A Digital Intervention to Prevent the Initiation of Opioid Misuse in Adolescents in School-based Health Centers

NCT ID: NCT04941950

Last Updated: 2025-04-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

533 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-19

Study Completion Date

2025-03-01

Brief Summary

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The primary hypothesis of this study is that at 3 months, there will be a higher proportion of intervention participants vs. control participants who report greater risk of harm from misuse of prescription opioids AND heroin.

Detailed Description

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This study's specific aims are to:

Conduct a randomized controlled trial with 532 high-risk adolescents in 10 School Based Health Centers (SBHCs), to compare PlaySmart to attention/time control games, with assessments post- gameplay (6 weeks), and at 3, 6, and 12 months following enrollment to determine if PlaySmart: 1) increases proportion of participants who report a perception of great risk of harm from misuse of opioids at 3 months; and 2) decreases intentions to misuse opioids; 3) increases self-efficacy for refusing opioids; 4) prevents initiation of opioid misuse, at all time-points.

Conditions

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Opioid Misuse

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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PlaySmart

Video game intervention.

Group Type EXPERIMENTAL

PlaySmart

Intervention Type BEHAVIORAL

PlaySmart is designed to provide players with behavioral skills and knowledge through repetitive and engaging videogame play to target adolescent perception of risk of harm from initiating opioid misuse.

Control Game

Control video game intervention.

Group Type OTHER

Video Game Control

Intervention Type OTHER

Participants in the control group will play another video game with no intended effect similar to PlaySmart.

Interventions

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PlaySmart

PlaySmart is designed to provide players with behavioral skills and knowledge through repetitive and engaging videogame play to target adolescent perception of risk of harm from initiating opioid misuse.

Intervention Type BEHAVIORAL

Video Game Control

Participants in the control group will play another video game with no intended effect similar to PlaySmart.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Participants must:
* 1\) preferably be enrolled in their high school's School-Based Health Center;
* 2\) report NOT having engaged in any prior opioid misuse;
* 3\) be at "high-risk" based on their report at baseline of past 30-day use of cigarettes, e-cigarettes, Juul, alcohol, marijuana (including synthetics), amphetamine, cocaine, benzodiazepines, ecstasy, bath salts, or any other misuse of non-opioid prescription drugs or use of non-opioid illicit drugs OR have a score of ≥1 on the PHQ-2 OR a score of ≥1 on the GAD-2 (both screening tools used by SBHA);
* 4\) be willing to sit for 60 minutes/session to play the game;
* 5\) be able to provide assent/parental/guardian consent (if under age 18).
Minimum Eligible Age

16 Years

Maximum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

Trustees of Dartmouth College

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lynn E Fiellin, MD

Role: PRINCIPAL_INVESTIGATOR

Director, play2PREVENT Lab & Professor, BDS at Geisel School of Medicine at Dartmouth College

Locations

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Harding High School

Bridgeport, Connecticut, United States

Site Status

Coginchaug High School

Durham, Connecticut, United States

Site Status

CT River Academy

East Hartford, Connecticut, United States

Site Status

Fairfield College Preparatory School

Fairfield, Connecticut, United States

Site Status

Fitch High School

Groton, Connecticut, United States

Site Status

Hamden High School

Hamden, Connecticut, United States

Site Status

Weaver High School

Hartford, Connecticut, United States

Site Status

Maloney High School

Meriden, Connecticut, United States

Site Status

Platt High School

Meriden, Connecticut, United States

Site Status

Hopkins High School

New Haven, Connecticut, United States

Site Status

New London High School

New London, Connecticut, United States

Site Status

Stamford High School

Stamford, Connecticut, United States

Site Status

Westhill High School

Stamford, Connecticut, United States

Site Status

Academy of Information, Technology, and Engineering

Stamford, Connecticut, United States

Site Status

West Haven High School

West Haven, Connecticut, United States

Site Status

Countries

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United States

References

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Pendergrass Boomer TM, Hoerner LA, Fernandes CF, Maslar A, Aiudi S, Kyriakides TC, Fiellin LE. A digital health game to prevent opioid misuse and promote mental health in adolescents in school-based health settings: Protocol for the PlaySmart game randomized controlled trial. PLoS One. 2023 Sep 8;18(9):e0291298. doi: 10.1371/journal.pone.0291298. eCollection 2023.

Reference Type DERIVED
PMID: 37683047 (View on PubMed)

Other Identifiers

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1UG3DA050251-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2000030553

Identifier Type: -

Identifier Source: org_study_id

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