Alcohol Screening & Brief Lntervention in Juvenile Justice: Filling the Gap

NCT ID: NCT02106754

Last Updated: 2019-10-10

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 576 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2012-09-30
• Study Completion Date: 2019-05-31

Brief Summary

This proposal is in response to RFA-AA-12-008, Evaluation of NIAAA's Alcohol Screening Guide for Children and Adolescents. Of particular interest to the agency are evaluation of the Screener in clinical and/or other settings to predict alcohol-related consequences including use disorder; its use as an initial screen for drug use, cigarette smoking, conduct disorder, and unprotected sex; and its performance in making predictions concurrently and prospectively. This proposal targets these areas of interest. In addition, the investigators will study implementation of the Brief Intervention (BI) associated with the Screener. There is a great need for both screening and BI in juvenile probation settings as many of these youths have great need but are underserved.Many probation departments are turning to BI to work with probationers and parolees. Screening and BI has demonstrated efficacy in these settings, and yet no randomized control trials have been conducted to evaluate effectiveness in juvenile probation settings. Probation Officers (POs; n=40) are randomized to Screener (S), Screener+BI (SBI), or coaching (CSBI). Youths (N=1000) are randomized to 1 of these 3 conditions, and all receive usual services (US). US consist of regular check-in with PO and access to referral services as needed (counseling, academic tutoring, etc.). Research staffers conduct in-depth assessment at baseline, 6- and 12- months. Sensitivity, specificity, and positive and negative predictive powers (SN, SP, PP, NP) are calculated to predict alcohol risk and consequences, as well as other risky behaviors concurrently and prospectively across age-groups. A 1-way design (S vs SBI vs CSBI) will be used to determine whether SBI and CSBI enhance youth services-use and reduce risks (e.g., alcohol use, risky sex). We examine moderators of outcomes (youth age, PO characteristics) and whether coaching (an important consideration in implementation science) in use of BI improves outcomes. This study will be the first randomized controlled trial evaluating the effectiveness of SBI in a juvenile probation setting.

Detailed Description

1. A) To evaluate SN, SP, PP and NP of the 2-question Alcohol Screener to detect: a) alcohol problems (academic, social, injuries, intoxicated driving, unprotected sex), b) abuse/dependence, c) past 4 week binge drinking. 1B) This will be repeated to predict risk prospectively over 12 months. Classification rates will be compared for race, ethnicity, gender, and age groups.

2. A) To evaluate SN, SP, PP and NP of the 2-question Screener to detect a) 30-day drug use, b) 30-day cigarette use, c) conduct disorder, d) unprotected sex. 2B) This will be repeated to predict risk prospectively over 12 months. Classification rates will be compared for race, ethnicity, gender, and age groups. 3) To evaluate BI as compared to usual procedures. The investigators hypothesize those youths in BI will a) receive more services, b) be more satisfied with services, c) rate the relationship with the PO more highly, and d) have improved outcomes (alcohol, alcohol-related problems, problem recognition).

Conditions

Evaluating NIAAA's Alcohol Screener; Evaluating a Brief Intervention

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Brief Intervention

Youth may receive brief intervention from their provider based on randomization.

Group Type: EXPERIMENTAL

Brief Intervention

Intervention Type: BEHAVIORAL

Treatment As Usual

Youth may receive treatment as usual from their provider based on randomization.

Group Type: ACTIVE_COMPARATOR

Treatment as Usual

Intervention Type: BEHAVIORAL

Brief Intervention with Coaching

Youth may receive brief intervention with coaching from their provider based on randomization.

Group Type: EXPERIMENTAL

Brief Intervention with Coaching

Intervention Type: BEHAVIORAL

Interventions

Brief Intervention

Intervention Type: BEHAVIORAL

Brief Intervention with Coaching

Intervention Type: BEHAVIORAL

Treatment as Usual

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Youths 9-18 years old

Exclusion Criteria

• Age (< 9, >18 years)
• Prior enrollment in a behavioral intervention study
• PO previously engaging them with Screener

• Minimum Eligible Age: 9 Years
• Maximum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Brown University

OTHER

Sponsor Role: collaborator

University of Rhode Island

OTHER

Sponsor Role: lead

Responsible Party

Lynda Stein, Ph.D.

Professor, University of Rhode Island

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Lyn Stein

Role: PRINCIPAL_INVESTIGATOR

URI

Locations

University of Rhode Island

Kingston, Rhode Island, United States

Countries

United States

Other Identifiers

R01AA021855

Identifier Type: NIH

Identifier Source: org_study_id

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