Trial Outcomes & Findings for A Social Network AOD Intervention for Homeless Youth Transitioning to Housing (NCT NCT04637815)

NCT ID: NCT04637815

Last Updated: 2024-10-22

Results Overview

Count of days that respondent used cannabis in the past 30 days

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

39 participants

Primary outcome timeframe

30 days

Results posted on

2024-10-22

Participant Flow

Participants were recruited through a nonprofit agency in Los Angeles County that provides a comprehensive continuum of care to transitional age youth experiencing homelessness. The agency's case managers offered eligibility screening to all residents who had been at the facility for less than one year. Residents who consented to be contacted by the study team completed an eligibility screener and provided contact information and informed consent if eligible and willing to participate.

Recruitment was delayed throughout the project due to COVID-19 social-distancing restrictions and frequent resident quarantines. These restrictions also limited the number of MNI sessions that could be scheduled and completed. During the final year of the project, the project team ended randomization and assigned all study participants to the CONNECT arm to adjust for recruitment/session delivery shortfalls.

Participant milestones

Participant milestones
Measure
Intervention
The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management. Motivational Network Intervention: See earlier description
Usual Care
As part of residency, participants receive regular case management meetings. Since we are interested in evaluating the added benefit of the MNI over usual case management, residents in the control condition will be asked to meet with their case manager four times (once every two weeks) during their participation in the study. These meetings are anticipated to last approximately 30-60 minutes and will be customized to the residents' needs.
Overall Study
STARTED
26
13
Overall Study
COMPLETED
20
11
Overall Study
NOT COMPLETED
6
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention
The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management. Motivational Network Intervention: See earlier description
Usual Care
As part of residency, participants receive regular case management meetings. Since we are interested in evaluating the added benefit of the MNI over usual case management, residents in the control condition will be asked to meet with their case manager four times (once every two weeks) during their participation in the study. These meetings are anticipated to last approximately 30-60 minutes and will be customized to the residents' needs.
Overall Study
Death
1
0
Overall Study
Lost to Follow-up
5
2

Baseline Characteristics

A Social Network AOD Intervention for Homeless Youth Transitioning to Housing

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=24 Participants
The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management. Motivational Network Intervention: See earlier description
Usual Care
n=12 Participants
As part of residency, participants receive regular case management meetings. Usual Care: See earlier description
Total
n=36 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
24 Participants
n=5 Participants
12 Participants
n=7 Participants
36 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
21.2 years
STANDARD_DEVIATION 2.4 • n=5 Participants
21.7 years
STANDARD_DEVIATION 1.7 • n=7 Participants
21.3 years
STANDARD_DEVIATION 2.17 • n=5 Participants
Sex/Gender, Customized
Female
10 Participants
n=5 Participants
5 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex/Gender, Customized
Male
12 Participants
n=5 Participants
6 Participants
n=7 Participants
18 Participants
n=5 Participants
Sex/Gender, Customized
Unspecified
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants
n=5 Participants
4 Participants
n=7 Participants
17 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
8 Participants
n=7 Participants
19 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
2 Participants
n=7 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
11 Participants
n=5 Participants
2 Participants
n=7 Participants
13 Participants
n=5 Participants
Number of Days Cannabis Used
4.79 days
STANDARD_DEVIATION 5.76 • n=5 Participants
5.67 days
STANDARD_DEVIATION 8.67 • n=7 Participants
5.08 days
STANDARD_DEVIATION 6.75 • n=5 Participants
Proportion of Risky Network Members
.24 proportion
STANDARD_DEVIATION .27 • n=5 Participants
.05 proportion
STANDARD_DEVIATION .07 • n=7 Participants
.164 proportion
STANDARD_DEVIATION .222 • n=5 Participants
Number of Drinks Consumed on Drinking Days
3.75 drinks per day
STANDARD_DEVIATION 5.45 • n=5 Participants
3.58 drinks per day
STANDARD_DEVIATION 2.78 • n=7 Participants
3.69 drinks per day
STANDARD_DEVIATION 4.68 • n=5 Participants
Number of Drinking Days
4.79 days
STANDARD_DEVIATION 5.76 • n=5 Participants
5.67 days
STANDARD_DEVIATION 8.67 • n=7 Participants
5.08 days
STANDARD_DEVIATION 6.75 • n=5 Participants
Number of Days Consumed 5 (for Men) or 4 (for Women) Drinks on a Single Occasion
2.63 days
STANDARD_DEVIATION 5.24 • n=5 Participants
4.17 days
STANDARD_DEVIATION 8.33 • n=7 Participants
3.14 days
STANDARD_DEVIATION 6.36 • n=5 Participants
Proportion of Supportive Network Members
.56 proportion
STANDARD_DEVIATION .31 • n=5 Participants
.60 proportion
STANDARD_DEVIATION .30 • n=7 Participants
.59 proportion
STANDARD_DEVIATION .30 • n=5 Participants
Average network centrality - risky alters
.328 average connections
STANDARD_DEVIATION .401 • n=5 Participants
.167 average connections
STANDARD_DEVIATION .30 • n=7 Participants
.271 average connections
STANDARD_DEVIATION .372 • n=5 Participants
Average network centrality - supportive alters
1.50 average connections
STANDARD_DEVIATION 1.31 • n=5 Participants
2.24 average connections
STANDARD_DEVIATION 2.65 • n=7 Participants
1.77 average connections
STANDARD_DEVIATION 1.89 • n=5 Participants

