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Motivational Interviewing for Alcohol-Positive Teens in the Emergency Room

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ClinicalTrials.gov Identifier: NCT00246428
Recruitment Status : Unknown
Verified December 2007 by National Institute on Alcohol Abuse and Alcoholism (NIAAA).
Recruitment status was:  Active, not recruiting
First Posted : October 31, 2005
Last Update Posted : December 7, 2007
Information provided by:
National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Brief Summary:
The purpose of this study is to determine whether motivational interviewing is effective in reducing alcohol consumption and alcohol problems among young adults who present to an Emergency Room.

Condition or disease Intervention/treatment Phase
Alcohol Abuse Alcohol Dependence Behavioral: Motivational Interviewing Phase 3

Detailed Description:
The long term objectives of this program of research are to develop effective interventions for reducing problem drinking and associated problems among adolescents and young adults and to further enhance intervention approaches by identifying effective elements of treatment derived from cognitive behavioral social learning theory. Current approaches to behavior change in this area frequently rely on school-based primary prevention programs that do not address cessation/reduction issues for adolescents who are already drinking, rarely address motivational issues related to use and abuse, and cannot target school dropouts. Recently, two studies have shown Motivational Interviewing (MI) to be effective with alcohol-involved adolescents when compared to a control or no intervention condition, but have shown greater harm-reduction effects than alcohol consumption effects. In addition, mechanisms of MI have not been elucidated. The major purposes of this study re to compare MI to a minimal contrast condition in which personalized feedback is provided, and to determine if additional booster sessions will enhance outcomes. The population is older adolescents who have been treated in an Emergency Department (ED) following an alcohol-related event. Thus, school dropouts, a high-risk population, will be included in the study. A 2 (MI versus Feedback Only) x 2 (two booster sessions versus no boosters) factorial design will be used to examine whether a MI combined with booster can effectively change subsequent alcohol use and alcohol problems. Experimental manipulations will be evaluated 6, 9, and 12 months after baseline intervention. The study design has several strengths: (1) it will enable an investigation of the main effects of MI versus Feedback Only, providing a more stringent test of the active ingredients of MI than our current competitive segment permitted; (2) it enables an evaluation of the effects of continued contact as a separate factor; and (3) it allows a test of the interaction between baseline intervention type and booster contact. A secondary purpose of the study is to use explicit mediational analyses, tested within a Structural Equation Modeling framework, to examine the hypothesis that stage of change, use of behavioral alcohol reduction strategies, and alcohol treatment seeking will mediate the relationship between intervention and outcome. Finally, the study will determine whether the diagnosis of alcohol abuse or dependence affects responsivity to our intervention. In addition to its potential contribut8ion to theory, the importance of this work is its potential for providing a cos-effective brief intervention at a "teachable moment" to increase high-risk patients' interest in reducing harmful drinking and related risk-taking behaviors.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 198 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Motivational Interviewing (MI) for ETOH+ Teens in the ER
Study Start Date : January 2000
Estimated Study Completion Date : July 2003

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: 1
Behavioral: Motivational Interviewing
Experimental manipulations will be evaluated 6, 9, and 12 months
Other Name: MI

Primary Outcome Measures :
  1. Alcohol Consumption [ Time Frame: 6, 9, and 12 months ]

Secondary Outcome Measures :
  1. Alcohol-related problems (e.g., drinking and driving) [ Time Frame: 6, 9, and 12 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 24 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Admitted to ER
  2. Between 18-24 years old
  3. Had a blood alcohol concentration (BAC) greater than .01% according to a biochemical test OR self-reported drinking alcohol in the 6 hours prior to the event that caused their hospital visit OR scored 8 or higher on the Alcohol Use Disorders Identification Test (AUDIT)

Exclusion Criteria:

  1. Not English-speaking
  2. Had a self-inflicted injury
  3. In police custody
  4. Did not pass a mental status exam

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00246428

United States, Rhode Island
Rhode Island Hospital
Providence, Rhode Island, United States, 02903
Brown University
Providence, Rhode Island, United States, 02912
Sponsors and Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Principal Investigator: Peter Monti, PhD Brown University

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00246428     History of Changes
Other Study ID Numbers: NIAAAMON09892-10
NIH Grant AA09892-10
First Posted: October 31, 2005    Key Record Dates
Last Update Posted: December 7, 2007
Last Verified: December 2007

Keywords provided by National Institute on Alcohol Abuse and Alcoholism (NIAAA):
Motivational Interviewing
Alcohol Abuse
Alcohol Dependence
Emergency Care Setting

Additional relevant MeSH terms:
Alcohol-Related Disorders
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders
Anti-Infective Agents, Local
Anti-Infective Agents
Central Nervous System Depressants
Physiological Effects of Drugs