An e-Parenting Skills Intervention to Decrease Injured Adolescents' Alcohol Use (e-Parenting)
2018年4月10日 更新者：Michael J. Mello, MD, MPH
The objective of this trial is to test feasibility and acceptability of an e-parenting skills intervention with parents of injured adolescent alcohol users (12-17 years old) as compared to standard care at three pediatric trauma centers.
To examine these questions, the investigators will randomly assign adolescent and parent dyads (up to 75) to one of two groups.
One group will continue to receive the institutional standard care of a brief alcohol intervention delivered by clinical staff to the adolescent with no parenting skills intervention.
The second group will continue to receive the same institutional standard care plus the parent will receive an e-parenting skills intervention consisting of: the online parent training program, Parenting Wisely(PW), plus text messaging and a web-based message board.
Study participants will be injured adolescents, 12-17 years old, admitted to the inpatient service of the trauma center, and with a positive CRAFFT (mnemonic acronym of first letters of key words in the screening tool) screen for alcohol use.
Adolescents' alcohol use will be measured at study enrollment and at 3 and 6 months after discharge.
Adolescents' alcohol related negative consequences will be measured at study enrollment for the 6 months prior to hospitalization and again at 6 months after hospital discharge.
Parenting skills will also be assessed at 3 and 6 months.
調査の概要
詳細な説明
This study seeks to test the feasibility and acceptability of an e-parenting skills intervention at three pediatric trauma centers.
The investigators will randomize up to 75 dyads of injured adolescents (12-17 years old) who screen positive for alcohol use and their parent to receive either standard trauma center care (a brief intervention with the adolescent) or standard trauma center care (a brief intervention with the adolescent) plus an e-parenting skills intervention consisting of a computerized intervention for parent skill building, a series of text messages and a web-based message board.
The primary aim of this study is to determine the feasibility and acceptability of conducting the e-parenting intervention protocol across three pediatric trauma centers in preparation for a larger fully power trial.
The central hypothesis for our future fully powered randomized control trial is that adolescents whose parents receive the e-parenting skills intervention will decrease their alcohol use and alcohol-related negative consequences over the 6 months following the intervention more than adolescents who receive only standard trauma center care.
Therefore, a secondary aim of this proposal is to calculate a preliminary effect size that could be used, along with other relevant data, such as the acceptability data and findings in the literature, to calculate sample size in a future fully powered randomized control trial.
The investigators will also examine adolescent's conjoint use of marijuana.
This project advances translational research in collecting preliminary data on an e-parenting skills intervention that can be easily adopted with high fidelity across pediatric trauma centers.
Its findings have the potential to directly impact best clinical practices for intervening with alcohol using injured adolescents
研究の種類
介入
入学 (実際)
36
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
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Rhode Island
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Providence、Rhode Island、アメリカ、02903
- Rhode Island Hospital
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
12年～17年 (子)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
Inclusion Criteria:
- adolescents, age 12-17, admitted to the trauma service
- medically stable
- a positive CRAFFT screen or lab screen for alcohol use or drug use
- ability to assent to study and have one parent consent
- adolescent and parent are English speaking
Exclusion Criteria:
- the adolescent is cognitively or emotionally unable to participate as determined by a trauma clinician
- the adolescent is suspected by the clinical staff of being a victim of child abuse (and referred to child protective services)
- the adolescent is being evaluated following a suicide attempt
- prior to admission, the adolescent is being treated for an alcohol or drug dependency
- adolescent is currently incarcerated
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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介入なし：Standard Care
All enrolled adolescents will continue to receive standard trauma center care, a brief intervention during their hospitalization by a trauma center social worker which is required by institutional policy.
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実験的：Standard Care plus e-Parenting Group
The second group will continue to receive the same institutional standard care plus the parent will receive an e-parenting skills intervention consisting of: the online parent training program, Parenting Wisely (PW), plus text messaging and a web-based message board.
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The second group will continue to receive the same institutional standard care plus the parent will receive an e-parenting skills intervention consisting of: the online parent training program, Parenting Wisely (PW), plus text messaging and a web-based message board.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Feasibility and Acceptability of an e-Parenting Skills Intervention
時間枠：Up to 3 months
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Feasibility will be measured by parent data (number of Parenting Wisely logins and activities completed).
Acceptability will be measured by the Systems Usability Scale (SUS) which rates parent ease of use of the program and the Consumer Satisfaction Questionnaire (CSQ) which rates level of parent satisfaction with treatment delivery and ability to manage child's behavior.
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Up to 3 months
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Effects on Alcohol Use as assessed by Adolescent Drug Questionnaire (ADQ).
時間枠：Up to 6 months
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Alcohol use will be measured by Adolescent Drug Questionnaire (number of drinking days and heavy drinking days in the past 3 months) among teen participants.
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Up to 6 months
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Effects on Drug use as assessed by Drug Use Questionnaire (DUQ).
時間枠：Up to 6 months
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Drug use will be measured by Drug Use Questionnaire (number of days in the past 3 months teen participants used nicotine, marijuana, cocaine and other drugs).
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Up to 6 months
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Effects on Alcohol and Drug Related Problems as assessed by Add Health measures.
時間枠：Up to 6 months
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Alcohol and drug related problems will be measured by the 9 questions from the Add Health survey (frequency of psychosocial and health consequences associated with alcohol and drug use over the prior 3 month period).
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Up to 6 months
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2015年9月1日
一次修了 (実際)
2017年8月1日
研究の完了 (実際)
2018年2月1日
試験登録日
最初に提出
2016年3月2日
QC基準を満たした最初の提出物
2016年3月23日
最初の投稿 (見積もり)
2016年3月24日
学習記録の更新
投稿された最後の更新 (実際)
2018年4月11日
QC基準を満たした最後の更新が送信されました
2018年4月10日
最終確認日
2018年4月1日
詳しくは
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