PRIMARY outcome

Timeframe: 30 days

Count of days that respondent used cannabis in the past 30 days

Outcome measures

Outcome measures
Measure
Intervention
n=20 Participants
The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management. Motivational Network Intervention: See earlier description
Usual Care
n=11 Participants
As part of residency, participants receive regular case management meetings. Usual Care: See earlier description
Number of Days Cannabis Used
23.7 days
Standard Deviation 10.5
7.36 days
Standard Deviation 11.2

PRIMARY outcome

Timeframe: 4 weeks

Proportion of network members who engaged in substance use or the participant used more substances when they were with the network member.

Outcome measures

Outcome measures
Measure
Intervention
n=20 Participants
The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management. Motivational Network Intervention: See earlier description
Usual Care
n=11 Participants
As part of residency, participants receive regular case management meetings. Usual Care: See earlier description
Proportion of Risky Network Members
.242 proportion of network members
Standard Deviation .342
.0797 proportion of network members
Standard Deviation .106

PRIMARY outcome

Timeframe: 30 days

Participants reported on the typical number of drinks they consumed on drinking days in the past month.

Outcome measures

Outcome measures
Measure
Intervention
n=20 Participants
The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management. Motivational Network Intervention: See earlier description
Usual Care
n=11 Participants
As part of residency, participants receive regular case management meetings. Usual Care: See earlier description
Number of Drinks Consumed on Drinking Days
2.30 drinks per day
Standard Deviation 2.25
3.64 drinks per day
Standard Deviation 5.54

PRIMARY outcome

Timeframe: 30 days

Number of days in the past month (0-30) that participants reported engaging in any alcohol use.

Outcome measures

Outcome measures
Measure
Intervention
n=20 Participants
The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management. Motivational Network Intervention: See earlier description
Usual Care
n=11 Participants
As part of residency, participants receive regular case management meetings. Usual Care: See earlier description
Number of Drinking Days
7.45 days
Standard Deviation 8.47
6.09 days
Standard Deviation 9.35

PRIMARY outcome

Timeframe: 30 days

Number of days in the past month (0-30) that participants reported engaging in heavy alcohol use (5 or more drinks for men and four or more drinks for women on a single occasion).

Outcome measures

Outcome measures
Measure
Intervention
n=20 Participants
The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management. Motivational Network Intervention: See earlier description
Usual Care
n=11 Participants
As part of residency, participants receive regular case management meetings. Usual Care: See earlier description
Number of Days Consumed 5 (for Men) or 4 (for Women) Drinks on a Single Occasion
1.95 days
Standard Deviation 2.89
2.91 days
Standard Deviation 8.35

Adverse Events

Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Usual Care

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

David P. Kennedy

RAND

Phone: 3104673904

Results disclosure agreements

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