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

This study has been completed.
Sponsor:
Collaborators:
National Institute on Drug Abuse (NIDA)
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Information provided by (Responsible Party):
Lynda Stein, Ph.D., University of Rhode Island
ClinicalTrials.gov Identifier:
NCT00506753
First received: July 23, 2007
Last updated: June 2, 2017
Last verified: June 2017
July 23, 2007
June 2, 2017
September 2004
September 2011   (Final data collection date for primary outcome measure)
  • Alcohol Use [ Time Frame: 6 months post release ]
    using Time-Line Followback, aggregated into quantity and frequency
  • Marijuana Use [ Time Frame: 6 month post release ]
    using Time-Line Followback, aggregated into quantity and frequency
  • Crime [ Time Frame: 6 months post release ]
    using Misbehaviors Questionnaire, aggregated into type and frequency
  • 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 ]
Complete list of historical versions of study NCT00506753 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
Not Provided
Not Provided
 
Motivation and Skills for Delta-9-tetrahydrocannabinol/Ethanol (THC/ETOH+) Teens in Jail
Prison Study: Motivation and Skills for THC/ETOH+ Teens in Jail
This study will focus on treating substance abusing incarcerated teens using individually administered Motivational Interviewing (MI) followed by group Cognitive Behavior Therapy (CBT). The control group receives individualized Relaxation Training (RT) followed by group Treatment as Usual (TU). Currently, there is little research regarding effective group treatments for incarcerated teens and this study will address this gap in our knowledge base. We seek to reduce substance use and associated risky behaviors post-release (including driving under the influence, risky sexual behaviors, etc.)

This proposal is in response to RFA-DA-04-008, Group Treatment for Individuals in Drug Abuse or Alcoholism Treatment. Of particular interest to the agencies are group therapies for Conduct Disordered adolescents, reducing the spread of infectious disease, and mechanisms of action. This proposal targets these areas of interest. This study will focus on treating substance abusing incarcerated teens using 2 individually administered Motivational Interviewing (MI) sessions followed by 10 group sessions of Cognitive Behavior Therapy (CBT). MI is conceptualized as preparation for group CBT. The control group receives individualized Relaxation Training (RT) followed by group Treatment as Usual (TU). Currently, t here is little research regarding effective group treatments for incarcerated teens and this study will address this gap in our knowledge base.

In this proposed randomized trial, a one-way design (MI/CBT vs RT/TU) will be used to determine whether MI/CBT enhances group therapy participation and reduces substance use and related problems (such as crime, injuries and unprotected sex) post discharge in substance-involved juvenile delinquents. RT/TU is based on the 12-step model and includes psycho-educational components. Participant are followed during incarceration and for 6 months post incarceration. Primary outcome variables include alcohol and marijuana use, as well as related behaviors (illegal activities, sex or injuries while drunk or high). It is hypothesized that in comparison to teens in RT/TU, youth receiving MI/CBT will participate more in therapy (according to teen, facility staff, and counselor ratings) and will show lower levels of substance use and related problems after discharge.

Frequently, substance abuse treatment is unavailable to youths in the juvenile justice system, and when treatment is available, it may be provided in group format using untested therapies. A motivation/skills-based intervention (delivered in group format) may prove efficacious in enhancing motivation and in reducing substance abuse and related problems. This study extends previous research by rigorously evaluating group treatment for incarcerated teens. We will examine processes contributing to the efficacy of group MI/CBT, and the influence of race and ethnicity on treatment effects. The development of effective interventions for substance using juvenile offenders has the potential to reduce substance abuse and crime in this population.

Interventional
Not Provided
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Care Provider)
Primary Purpose: Treatment
  • Alcohol Drinking
  • Marijuana Smoking
  • Behavioral: MI/CBT
    Motivational Interviewing followed by Cognitive Behavior Therapy
    Other Name: Motivation Interviewing,Cognitive Behavior Therapy
  • Behavioral: RT/SU
    Relaxation Training followed by Treatment as Usual
    Other Name: Relaxation Training, Treatment as Usual
  • Experimental: MI/CBT
    Motivational Interviewing followed by Cognitive Behavior Therapy
    Intervention: Behavioral: MI/CBT
  • Experimental: RT/TU
    Relaxation Training followed by Treatment as Usual
    Intervention: Behavioral: RT/SU

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
205
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; or they drank or used marijuana in the four weeks before the offense for which they were incarcerated; or they used alcohol or marijuana in the four weeks before they were incarcerated.

Exclusion Criteria:

Those teens sentenced for less than 4 months or greater than 12 months, those who are younger than 14 years or older than 19 years, and those for whom have inability to consent/assent (example, language barrier) are not obtained will be excluded from participation.

Sexes Eligible for Study: All
14 Years to 19 Years   (Child, Adult)
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
 
NCT00506753
DA018851-02
R01DA018851 ( U.S. NIH Grant/Contract )
Yes
Not Provided
Plan to Share IPD: Yes
Plan Description: With appropriate request and procedure.
Lynda Stein, Ph.D., University of Rhode Island
University of Rhode Island
  • National Institute on Drug Abuse (NIDA)
  • National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Principal Investigator: Lynda Stein, Ph.D. University of Rhode Island
University of Rhode Island
June 2017

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