Trial Outcomes & Findings for Mindfulness Mobile App to Reduce Adolescent Substance Use (NCT NCT04027075)

NCT ID: NCT04027075

Last Updated: 2024-12-12

Results Overview

An EZ Split Key 10 panel cup was used to detect marijuana in a urine sample.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

257 participants

Primary outcome timeframe

Baseline, 3 months

Results posted on

2024-12-12

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
This group will receive services as usual from the Department of Youth Services.
Overall Study
STARTED
129
128
Overall Study
COMPLETED
88
106
Overall Study
NOT COMPLETED
41
22

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
This group will receive services as usual from the Department of Youth Services.
Overall Study
Lost to Follow-up
41
22

Baseline Characteristics

Mindfulness Mobile App to Reduce Adolescent Substance Use

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Total
n=257 Participants
Total of all reporting groups
Age, Continuous
15.30 years
STANDARD_DEVIATION 1.62 • n=5 Participants
15.23 years
STANDARD_DEVIATION 1.68 • n=7 Participants
15.26 years
STANDARD_DEVIATION 1.64 • n=5 Participants
Sex: Female, Male
Female
50 Participants
n=5 Participants
51 Participants
n=7 Participants
101 Participants
n=5 Participants
Sex: Female, Male
Male
79 Participants
n=5 Participants
77 Participants
n=7 Participants
156 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
9 Participants
n=5 Participants
14 Participants
n=7 Participants
23 Participants
n=5 Participants
Race (NIH/OMB)
White
96 Participants
n=5 Participants
81 Participants
n=7 Participants
177 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
12 Participants
n=5 Participants
14 Participants
n=7 Participants
26 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants
n=5 Participants
11 Participants
n=7 Participants
18 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, 3 months

An EZ Split Key 10 panel cup was used to detect marijuana in a urine sample.

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Number of Participants With Marijuana Use
Baseline
47 Participants
40 Participants
Number of Participants With Marijuana Use
3 months
41 Participants
41 Participants

PRIMARY outcome

Timeframe: Baseline, 3 months

An EZ Split Key 10 panel cup was used to detect prescribed drugs in a urine sample.

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Number of Participants With Prescribed Drugs Use
Baseline
55 Participants
46 Participants
Number of Participants With Prescribed Drugs Use
3 months
22 Participants
27 Participants

PRIMARY outcome

Timeframe: Baseline, 3 months

An EZ Split Key 10 panel cup was used to detect hard drugs in a urine sample.

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Number of Participants With Hard Drug Use
Baseline
22 Participants
14 Participants
Number of Participants With Hard Drug Use
3 months
15 Participants
14 Participants

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Change in nicotine use (frequency of use and amount consumed) as measured by Youth Substance Use Interview

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Adolescent Use of Cigarettes
Baseline
20 Participants
14 Participants
Change in Adolescent Use of Cigarettes
1 month
13 Participants
12 Participants
Change in Adolescent Use of Cigarettes
3 month
16 Participants
13 Participants

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Change in alcohol use (frequency of use and amount consumed) as measured by Youth Substance Use Interview

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Adolescent Use of Alcohol
Baseline
23 Participants
15 Participants
Change in Adolescent Use of Alcohol
1 month
10 Participants
12 Participants
Change in Adolescent Use of Alcohol
3 months
18 Participants
17 Participants

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Change in marijuana use (frequency of use and amount consumed) as measured by Youth Substance Use Interview

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Adolescent Use of Marijuana
Baseline
52 Participants
35 Participants
Change in Adolescent Use of Marijuana
1 month
29 Participants
35 Participants
Change in Adolescent Use of Marijuana
3 months
40 Participants
35 Participants

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Change in use of hard drugs as measured by the Youth Substance Use Interview

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Adolescent Use of Other Recreational Substances
Baseline
52 Participants
54 Participants
Change in Adolescent Use of Other Recreational Substances
1 month
16 Participants
17 Participants
Change in Adolescent Use of Other Recreational Substances
3 months
18 Participants
17 Participants

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Self-efficacy for limiting substance use consists of 6 items that assess the ability to abstain from drug use. Response options range from 0 = cannot do at all to 10 = certainly can do. A sum score was computed and thus, values can range between 0 and 60. Higher scores indicate greater ability to abstain

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Ability to Limit Substance Use
Baseline
46.60 units on a scale
Standard Deviation 11.72
43.34 units on a scale
Standard Deviation 14.23
Change in Ability to Limit Substance Use
1 month
47.08 units on a scale
Standard Deviation 12.63
47.27 units on a scale
Standard Deviation 13.20
Change in Ability to Limit Substance Use
3 months
44.36 units on a scale
Standard Deviation 13.84
46.49 units on a scale
Standard Deviation 12.57

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Emotion Regulation is measured by the Difficulties in Emotion Regulation Scale. Emotional regulation was assessed with a 5-point response option (1 = almost never, 5 = almost always). A sum score was computed and thus, values can range between 1 and 55. A higher score indicates greater levels of emotional regulation.

