Risk Reduction for Drug Use and Sexual Revictimization (RRFT)

Study Description

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Brief Summary:

The investigator proposes to evaluate Risk Reduction through Family Therapy (RRFT), which integrates: 1) an ecologically-based intervention for treatment of substance abuse behaviors in high risk adolescents, 2) exposure-based cognitive-behavioral therapy for sexually assaulted youth, and 3) psychoeducation strategies for prevention of risky sexual behaviors and revictimization. The principal purpose of this research proposal is to evaluate the efficacy of RRFT in reducing the risk of drug abuse and other risky behaviors, PTSD, and revictimization among adolescents who have been sexually assaulted. The Research Plan will be conducted based on Stage 1a and Stage 1b from NIDA's Behavioral Therapies Development Program as described in Rounsaville, Carroll, & Onken (2001). The final phase of the research will involve conducting a pilot randomized controlled trial of RRFT in a sample of adolescents, comparing primary outcome measures of youth receiving RRFT to youth receiving usual care in the community. Participants will be adolescents (12-17 years) who have experienced a sexual assault. Assessment of substance use and other risk behaviors, trauma-related psychopathology, and incidents of revictimization will be collected at pre- and post- treatment, as well as 6-week and 3-month follow-ups. Hierarchical Linear Modeling will be the primary method used to test study hypotheses. Development and evaluation of the proposed intervention will have significant implications for addressing public health problems in adolescent substance abuse and related high risk behaviors.

Condition or disease	Intervention/treatment	Phase
Risk Reduction Through Family Therapy.; Usual Care.	Behavioral: Risk Reduction through Family Therapy	Phase 1

Detailed Description:

See above summary

Study Design

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Study Type :	Interventional (Clinical Trial)
Estimated Enrollment :	30 participants
Allocation:	Randomized
Intervention Model:	Parallel Assignment
Masking:	Single (Outcomes Assessor)
Primary Purpose:	Treatment
Official Title:	Risk Reduction for Drug Use and Sexual Revictimization
Study Start Date :	December 2007
Estimated Primary Completion Date :	February 2017
Estimated Study Completion Date :	February 2017

Arms and Interventions

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Arm	Intervention/treatment
Experimental: 1; RRFT	Behavioral: Risk Reduction through Family Therapy; Component based intervention based on existing empirically supported treatments; Other Name: RRFT
Active Comparator: 2; Usual care	Behavioral: Risk Reduction through Family Therapy; Component based intervention based on existing empirically supported treatments; Other Name: RRFT

Outcome Measures

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Primary Outcome Measures :

1. Time Line Follow Back and urine screen [ Time Frame: Pre and post-treatment, 3 and 6 month follow-ups ]

Secondary Outcome Measures :

1. YRBS [ Time Frame: Pre and post-treatment, 3 and 6 month follow-ups ]
2. FES [ Time Frame: Pre and post-treatment, 3 and 6 month follow-ups ]
3. UCLA PTSD Reaction Index [ Time Frame: Pre, post, and 3 and 6 month follow-up ]

Eligibility Criteria

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Ages Eligible for Study:	12 Years to 17 Years (Child)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

• memorable sexual assault

Exclusion Criteria:

• active psychosis
• active suicidality

Contacts and Locations

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Locations

United States, South Carolina
National Crime Victims Research and Treatment Center	Recruiting
Charleston, South Carolina, United States, 29425
Contact: Carla K Danielson, Ph.D. danielso@musc.edu
Contact: Deni L White, B.S. dew36@musc.edu

Sponsors and Collaborators

Medical University of South Carolina

National Institute on Drug Abuse (NIDA)

More Information

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Danielson CK, McCart MR, Walsh K, de Arellano MA, White D, Resnick HS. Reducing substance use risk and mental health problems among sexually assaulted adolescents: a pilot randomized controlled trial. J Fam Psychol. 2012 Aug;26(4):628-35. doi: 10.1037/a0028862. Epub 2012 Jun 11.

Responsible Party:	Carla Danielson, Associate Professor, Medical University of South Carolina
ClinicalTrials.gov Identifier:	NCT00998153 History of Changes
Other Study ID Numbers:	K23DA018686 ( U.S. NIH Grant/Contract )
First Posted:	October 20, 2009
Last Update Posted:	March 17, 2016
Last Verified:	March 2016

Keywords provided by Carla Danielson, Medical University of South Carolina:

substance use; PTSD; risky behaviors; revictimization