The 47-item Self-Report Delinquency Scale will be used to tap violent offending, general delinquency, and status offenses.
Archival records maintained by state juvenile justice authorities will be used to examine youths' involvement in the juvenile and adult justice systems.
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Baseline through 18 months post-baseline
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Change in sexual risk behaviors
Délai: Baseline through 18 months post-baseline
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The measure of sexual risk behaviors was selected to maximize the likelihood of identifying the highest-risk sexual behaviors.
The Sexual Risk Behavior Scale has been used in previous HIV studies.
This measure will be used to assess participant sexual encounters over the past 3 months and condom use during vaginal and anal sex.
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Baseline through 18 months post-baseline
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Change in frequency of HIV counseling and testing
Délai: Baseline through 18 months post-baseline
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Participation in HIV counseling and testing will be assessed using a standardized set of questionnaire items.
Baseline questions will assess participants' lifetime history of voluntary HIV counseling and testing and identical questions will be re-administered at 6, 12 and 18 months post-baseline to assess whether youth received HIV counseling and testing at any point since the baseline interview.
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Baseline through 18 months post-baseline
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 septembre 2008
Achèvement primaire (Réel)
1 juin 2013
Achèvement de l'étude (Réel)
1 juin 2013
Dates d'inscription aux études
Première soumission
4 janvier 2012
Première soumission répondant aux critères de contrôle qualité
12 janvier 2012
Première publication (Estimation)
18 janvier 2012
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
4 mai 2016
Dernière mise à jour soumise répondant aux critères de contrôle qualité
3 mai 2016
Dernière vérification
1 mai 2013
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- R01DA025880 (Subvention/contrat des NIH des États-Unis)
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 Risk Reduction Therapy for Adolescents
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Boston Children's HospitalComplétéStress, Psychologique | Problème d'acculturationÉtats-Unis
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University of KonstanzWorld BankInconnueTrouble de stress post-traumatique | Agressivité appétitiveCongo
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University of KonstanzComplétéAgressivité appétitiveAllemagne