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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

July 23, 2007
December 28, 2016
September 2004
September 2011   (Final data collection date for primary outcome measure)
  • 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 ]
Same as current
Complete list of historical versions of study NCT00506753 on Archive Site
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Motivation and Skills for Delta-9-tetrahydrocannabinol/Ethanol (THC/ETOH+) Teens in Jail
Prison Study: Motivation and Skills for THC/ETOH+ Teens in Jail
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.

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.

Phase 1
Phase 2
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Double Blind (Participant, Care Provider)
Primary Purpose: Treatment
  • Alcohol Drinking
  • Marijuana Smoking
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.
Experimental: MI/CBT
Motivational Intervention followed by Cognitive Behavior Therapy
Intervention: Behavioral: Motivation Intervention, Cognitive Behavior Therapy
  • 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.
  • 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.

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
September 2011
September 2011   (Final data collection date for primary outcome measure)

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.
Sexes Eligible for Study: All
14 Years to 19 Years   (Child, Adult)
Contact information is only displayed when the study is recruiting subjects
United States
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Lynda Stein, Ph.D., University of Rhode Island
University of Rhode Island
Not Provided
Principal Investigator: Lynda Stein, Ph.D. University of Rhode Island
University of Rhode Island
December 2016

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