Motivational Interviewing for Alcohol-Positive Teens in the Emergency Room

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. 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)

October 27, 2005
October 31, 2005
December 7, 2007
January 2000
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Alcohol Consumption [ Time Frame: 6, 9, and 12 months ]
  • Alcohol Consumption
  • Alcohol-related problems (e.g., drinking and driving)
Complete list of historical versions of study NCT00246428 on Archive Site
Alcohol-related problems (e.g., drinking and driving) [ Time Frame: 6, 9, and 12 months ]
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Motivational Interviewing for Alcohol-Positive Teens in the Emergency Room
Motivational Interviewing (MI) for ETOH+ Teens in the ER
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.
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.
Phase 3
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
  • Alcohol Abuse
  • Alcohol Dependence
Behavioral: Motivational Interviewing
Experimental manipulations will be evaluated 6, 9, and 12 months
Other Name: MI
Experimental: 1
Intervention: Behavioral: Motivational Interviewing
Barnett NP, Apodaca TR, Magill M, Colby SM, Gwaltney C, Rohsenow DJ, Monti PM. Moderators and mediators of two brief interventions for alcohol in the emergency department. Addiction. 2010 Mar;105(3):452-65. doi: 10.1111/j.1360-0443.2009.02814.x.

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Unknown status
Same as current
July 2003
Not Provided

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
Sexes Eligible for Study: All
18 Years to 24 Years   (Adult)
Contact information is only displayed when the study is recruiting subjects
United States
NIH Grant AA09892-10
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National Institute on Alcohol Abuse and Alcoholism (NIAAA)
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Principal Investigator: Peter Monti, PhD Brown University
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
December 2007

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP