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Tailored Teen Alcohol and Violence Prevention in the Emergency Room (ER)

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00251212
First Posted: November 9, 2005
Last Update Posted: April 10, 2014
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.
Information provided by (Responsible Party):
Maureen A Walton, University of Michigan
  Purpose
This study is designed to address both alcohol misuse and violence among adolescents ages 14-18 seeking care in an urban emergency department (ED). The study is a randomized controlled trial comparing the effectiveness of a combined Adapted Motivational Interviewing and Skills Training intervention, delivered either by a computer or by a counselor, and an informational handout control condition.

Condition Intervention
Violence Alcohol Abuse Behavioral: Adapted Motivational Interviewing & Skills Training

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Tailored Teen Alcohol and Violence Prevention in the ER

Further study details as provided by Maureen A Walton, University of Michigan:

Primary Outcome Measures:
  • Primary outcome variables include alcohol misuse and violent behaviors. [ Time Frame: 12-months ]

Secondary Outcome Measures:
  • Secondary outcome measures include illicit drug use, unintentional injury, delinquency and weapon carriage. [ Time Frame: 12-months ]

Enrollment: 3694
Study Start Date: September 2006
Study Completion Date: October 2012
Primary Completion Date: October 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
Therapist delivered adapted motivational enhancement therapy and skills training
Behavioral: Adapted Motivational Interviewing & Skills Training
Single session, 45 minute brief intervention during Emergency Department Visit
Other Names:
  • 1: Therapist delivered brief intervention
  • 2: Computer delivered brief intervention
  • 3: Control condition
Active Comparator: 2
Computer delivered adapted motivational enhancement therapy and skills training
Behavioral: Adapted Motivational Interviewing & Skills Training
Single session, 45 minute brief intervention during Emergency Department Visit
Other Names:
  • 1: Therapist delivered brief intervention
  • 2: Computer delivered brief intervention
  • 3: Control condition
No Intervention: 3
3: Control brochure

Detailed Description:
This study will screen ~3000 adolescents in the ED (ages 14-18) over 30 months. Eligible adolescents will be asked to participate in the longitudinal study, stratified by age and gender and randomized to conditions (n=225/group): Computer Prevention Program, Counselor Prevention Program, or an informational handout control condition. Primary outcomes will be evaluated at 3, 6 and 12-months and include alcohol use/misuse, violent behaviors, illicit drug use, unintentional injury, delinquency, and weapon carriage. The proposed study integrates brief intervention strategies for alcohol misuse and violent behaviors using state-of-the-art technology to tailor the interventions to the specific risk factors of the adolescent. Tailored computerized programs use available technology to replace the need for clinical staff in the ED setting, where there is limited staff time to effect behavior change. This project will provide the critical first step toward the implementation of an integrated prevention program addressing overlapping risk factors that has the potential to be delivered to the millions of adolescents visiting urban Emergency Departments each year.
  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   14 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • adolescents (ages 14-18) presenting to the ED for a medical injury or illness (except exclusions as noted below)
  • adolescents ability to provide informed assent/consent depending on age
  • access to a parent or guardian to provide informed consent

Exclusion Criteria:

  • adolescents who do not understand English
  • prisoners
  • adolescents classified by medical staff as "Level 1" trauma
  • adolescents deemed unable to provide informed consent
  • adolescents treated in the ED for suicide attempts
  • adolescents triaged to the psychiatric ED
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00251212


Sponsors and Collaborators
University of Michigan
Investigators
Principal Investigator: Maureen Walton, PhD, MPH University of Michigan
  More Information

Publications:

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Maureen A Walton, Associate Professor, University of Michigan
ClinicalTrials.gov Identifier: NCT00251212     History of Changes
Other Study ID Numbers: AA-014889-01A1
First Submitted: November 7, 2005
First Posted: November 9, 2005
Last Update Posted: April 10, 2014
Last Verified: April 2014

Keywords provided by Maureen A Walton, University of Michigan:
Alcohol
Violence
Alcohol consumption
Alcohol, drinking

Additional relevant MeSH terms:
Alcoholism
Alcohol-Related Disorders
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders
Ethanol
Anti-Infective Agents, Local
Anti-Infective Agents
Central Nervous System Depressants
Physiological Effects of Drugs