Project RAP: Reaching Adolescents for Prevention

The recruitment status of this study is unknown because the information has not been verified recently.
Verified February 2009 by National Institute on Alcohol Abuse and Alcoholism (NIAAA).
Recruitment status was  Recruiting
Sponsor:
Information provided by:
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
ClinicalTrials.gov Identifier:
NCT00183157
First received: September 12, 2005
Last updated: February 12, 2009
Last verified: February 2009

September 12, 2005
February 12, 2009
October 2004
December 2009   (final data collection date for primary outcome measure)
Reduction in drinking [ Time Frame: 12 months ] [ Designated as safety issue: No ]
Reduction in drinking at 12 months
Complete list of historical versions of study NCT00183157 on ClinicalTrials.gov Archive Site
Reduction in alcohol associated health consequences [ Time Frame: 12 months ] [ Designated as safety issue: No ]
Reduction in alcohol associated health consequences at 12 months
Not Provided
Not Provided
 
Project RAP: Reaching Adolescents for Prevention
RAP: Reaching Adolescents for Prevention - A Randomized Trial of a Brief Negotiated Interview and Active Referral to Reduce Alcohol Related Morbidity Among Youth and Young Adults in the Pediatric Emergency Department

The purpose of the study is to determine if a brief motivational interview in the context of an emergency health care visit will reduce high-risk drinking and drug-taking and associated health consequences among adolescents ages 14-21 years old.

Many studies have shown that a brief motivational interview in the context of a routine or emergency health care visit may assist adults to reduce high-risk drinking and drug-taking. Center researchers are conducting a 1,400-person, randomized clinical trial involving teen patients at the Boston Medical Center Pediatric Emergency Department in order to determine if a similar approach will be effective with youth. All patients aged 14 to 21 get a brief alcohol and drug screen, and those whose scores indicate they drink or use marijuana are invited to participate in the study. One-third of the enrollees will receive an assessment, a brief motivational interview performed by a trained peer counselor, direct referrals to community-based resources for adolescents, and a 10-day follow-up phone call. One-third will receive only the assessment and a list of community resources; and the final third will receive only the list of resources. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.

Interventional
Phase 2
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
  • Alcohol Related Morbidity
  • Alcohol Dependence
  • Behavioral: Brief Motivational Intervention
    One-third of the enrollees will receive an assessment, a brief motivational interview performed by a trained peer counselor, direct referrals to community-based resources for adolescents, and a 10-day follow-up phone call. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.
  • Behavioral: Assessment and list of resources
    One-third will receive only the assessment and a list of community resources. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.
  • Behavioral: Referral to Community Resources
    All patients aged 14 to 21 get a brief alcohol and drug screen, and those whose scores indicate they drink or use marijuana are invited to participate in the study. One-third of the enrollees will receive only a list of resources. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.
  • Active Comparator: 1
    Patients will receive an assessment, a brief motivational interview performed by a trained peer counselor, direct referrals to community-based resources for adolescents, and a 10-day follow-up phone call.
    Intervention: Behavioral: Brief Motivational Intervention
  • Active Comparator: 2
    Patients will receive an assessment and a list of community resources
    Intervention: Behavioral: Assessment and list of resources
  • Active Comparator: 3
    Patients will receive only the list of resources.
    Intervention: Behavioral: Referral to Community Resources
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
1400
December 2009
December 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Pediatric emergency department patients
  • Aged 14-21
  • An Alcohol Use Disorders Identification Test (AUDIT) score above selected cut-point for age or with history of alcohol-related consequences

Exclusion Criteria:

  • Not resident in area or able to provide contact information for 12 month follow-up
  • Medically unstable
  • Not oriented to person, time and place
Both
14 Years to 21 Years
No
Contact: Barbara Cole 617-638-4600 barbcole@bu.edu
United States
 
NCT00183157
NIAAABER13759, NIH 5P60 AA13759
Not Provided
Edward Bernstein, MD/Judith Bernstein, RNC, PhD, Boston University School of Public Health - Youth Alcohol Prevention Center
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Not Provided
Principal Investigator: Edward Bernstein, MD Boston University School of Public Health - Youth Alcohol Prevention Center
Principal Investigator: Judith Bernstein, RNC, PhD Boston University School of Public Health - Youth Alcohol Prevention Center
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
February 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP