Ignite Creation Date:
2024-05-05 @ 4:41 PM
Last Modification Date:
2024-10-26 @ 9:23 AM
Study NCT ID:
NCT00292240
Status:
COMPLETED
Last Update Posted:
2024-04-25
First Post:
2006-02-13
Brief Title:
Brief Youth Substance Use Intervention for Primary Care
Sponsor:
RAND
Organization:
RAND
Study Overview
Official Title:
None
Status:
COMPLETED
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Over the past decade many new programs intended to prevent substance use among adolescents have been developed and evaluated There has been a recent shift towards brief interventions for youth in school Brown 2001 DAmico and Fromme 2002 and health care settings such as emergency rooms and inpatient clinics Barnett et al 2001 Colby et al 1998 Monti et al 1999 Although the primary care setting presents a unique opportunity to intervene with youth concerning drug use such as marijuana or inhalants many youth are not screened for use Friedman et al 1990 Johnson and Millstein 2003 Middleman et al 1995 and preventive services in this setting are significantly below recommended levels Halpern-Felsher et al 2000 Klein et al 2001 Ozer et al 2001 The objectives of the proposed research are to 1 explore the feasibility of adapting a brief intervention from our previous work for use in the primary care PC setting and 2 assess the short-term efficacy of the intervention in the PC setting During year 1 focus groups of high-risk youth n16 parents n8 and providers n8 will provide feedback on barriers to implementing a substance use brief intervention in a PC setting We define high-risk youth as those who may have already developed regular patterns of use or have experienced some problems due to their use In addition the intervention will be pilot tested with 10 high-risk youth who will provide feedback on intervention content Revisions will be made to the intervention curriculum based on this feedback and in year 2 the short-term efficacy of the intervention will be tested with a small sample of high-risk youth n30 This study will extend brief intervention research for youth as it will be one of the first to examine the feasibility of implementing a brief substance use intervention to PC with high-risk youth and to determine the impact of this intervention on short-term outcomes
Detailed Description:
Over the past decade many new programs intended to motivate adolescents to decrease substance use have been developed and evaluated There has been a recent shift towards brief interventions for youth in school Brown 2001 DAmico and Fromme 2002 and health care settings such as emergency rooms and inpatient clinics Barnett et al 2001 Colby et al 1998 Monti et al 1999 Many youth who use drugs and alcohol are at risk for consequences Johnston et al 2003 The primary care setting presents a unique opportunity to intervene with substance abusing adolescents as 70 of youth age 10-18 visit a physician approximately 3 times a year Gans and Newacheck 1991 Monheit and Cunningham 1992 However many youth are not screened for use in this setting Friedman et al 1990 Johnson and Millstein 2003 Middleman et al 1995 and preventive services are significantly below recommended levels Halpern-Felsher et al 2000 Klein et al 2001 Ozer et al 2001 This may be due to clinician time constraints and insufficient training on substance abuse adolescent fear that parents may see the record and clinician discomfort in asking questions about substance use Blum 1987 Blum et al 1996 Lustig et al 2001 Marcell et al 2002 Middleman et al 1995
The present proposal is designed to meet the objectives of the ExploratoryDevelopmental Grants program R21 for studies that will contribute to the development of future more intensive and larger research programs The objectives of the proposed research are to 1 explore the feasibility of adapting a brief intervention from our previous work in schools and emergency rooms for use in the primary care setting and 2 assess the short-term efficacy of the intervention in the primary care setting This project serves as our first step in an innovative line of research designed to examine the viability of utilizing brief interventions targeting adolescent drug use in primary care settings Our objectives will be accomplished through the following aims
1 Explore the feasibility of adapting a brief intervention for high-risk youth in a primary care PC setting We will determine barriers and facilitative factors associated with implementing a brief intervention in a PC setting through focus groups with high-risk youth n16 parents n8 and clinicians n8 Intervention content will be established through modifications of our previous brief intervention work in school and hospital settings and from focus group feedback from adolescents clinicians and parents We anticipate the intervention will take 15 minutes and will be implemented by a clinician eg nurse in the PC setting The intervention will emphasize motivational techniques and will address a variety of substances including marijuana inhalants alcohol and cigarettes We will pilot test the intervention with a small sample of high-risk youth n10 to obtain feedback to discern whether the intervention was difficult to implement eg time constraints comfort level and how youth felt about receiving feedback from their clinicians on their substance use eg was it helpful What other topics would they have liked to discuss We will modify content based on this feedback
2 Implement and assess short-term efficacy of a brief intervention for high-risk youth in a PC setting We will implement the intervention in the PC setting with a small sample of high-risk youth n30 and assess its potential impact on short-term outcomes eg perceived prevalence of peer use self-change efforts at a 3-month follow up These youth will be compared to an assessment only control group n30
This research will culminate with the development of a longer-term plan for implementing and evaluating the intervention more intensively with a larger sample Products will include 1 intervention materials adapted for use with high-risk youth in primary care settings 2 pilot data on intervention feasibility and implementation and 3 an R01 application to examine the generalizability and long-term impact of the intervention
The present proposal is designed to meet the objectives of the ExploratoryDevelopmental Grants program R21 for studies that will contribute to the development of future more intensive and larger research programs The objectives of the proposed research are to 1 explore the feasibility of adapting a brief intervention from our previous work in schools and emergency rooms for use in the primary care setting and 2 assess the short-term efficacy of the intervention in the primary care setting This project serves as our first step in an innovative line of research designed to examine the viability of utilizing brief interventions targeting adolescent drug use in primary care settings Our objectives will be accomplished through the following aims
1 Explore the feasibility of adapting a brief intervention for high-risk youth in a primary care PC setting We will determine barriers and facilitative factors associated with implementing a brief intervention in a PC setting through focus groups with high-risk youth n16 parents n8 and clinicians n8 Intervention content will be established through modifications of our previous brief intervention work in school and hospital settings and from focus group feedback from adolescents clinicians and parents We anticipate the intervention will take 15 minutes and will be implemented by a clinician eg nurse in the PC setting The intervention will emphasize motivational techniques and will address a variety of substances including marijuana inhalants alcohol and cigarettes We will pilot test the intervention with a small sample of high-risk youth n10 to obtain feedback to discern whether the intervention was difficult to implement eg time constraints comfort level and how youth felt about receiving feedback from their clinicians on their substance use eg was it helpful What other topics would they have liked to discuss We will modify content based on this feedback
2 Implement and assess short-term efficacy of a brief intervention for high-risk youth in a PC setting We will implement the intervention in the PC setting with a small sample of high-risk youth n30 and assess its potential impact on short-term outcomes eg perceived prevalence of peer use self-change efforts at a 3-month follow up These youth will be compared to an assessment only control group n30
This research will culminate with the development of a longer-term plan for implementing and evaluating the intervention more intensively with a larger sample Products will include 1 intervention materials adapted for use with high-risk youth in primary care settings 2 pilot data on intervention feasibility and implementation and 3 an R01 application to examine the generalizability and long-term impact of the intervention
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None