Trial of Computerized MET for Adolescent Substance Use

Study Description

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Brief Summary:

The purpose of this study is to test the effects of a computerized, self-directed Motivational Enhancement Therapy program for adolescent substance use (iMET), in comparison to clinician-delivered MET and Treatment As Usual (TAU), on treatment engagement and substance use. The investigators hypothesize that both iMET and MET will be more effective than TAU in engaging/retaining patients in treatment and in reducing substance use during a 12-month follow-up period. The investigators also hypothesize that Self-directed iMET will be as effective as the clinician-guided MET in increasing treatment engagement and abstinence during the 12-months follow-up period.

Condition or disease	Intervention/treatment	Phase
Drug Abuse; Alcohol Abuse; Nicotine Dependence	Behavioral: iMET; Behavioral: MET	Phase 1

Study Design

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Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	0 participants
Allocation:	Randomized
Intervention Model:	Parallel Assignment
Masking:	None (Open Label)
Primary Purpose:	Treatment
Official Title:	Randomized Controlled Trial of Computerized MET for Adolescent Substance Use
Study Start Date :	October 2013
Estimated Primary Completion Date :	January 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
No Intervention: Treatment as Usual; Patients will receive the usual care from the treatment program
Experimental: iMET; Participants will complete a self-guided computerized Motivational Enhancement Therapy	Behavioral: iMET; Self-completed, computerized motivational enhancement therapy
Experimental: MET; Clinician-delivered Motivational Enhancement Therapy	Behavioral: MET; Clinician-delivered Motivational Enhancement Therapy

Outcome Measures

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Primary Outcome Measures :

1. Treatment engagement [ Time Frame: 12 months ]
   We will compare the number of individual visits in the program, the number of group sessions completed, and the number of urine screens completed during a 12 month follow-up period by each participant in the three study arms.

Secondary Outcome Measures :

1. Days abstinent [ Time Frame: past-90-days ]
   We will calculate the past-90-days number of days abstinent from any substance use and from the primary substance and the number of weeks abstinent from any substance use.
2. Driving/Riding Risk [ Time Frame: past-90-days ]
   We will compare group trends in prevalence and frequency of past-90-days Driving while impaired or Riding with an impaired driver.
3. HIV Risk Behavior [ Time Frame: past-90-days ]
   We will compare group trends in prevalence and frequency of past-90-days HIV Risk Behaviors.

Other Outcome Measures:

1. Treatment process/quality [ Time Frame: 60 days ]
   We will compare completion of the 2 MET sessions, and completion of the third follow-up visit between the iMET and MET conditions.

Eligibility Criteria

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

Ages Eligible for Study:	12 Years to 21 Years (Child, Adult)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

• completed initial visit at the treatment program;
• be available to return for iMET/MET sessions (if assigned)
• be available to complete all follow-up measurements
• a past-12-month CRAFFT score >1
• have used substances on >6 days (not including tobacco use) during the 90 days preceding their visit

Exclusion Criteria:

• unable to speak and understand English, or read English at a 5th grade reading level
• youth deemed by the clinical team to require immediate hospitalization or referral to more intensive residential treatment

Contacts and Locations

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

Locations

United States, Massachusetts
Boston Children's Hospital
Boston, Massachusetts, United States, 02115

Sponsors and Collaborators

Boston Children’s Hospital

Investigators

Principal Investigator:	Sion K Harris, PhD	Boston Children’s Hospital

More Information

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

Responsible Party:	Sion Kim Harris, Co-Director, Center for Adolescent Substance Abuse Research, Boston Children's Hospital
ClinicalTrials.gov Identifier:	NCT01784653 History of Changes
Other Study ID Numbers:	SKH R01 PA-13-077
First Posted:	February 6, 2013
Last Update Posted:	April 12, 2017
Last Verified:	April 2017

Keywords provided by Sion Kim Harris, Boston Children's Hospital:

Substance abuse; Drug abuse; Alcohol abuse; Tobacco; Adolescent

Additional relevant MeSH terms:

Tobacco Use Disorder; Alcoholism; Substance-Related Disorders	Chemically-Induced Disorders; Mental Disorders; Alcohol-Related Disorders