Computerized Stage-Matched Intervention for Juvenile Offenders
27. september 2016 oppdatert av: 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.
Studieoversikt
Status
Ukjent
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
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.
Studietype
Intervensjonell
Registrering (Forventet)
1000
Fase
- Fase 2
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
-
Iowa
-
Cedar Rapids, Iowa, Forente stater, 52404
- Iowa Juvenile Court Services, District 6
-
Davenport, Iowa, Forente stater, 52801
- Iowa Juvenile Court Services, District 7
-
Des Moines, Iowa, Forente stater, 50310
- Iowa Juvenile Court Services, District 5
-
Sioux City, Iowa, Forente stater, 51101
- Iowa Juvenile Court Services, District 3
-
Waterloo, Iowa, Forente stater, 50704
- Iowa Juvenile Court Services, District 1
-
-
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
13 år og eldre (Barn, Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
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
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: 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.
|
|
Ingen inngripen: Standard care
Participants receive standard care from the probation officer
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Criminal recidivism based on self-report
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Total count of criminal behavior based on self-report
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 12 months follow-up
|
Among youth who screened positive for substance abuse and/or dependence at baseline
|
12 months follow-up
|
Samarbeidspartnere og etterforskere
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Sponsor
Samarbeidspartnere
Publikasjoner og nyttige lenker
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Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. august 2013
Primær fullføring (Forventet)
1. oktober 2016
Studiet fullført (Forventet)
1. oktober 2016
Datoer for studieregistrering
Først innsendt
18. desember 2013
Først innsendt som oppfylte QC-kriteriene
24. desember 2013
Først lagt ut (Anslag)
30. desember 2013
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
28. september 2016
Siste oppdatering sendt inn som oppfylte QC-kriteriene
27. september 2016
Sist bekreftet
1. september 2016
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 5R44DA024900 (U.S. NIH-stipend/kontrakt)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
Nei
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