Adventure: Teacher Delivered Personality-targeted Interventions for Substance Misuse

This study has been completed.
Sponsor:
Collaborator:
Action on Addiction
Information provided by:
King's College London
ClinicalTrials.gov Identifier:
NCT00776685
First received: October 17, 2008
Last updated: June 24, 2011
Last verified: December 2010
  Purpose

Several personality factors have been shown to be associated with risk for alcohol and substance misuse, and differentiate substance abusers based on clinical profile, treatment response and susceptibility to other forms of mental illness. Personality-targeted interventions have been found to have significant preventative effects on onset and growth of drinking, binge-drinking and drinking problems in adolescents attending mainstream schools (Conrod, Castellanos & Mackie, 2008). The interventions concurrently reduced personality-specific emotional and behavioural problems (Castellanos & Conrod, 2006), and prevented the onset and escalation of drug-use over a two-year period (Conrod, Castellanos-Ryan & Strang, 2010). This cluster randomised controlled trial aims to examine whether these results can be replicated when interventions are delivered by trained educational professionals. In addition, the trial will evaluate the broader impact of the programme on cigarette smoking, school attendance, academic achievement and school-wide behaviours.


Condition Intervention Phase
Alcohol Abuse
Drug Abuse
Depression
Panic Disorder
Conduct Disorder
Behavioral: Personality-targeted interventions
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Factorial Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Cognitive Behavioral Interventions That Target Personality Risk for Substance Abuse and Mental Illness: Delivery by Educational Professionals

Resource links provided by NLM:


Further study details as provided by King's College London:

Primary Outcome Measures:
  • Binge drinking frequency [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    Frequency in the past 6 months that subject reported drinking 5 or more alcoholic beverages (4 or more for girls) on one drinking occasion.

  • Drinking frequency [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    Past six months frequency of drinking

  • drinking quantity [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    Average number of alcoholic beverages consumed on a typical drinking occasion in the past six months

  • Drinking problems [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    number of drinking problems reported on an abbreviated version of the Rutger's Alcohol Problem Index.

  • illicit drug use events [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    Time to onset of illicit drug use


Secondary Outcome Measures:
  • Emotional and behavioural problems, targeted and school-wide effects [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    Psychiatric symptoms (depression, panic anxiety, antisocial behaviours), coping skills, motives for drinking, school attendance and attainment, in-class behaviours assessed using the Strengths and Difficulties Questionnaire and the Brief Symptom Inventory.


Enrollment: 3190
Study Start Date: May 2007
Study Completion Date: May 2010
Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: learning to cope with your impulsivity
Cognitive-behavioural intervention targeting impulsive personality
Behavioral: Personality-targeted interventions
Motivational and cognitive behavioural interventions targeting four personality profiles. 2 90 minute group sessions with personality-matched peers facilitated by a trained teacher and co-facilitator
Other Name: Preventure, but now delivered by teachers
Experimental: learning to cope with your sensation seeking
cognitive behavioural intervention designed to help sensation seeking youth manage their need for stimulation and excitement.
Behavioral: Personality-targeted interventions
Motivational and cognitive behavioural interventions targeting four personality profiles. 2 90 minute group sessions with personality-matched peers facilitated by a trained teacher and co-facilitator
Other Name: Preventure, but now delivered by teachers
Experimental: learning to cope with your anxiety sensitivity
cognitive behavioural intervention teaching anxiety sensitive youth to manager their sensitivity to threat and anxiety.
Behavioral: Personality-targeted interventions
Motivational and cognitive behavioural interventions targeting four personality profiles. 2 90 minute group sessions with personality-matched peers facilitated by a trained teacher and co-facilitator
Other Name: Preventure, but now delivered by teachers
Experimental: learning to manage your negative thinking
cognitive behavioural intervention targeting pessimistic and negative thinking in hopeless youth
Behavioral: Personality-targeted interventions
Motivational and cognitive behavioural interventions targeting four personality profiles. 2 90 minute group sessions with personality-matched peers facilitated by a trained teacher and co-facilitator
Other Name: Preventure, but now delivered by teachers

Detailed Description:

The Adventure study aims to examine whether educational professionals such as teachers, mentors or individuals in a pastoral role, who are trained in carrying out personality-targeted interventions will be effective in reducing problem behaviours in a group of adolescents.

20 schools in London, U.K. were recruited for the trial, and over 2000 adolescents (mean age 13.7 years) consented to participate in the survey and intervention phases of the trial. Schools were randomly assigned to control or intervention condition, and students in intervention schools who met the criteria for any of the 4 personality risk subscales of the Substance Use Risk Profile Scale (Negative Thinking, Anxiety Sensitivity, Sensation Seeking and Impulsivity) were invited to participate in a personality-targeted intervention by trained members of staff from their schools. All participants were invited to complete follow-up surveys at 6-month intervals for 2 years. The remaining 55% of low risk students in the grad were also followed to examine population-level effects of the intervention as well.

The main outcome measures of this RCT are alcohol and illicit drug outcomes. Secondary measures include mental health symptoms, risky behaviour, school attainment and attendance, and school-wide behaviours.

It is hypothesised that teacher-delivered personality-targeted interventions will have similar preventative effects on alcohol and drug use as reported by Conrod et al (2008, 2010), in addition to the personality-specific intervention effects reported by Castellanos & Conrod (2006). In addition, broader effects of the intervention on academic achievement and school-wide behaviour will be examined in this trial, both at the individual level and at the population-level.

  Eligibility

Ages Eligible for Study:   13 Years to 16 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Secondary school student

Exclusion Criteria:

  • None
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00776685

Locations
United Kingdom
Institute of Psychiatry, King's College London
London, United Kingdom
Sponsors and Collaborators
King's College London
Action on Addiction
Investigators
Study Chair: Patricia J Conrod, PhD King's College London
  More Information

Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Dr. Patricia Conrod, Institute of Psychiatry, King's College London
ClinicalTrials.gov Identifier: NCT00776685     History of Changes
Other Study ID Numbers: Adventure
Study First Received: October 17, 2008
Last Updated: June 24, 2011
Health Authority: United Kingdom: Research Ethics Committee

Additional relevant MeSH terms:
Depression
Depressive Disorder
Substance-Related Disorders
Panic Disorder
Alcoholism
Conduct Disorder
Behavioral Symptoms
Mood Disorders
Mental Disorders
Anxiety Disorders
Alcohol-Related Disorders
Attention Deficit and Disruptive Behavior Disorders
Mental Disorders Diagnosed in Childhood

ClinicalTrials.gov processed this record on April 17, 2014