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Emotion Regulation
Baseline
30.93 units on a scale
Standard Deviation 26.75
30.38 units on a scale
Standard Deviation 25.88
Change in Emotion Regulation
1 month
31.28 units on a scale
Standard Deviation 24.71
34.87 units on a scale
Standard Deviation 24.05
Change in Emotion Regulation
3 months
28.23 units on a scale
Standard Deviation 25.44
30.31 units on a scale
Standard Deviation 25.89

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Mindfulness is measured by the Five Facet Mindfulness Questionnaire. Mindfulness was assessed with a 5-point response option (1 = never or very rarely true, 5 = every often or always true) and sum scores were computed for each subscale. Subscales include observing (8 items), describing (8 items), acting with awareness (8 items), non-judging of inner experience (8 items), and non-reactivity to inner experience (7 items). Score could range from 8 to 40 for all subscales other than reactivity to inner experience which could range from 7 to 35. A higher score indicates greater levels of mindfulness.

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Mindfulness Behavior - Observing Subscale
Baseline
25.57 units on a scale
Standard Deviation 7.55
25.18 units on a scale
Standard Deviation 5.90
Change in Mindfulness Behavior - Observing Subscale
Pretest
25.29 units on a scale
Standard Deviation 6.15
24.98 units on a scale
Standard Deviation 6.03
Change in Mindfulness Behavior - Observing Subscale
Posttest
25.91 units on a scale
Standard Deviation 5.74
25.05 units on a scale
Standard Deviation 6.10

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Mindfulness is measured by the Five Facet Mindfulness Questionnaire. Mindfulness was assessed with a 5-point response option (1 = never or very rarely true, 5 = every often or always true) and sum scores were computed for each subscale. Subscales include observing (8 items), describing (8 items), acting with awareness (8 items), non-judging of inner experience (8 items), and non-reactivity to inner experience (7 items). Score could range from 8 to 40 for all subscales other than reactivity to inner experience which could range from 7 to 35. A higher score indicates greater levels of mindfulness.

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Mindfulness Behavior - Describing Subscale
Baseline
24.14 units on a scale
Standard Deviation 5.45
23.39 units on a scale
Standard Deviation 5.61
Change in Mindfulness Behavior - Describing Subscale
1 month
23.63 units on a scale
Standard Deviation 6.15
23.26 units on a scale
Standard Deviation 5.81
Change in Mindfulness Behavior - Describing Subscale
3 months
24.22 units on a scale
Standard Deviation 5.68
23.41 units on a scale
Standard Deviation 5.67

PRIMARY outcome

Timeframe: Baseline, 1 month, 2 months

Mindfulness is measured by the Five Facet Mindfulness Questionnaire. Mindfulness was assessed with a 5-point response option (1 = never or very rarely true, 5 = every often or always true) and sum scores were computed for each subscale. Subscales include observing (8 items), describing (8 items), acting with awareness (8 items), non-judging of inner experience (8 items), and non-reactivity to inner experience (7 items). Score could range from 8 to 40 for all subscales other than reactivity to inner experience which could range from 7 to 35. A higher score indicates greater levels of mindfulness.

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Mindfulness Behavior - Acting With Awareness Subscale
Baseline
21.86 units on a scale
Standard Deviation 5.88
22.16 units on a scale
Standard Deviation 6.07
Change in Mindfulness Behavior - Acting With Awareness Subscale
1 month
21.93 units on a scale
Standard Deviation 6.02
23.38 units on a scale
Standard Deviation 6.16
Change in Mindfulness Behavior - Acting With Awareness Subscale
3 months
22.49 units on a scale
Standard Deviation 5.73
22.88 units on a scale
Standard Deviation 6.35

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Mindfulness is measured by the Five Facet Mindfulness Questionnaire. Mindfulness was assessed with a 5-point response option (1 = never or very rarely true, 5 = every often or always true) and sum scores were computed for each subscale. Subscales include observing (8 items), describing (8 items), acting with awareness (8 items), non-judging of inner experience (8 items), and non-reactivity to inner experience (7 items). Score could range from 8 to 40 for all subscales other than reactivity to inner experience which could range from 7 to 35. A higher score indicates greater levels of mindfulness.

