Brief Intervention for Families of Teens Treated in the Emergency Department for an Alcohol-Related Event

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Anthony Spirito, Brown University
ClinicalTrials.gov Identifier:
NCT00247221
First received: October 28, 2005
Last updated: July 28, 2012
Last verified: July 2012

October 28, 2005
July 28, 2012
October 2002
July 2008   (final data collection date for primary outcome measure)
  • Alcohol use [ Time Frame: 3 months ] [ Designated as safety issue: No ]
    Drinking frequency (days per month), quantity (drinks per occasion), and frequency of high-volume drinking (5 or more drinks per occasion) over the prior 3 months.
  • Alcohol use [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    Drinking frequency (days per month), quantity (drinks per occasion), and frequency of high-volume drinking (5 or more drinks per occasion) over the prior 3 months.
  • Alcohol use [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Drinking frequency (days per month), quantity (drinks per occasion), and frequency of high-volume drinking (5 or more drinks per occasion) over the prior 3 months.
  • Alcohol-related consequences
  • Family management
  • Alcohol consumption
  • Alcohol-related risky behaviors
  • Adolescent problem behaviors
Complete list of historical versions of study NCT00247221 on ClinicalTrials.gov Archive Site
  • marijuana use [ Time Frame: 3 months ] [ Designated as safety issue: No ]
    Days of use in prior 3 months
  • Marijuana use [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    Days of use in prior 3 months
  • Marijuana use [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Days of use in prior 3 months
  • Parent influences on adolescent alcohol use and problems
  • Peer influences on adolescent alcohol use and problems
  • Impact of adolescent internalizing problems (depressed mood) on treatment
  • Impact of adolescent externalizing problems (behavior problems) on treatment
Not Provided
Not Provided
 
Brief Intervention for Families of Teens Treated in the Emergency Department for an Alcohol-Related Event
Family Motivational Interviews for ETOH+ Teens in the ER

The purpose of this study is to compare the effectiveness of a brief family intervention in reducing alcohol use and alcohol-related problems among families of underage drinkers (13-17 years old) who are treated in a hospital emergency department for an alcohol-related event.

The long-term objectives of this research program are to develop effective interventions in health care settings for reducing problem drinking and associated problems among adolescents and to further enhance intervention approaches by identifying effective elements of treatment. The major purpose of this study is to compare a brief integrated individual and family intervention designed to reduce alcohol use and related problems to an enhanced standard care condition (standard care plus family assessment).

The targeted population is underage drinkers (13-17 years old) who have been treated in an Emergency Department following an alcohol-related event. It is important to intervene with this population because alcohol-involved adolescents may be at higher risk for having continuing alcohol problems (Fillmore, 1988; Zucker, in press). The intervention is conceptualized as using a "teachable moment" (i.e., shortly after a salient event) to increase family interest in reducing harmful drinking. The experimental intervention integrates an individual Motivational Interview (MI) for the adolescent, based on our research group's prior work with this intervention, with a brief family intervention, the Family Check-Up (Dishion & Kavanagh, 2003).

The experimental condition will be compared to standard care plus family assessment. This design allows us to test the added benefit of the brief family intervention compared to the benefits often derived from assessment without added treatment. Follow-up interviews will be conducted at 3, 6, and 12 months after the baseline intervention to assess outcome. The specific aims of this proposal are to test the effectiveness of the experimental intervention in reducing alcohol-related problems, alcohol consumption, and other behavior problems compared to the enhanced standard care condition. Second, we will examine whether depressed mood and behavior problems at baseline moderate the effects of the treatment conditions. We will also test whether individual factors (motivation to change behavior) and environmental factors (parent/family influence and peer influence) mediate the relation between the treatment condition and outcomes.

Interventional
Phase 1
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Alcohol Abuse
  • Behavioral: MI/Family Check-up
    The experimental intervention integrates an individual Motivational Interview (MI) for the adolescent with a brief family intervention, the Family Check-Up. Follow-up interviews will be conducted at 3, 6, and 12 months after the baseline intervention.
  • Behavioral: MI only
    An individual motivational interview (IMI only) will be conducted at 3, 6, and 12 months after the baseline intervention to assess outcome.
  • Experimental: 1) MI/Family Check-Up
    Brief integrated individual and family intervention -- the experimental intervention integrates an individual Motivational Interview (MI) for the adolescent with a brief family intervention, the Family Check-Up
    Intervention: Behavioral: MI/Family Check-up
  • Active Comparator: 2) MI only
    Intervention: Behavioral: MI only
Spirito A, Sindelar-Manning H, Colby SM, Barnett NP, Lewander W, Rohsenow DJ, Monti PM. Individual and family motivational interventions for alcohol-positive adolescents treated in an emergency department: results of a randomized clinical trial. Arch Pediatr Adolesc Med. 2011 Mar;165(3):269-74. doi: 10.1001/archpediatrics.2010.296.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
208
July 2008
July 2008   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Child aged 13-17 years
  • Receiving treatment at the approved medical Emergency Department
  • Child living in a home with at least one parent or legal guardian

Exclusion Criteria:

  • Children who are suicidal, in police custody, not alert/oriented, non-English speaking, in severe pain, or who have sustained severe trauma
  • Children with a history of prior substance abuse treatment
Both
13 Years to 17 Years
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00247221
NIAAASPI013385, R01AA013385, NIH grant R01 AA013385
Yes
Anthony Spirito, Brown University
Brown University
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Study Director: Anthony Spirito, PhD Brown University
Brown University
July 2012

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