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Motivation and Skills for Delta-9-tetrahydrocannabinol/Ethanol (THC/ETOH+) Teens in Jail (SMART)

This study has been completed.
Information provided by (Responsible Party):
Lynda Stein, Ph.D., University of Rhode Island Identifier:
First received: July 23, 2007
Last updated: December 28, 2016
Last verified: December 2016
The purpose of this study is to test the efficacy of an individual motivational interview followed by group sessions of cognitive behavior therapy for reducing alcohol and marijuana-related harm as well as alcohol and marijuana use in incarcerated teens.

Condition Intervention Phase
Alcohol Drinking
Marijuana Smoking
Behavioral: Motivation Intervention, Cognitive Behavior Therapy
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Double Blind (Participant, Care Provider)
Primary Purpose: Treatment
Official Title: Prison Study: Motivation and Skills for THC/ETOH+ Teens in Jail

Resource links provided by NLM:

Further study details as provided by University of Rhode Island:

Primary Outcome Measures:
  • Alcohol Use [ Time Frame: 6 months post release ]
  • Marijuana Use [ Time Frame: 6 month post release ]
  • Illegal activity and injuries while high or drunk [ Time Frame: 6 months post release ]

Enrollment: 205
Study Start Date: September 2004
Study Completion Date: September 2011
Primary Completion Date: September 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: MI/CBT
Motivational Intervention followed by Cognitive Behavior Therapy
Behavioral: Motivation Intervention, Cognitive Behavior Therapy
Comparison of 2 treatment combinations for assisting incarcerated teens with alcohol and marijuana use and associated problems. The two treatments being compared are, Motivational Intervention/Cognitive Behavior Therapy and Relaxation Treatment/Substance Education Treatment.

Detailed Description:

Although substance abuse is a major problem among incarcerated teens, little is known about ways to effectively treat this population. Elucidation of effective therapies for reducing substance use among incarcerated teens is important for a number of reasons. For example, a number of empirical studies have demonstrated a strong relationship between substance use and a variety of delinquent and/or dangerous activities, including driving under the influence, perpetration or falling victim to violent crime, and engaging in risky sexual behavior, as well as increases in recidivism to illegal behavior. Unfortunately, substance abuse treatment frequently is unavailable to teens in the juvenile justice system, and when it is available, treatment often is provided in group format using untested interventions, or to teens that are unmotivated to change their behavior.

The objective of the present study is to investigate ways to enhance group therapy engagement and reduce substance use (specifically targeting alcohol and marijuana) and related behaviors (e.g., injury, sexual risk-taking, and illegal behavior) among juvenile offenders. Both Motivational Interviewing (MI) and Cognitive Behavioral Therapy (CBT) have independently demonstrated success in reducing adolescent substance use in both incarcerated and non-incarcerated samples, thus a motivation and skills-based intervention such as the combination MI/CBT approach proposed here, might prove effective in attaining these goals.


Ages Eligible for Study:   14 Years to 19 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Adolescents will be eligible if:

    • in the year prior to incarceration they either a) drank alcohol or used marijuana at least once per month or b) binge-drank (> 5 for boys, > 4 for girls) during any two week period
    • they drank or used marijuana in the four weeks before the offense for which they were incarcerated; or
    • they used either substance in the four weeks before they were incarcerated. Special attention will be given to recruitment of girls and members of minority groups, with periodic reminders to social workers to alert participants in these groups and their families to our project.

Exclusion Criteria:

  • They do not meet the above inclusion criteria or informed consent is not obtained from parent or guardian.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00506753

United States, Rhode Island
Rhode Island Training School
Cranston, Rhode Island, United States, 02920
Sponsors and Collaborators
University of Rhode Island
Principal Investigator: Lynda Stein, Ph.D. University of Rhode Island
  More Information

Clair, M., Stein, L. A. R., Martin, R., Lebeau, R., Colby, S. M., Barnett, N. P., Monti, P., & Golembeske, C. (2007). Validity of the Alcohol Ladder in a Juvenile Correctional Setting. Manuscript submitted for publication, University of RI.
Stein, L. A. R., Hesselbrock, V., & Bukstein, O. (2008). Disruptive behavior disorders (conduct disorder and oppositional defiant disorder) and adolescent substance abuse. In Y. Kaminer & O. G. Bukstein (Eds.), Adolescent substance abuse: Psychiatric comorbidity & high risk behaviors. Binghamton, NY: Haworth Press.
Stein, L. A. R., & Rogers, R. (in press). Misreporting of substance abuse. In R. Rogers (Ed.), Clinical assessment of malingering and deception (3rd ed.; chapter 6). NY: Guilford Press.

Responsible Party: Lynda Stein, Ph.D., Professor, University of Rhode Island Identifier: NCT00506753     History of Changes
Obsolete Identifiers: NCT00249028
Other Study ID Numbers: DA018851-02
Study First Received: July 23, 2007
Last Updated: December 28, 2016

Additional relevant MeSH terms:
Alcohol Drinking
Drinking Behavior
Physiological Effects of Drugs
Psychotropic Drugs
Analgesics, Non-Narcotic
Sensory System Agents
Peripheral Nervous System Agents
Cannabinoid Receptor Agonists
Cannabinoid Receptor Modulators
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Hormones, Hormone Substitutes, and Hormone Antagonists processed this record on May 23, 2017