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Mindfulness Behavior - Non-judging of Inner Experience Subscale
Baseline
25.62 units on a scale
Standard Deviation 6.98
25.53 units on a scale
Standard Deviation 7.26
Change in Mindfulness Behavior - Non-judging of Inner Experience Subscale
1 month
26.49 units on a scale
Standard Deviation 7.29
25.49 units on a scale
Standard Deviation 7.67
Change in Mindfulness Behavior - Non-judging of Inner Experience Subscale
3 months
25.57 units on a scale
Standard Deviation 7.65
25.55 units on a scale
Standard Deviation 6.69

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Mindfulness is measured by the Five Facet Mindfulness Questionnaire. Mindfulness was assessed with a 5-point response option (1 = never or very rarely true, 5 = every often or always true) and sum scores were computed for each subscale. Subscales include observing (8 items), describing (8 items), acting with awareness (8 items), non-judging of inner experience (8 items), and non-reactivity to inner experience (7 items). Score could range from 8 to 40 for all subscales other than reactivity to inner experience which could range from 7 to 35. A higher score indicates greater levels of mindfulness.

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Mindfulness Behavior - Non-reactivity to Inner Experience Subscale
Baseline
19.97 units on a scale
Standard Deviation 4.60
19.72 units on a scale
Standard Deviation 4.56
Change in Mindfulness Behavior - Non-reactivity to Inner Experience Subscale
1 month
20.21 units on a scale
Standard Deviation 5.16
19.60 units on a scale
Standard Deviation 4.93
Change in Mindfulness Behavior - Non-reactivity to Inner Experience Subscale
2 month
21.07 units on a scale
Standard Deviation 4.72
19.59 units on a scale
Standard Deviation 4.71

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Change in attitude related to drug use is measured with Adolescent Attitudes toward Substance Use. Subscales are (1) Beliefs and Consequences (9 items) and (2) Lifestyle and Value incompatibility (5 items). Response options were 0 to 10. Standardized scores were computed and values could range from -2.0 to 2.0. Higher scores represent more prosocial attitudes.

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Attitude Toward Substance Use - Beliefs and Consequences Subscale
Baseline
-0.04 units on a scale
Standard Deviation 0.45
0.05 units on a scale
Standard Deviation 0.47
Change in Attitude Toward Substance Use - Beliefs and Consequences Subscale
1 month
0.01 units on a scale
Standard Deviation 0.53
-0.01 units on a scale
Standard Deviation 0.49
Change in Attitude Toward Substance Use - Beliefs and Consequences Subscale
3 months
-0.00 units on a scale
Standard Deviation 0.45
0.03 units on a scale
Standard Deviation 0.52

PRIMARY outcome

Timeframe: Baseline, 1 month, 3 months

Change in attitude related to drug use is measured with Adolescent Attitudes toward Substance Use. Subscales are (1) Beliefs and Consequences (9 items) and (2) Lifestyle and Value incompatibility (5 items). Response options were 0 to 10. Standardized scores were computed and values could range from -2.0 to 2.0. Higher scores represent more prosocial attitudes.

Outcome measures

Outcome measures
Measure
Intervention
n=129 Participants
This group will be asked to use the Qlarity app daily in the month following the baseline assessment. This group will also receive services as usual from the Department of Youth Services. Qlarity app users: Use of the Qlarity app involves completing 12 modules and 12 practice sessions over 30 days.
Services as Usual
n=128 Participants
This group will receive services as usual from the Department of Youth Services.
Change in Attitudes Towards Substance Use - Lifestyle and Value Incompatibility Subscale
Baseline
-0.04 units on a scale
Standard Deviation 0.57
-0.01 units on a scale
Standard Deviation 0.65
Change in Attitudes Towards Substance Use - Lifestyle and Value Incompatibility Subscale
1 month
-0.01 units on a scale
Standard Deviation 0.60
-0.02 units on a scale
Standard Deviation 0.60
Change in Attitudes Towards Substance Use - Lifestyle and Value Incompatibility Subscale
3 months
-0.04 units on a scale
Standard Deviation 0.56
0.03 units on a scale
Standard Deviation 0.66

Adverse Events

Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Services as Usual

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dana Smith

Oregon Research Behavioral Intervention Strategies, Inc.

Phone: 541-484-2123

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place