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Brief Intervention in Substance Use in Adolescent Psychiatric Patients

This study has been completed.
Sponsor:
Collaborator:
Ministry of Health, Spain
Information provided by:
Hospital Clinic of Barcelona
ClinicalTrials.gov Identifier:
NCT00694226
First received: May 23, 2008
Last updated: June 9, 2008
Last verified: June 2008

May 23, 2008
June 9, 2008
March 2004
September 2005   (final data collection date for primary outcome measure)
Attitudes towards psychoactive substances (Knowledge, Risk perception, Problems and Intention of use) measured with questionnaires obtained from the Evaluation Instruments Bank (EIB), European Monitoring Centre for Drugs and Drug Addiction (EMCDDA). [ Time Frame: 1 month ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00694226 on ClinicalTrials.gov Archive Site
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Brief Intervention in Substance Use in Adolescent Psychiatric Patients
Brief Intervention in Substance Use Among Adolescent Psychiatric Patients: A Randomized Controlled Trial

The objective of the study was to assess the efficacy in decreasing the likelihood of substance use of a brief motivational enhancement intervention in adolescents referred to psychiatric treatment.

237 adolescents consecutively admitted to a psychiatry department completed an evaluation of their substance use. Subjects identified as users were randomly allocated to one of two groups: an experimental group that received a brief intervention aimed at increasing their awareness of the risks of substance use, or a control group. All subjects received standard treatment according to the primary diagnosis. Structured questionnaires assessing knowledge, attitudes, perception of risks and intention of use of psychoactive substances were administered upon admission and 1 month later.

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Interventional
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Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Substance-Related Disorders
  • Behavioral: brief motivational intervention
    Brief intervention, consisting in an intervention with the adolescent and a session with parents or mentors. The session with the adolescent lasted 60 minutes. Materials related to the interview were developed according to previous reports on the subject. After building a good rapport the interviewer involved the patient in an initial discussion about the results of the evaluation. This led to a review of the drugs used by the subject and an elicitation of positives and negatives of drug use. The relationship between drug use and current and long-term goals was explored. Discrepancies and problems in the future related to substance use were examined, and information and counseling was offered. The basic components of the motivational interview approach were contemplated, and several skills were used by the interviewers. The individual session with parents or mentors consisted in the presentation of educational materials and a brief counseling intervention on parenting skills.
  • Behavioral: treatment as usual
    Treatment as usual (TTU): After completion of the intervention, individuals and their families went on to receive standard care at the Child and Adolescent Psychiatry and Psychology Department according to the primary diagnosis.Individuals assigned to this group and their parents or tutors received standard care and no further intervention other than completion of the assessment protocol.
  • Experimental: 1
    Brief intervention, consisting in an intervention with the adolescent and a session with parents or mentors. The session with the adolescent lasted 60 minutes. Materials related to the interview were developed according to previous reports on the subject. After building a good rapport the interviewer involved the patient in an initial discussion about the results of the evaluation. This led to a review of the drugs used by the subject and an elicitation of positives and negatives of drug use. The relationship between drug use and current and long-term goals was explored. Discrepancies and problems in the future related to substance use were examined, and information and counseling was offered. The basic components of the motivational interview approach were contemplated, and several skills were used by the interviewers. The individual session with parents or mentors consisted in the presentation of educational materials and a brief counseling intervention on parenting skills.
    Intervention: Behavioral: brief motivational intervention
  • Active Comparator: 2
    Treatment as usual (TTU): Individuals assigned to this group and their parents or tutors received standard care and no further intervention other than completion of the assessment protocol. After completing the assessment individuals and their families went on to receive standard care at the Child and Adolescent Psychiatry and Psychology Department according to the primary diagnosis
    Intervention: Behavioral: treatment as usual
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
143
Not Provided
September 2005   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Subjects aged 12-17
  • consecutively referred for psychiatric or psychological assessment and treatment to a Child and Adolescent Psychiatry and Psychology Department

Exclusion Criteria:

  • Not willing to take part.
  • Mentally retarded
  • Non completion of a substantial part of the assessment protocol.
  • Presenting severe acute psychopathological disturbances that interfere with the assessment.
Both
12 Years to 17 Years
No
Contact information is only displayed when the study is recruiting subjects
Spain
 
NCT00694226
1719/2003
No
Josefina Castro-Fornieles / Chief of the Child and Adolescent Psychiatry and Psychology departement, Hospital Clinic Barcelona
Hospital Clinic of Barcelona
Ministry of Health, Spain
Not Provided
Hospital Clinic of Barcelona
June 2008

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