Project RAP: Reaching Adolescents for Prevention

NCT ID: NCT00183157

Last Updated: 2009-02-13

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: PHASE2
• Total Enrollment: 1400 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2004-10-31
• Study Completion Date: 2009-12-31

Brief Summary

The purpose of the study is to determine if a brief motivational interview in the context of an emergency health care visit will reduce high-risk drinking and drug-taking and associated health consequences among adolescents ages 14-21 years old.

Detailed Description

Many studies have shown that a brief motivational interview in the context of a routine or emergency health care visit may assist adults to reduce high-risk drinking and drug-taking. Center researchers are conducting a 1,400-person, randomized clinical trial involving teen patients at the Boston Medical Center Pediatric Emergency Department in order to determine if a similar approach will be effective with youth. All patients aged 14 to 21 get a brief alcohol and drug screen, and those whose scores indicate they drink or use marijuana are invited to participate in the study. One-third of the enrollees will receive an assessment, a brief motivational interview performed by a trained peer counselor, direct referrals to community-based resources for adolescents, and a 10-day follow-up phone call. One-third will receive only the assessment and a list of community resources; and the final third will receive only the list of resources. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.

Conditions

Alcohol Related Morbidity; Alcohol Dependence

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

1

Patients will receive an assessment, a brief motivational interview performed by a trained peer counselor, direct referrals to community-based resources for adolescents, and a 10-day follow-up phone call.

Group Type: ACTIVE_COMPARATOR

Brief Motivational Intervention

Intervention Type: BEHAVIORAL

One-third of the enrollees will receive an assessment, a brief motivational interview performed by a trained peer counselor, direct referrals to community-based resources for adolescents, and a 10-day follow-up phone call. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.

2

Patients will receive an assessment and a list of community resources

Group Type: ACTIVE_COMPARATOR

Assessment and list of resources

Intervention Type: BEHAVIORAL

One-third will receive only the assessment and a list of community resources. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.

3

Patients will receive only the list of resources.

Group Type: ACTIVE_COMPARATOR

Referral to Community Resources

Intervention Type: BEHAVIORAL

All patients aged 14 to 21 get a brief alcohol and drug screen, and those whose scores indicate they drink or use marijuana are invited to participate in the study. One-third of the enrollees will receive only a list of resources. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.

Interventions

Brief Motivational Intervention

One-third of the enrollees will receive an assessment, a brief motivational interview performed by a trained peer counselor, direct referrals to community-based resources for adolescents, and a 10-day follow-up phone call. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.

Intervention Type: BEHAVIORAL

Assessment and list of resources

One-third will receive only the assessment and a list of community resources. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.

Intervention Type: BEHAVIORAL

Referral to Community Resources

All patients aged 14 to 21 get a brief alcohol and drug screen, and those whose scores indicate they drink or use marijuana are invited to participate in the study. One-third of the enrollees will receive only a list of resources. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Pediatric emergency department patients
• Aged 14-21
• An Alcohol Use Disorders Identification Test (AUDIT) score above selected cut-point for age or with history of alcohol-related consequences

Exclusion Criteria

• Not resident in area or able to provide contact information for 12 month follow-up
• Medically unstable
• Not oriented to person, time and place

• Minimum Eligible Age: 14 Years
• Maximum Eligible Age: 21 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

NIH

Sponsor Role: lead

Responsible Party

Boston University School of Public Health - Youth Alcohol Prevention Center

Principal Investigators

Edward Bernstein, MD

Role: PRINCIPAL_INVESTIGATOR

Boston University School of Public Health - Youth Alcohol Prevention Center

Judith Bernstein, RNC, PhD

Role: PRINCIPAL_INVESTIGATOR

Boston University School of Public Health - Youth Alcohol Prevention Center

Locations

Boston Medical Center Pediatric Emergency Department

Boston, Massachusetts, United States

Site Status: RECRUITING

Boston University School of Public Health - Youth Alcohol Prevention Center

Boston, Massachusetts, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Barbara Cole

Role: CONTACT

barbcole@bu.edu

617-638-4600

Facility Contacts

Barbara Cole

Role: primary

barbcole@bu.edu

617-638-4600

Barbara Cole

Role: primary

barbcole@bu.edu

617-638-4600

Related Links

http://sph.bu.edu/index.php?option=com_content&task=view&id=412&Itemid=515

Reaching Adolescents for Prevention (RAP), Boston University School of Public Health

Other Identifiers

NIH 5P60 AA13759

Identifier Type: -

Identifier Source: secondary_id

NIAAABER13759

Identifier Type: -

Identifier Source: org_study_id