Drug Abuse, Alcohol Abuse, Nicotine Dependence
Conditions
Keywords
Substance abuse, Drug abuse, Alcohol abuse, Tobacco, Adolescent
Brief summary
The purpose of this study is to test the effects of a computerized, self-directed Motivational Enhancement Therapy program for adolescent substance use (iMET), in comparison to clinician-delivered MET and Treatment As Usual (TAU), on treatment engagement and substance use. The investigators hypothesize that both iMET and MET will be more effective than TAU in engaging/retaining patients in treatment and in reducing substance use during a 12-month follow-up period. The investigators also hypothesize that Self-directed iMET will be as effective as the clinician-guided MET in increasing treatment engagement and abstinence during the 12-months follow-up period.
Interventions
Sponsors
Boston Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to 21 Years
Healthy volunteers
No
Inclusion criteria
* completed initial visit at the treatment program; * be available to return for iMET/MET sessions (if assigned) * be available to complete all follow-up measurements * a past-12-month CRAFFT score \>1 * have used substances on \>6 days (not including tobacco use) during the 90 days preceding their visit
Exclusion criteria
* unable to speak and understand English, or read English at a 5th grade reading level * youth deemed by the clinical team to require immediate hospitalization or referral to more intensive residential treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Treatment engagement | 12 months | We will compare the number of individual visits in the program, the number of group sessions completed, and the number of urine screens completed during a 12 month follow-up period by each participant in the three study arms. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Days abstinent | past-90-days | We will calculate the past-90-days number of days abstinent from any substance use and from the primary substance and the number of weeks abstinent from any substance use. |
| Driving/Riding Risk | past-90-days | We will compare group trends in prevalence and frequency of past-90-days Driving while impaired or Riding with an impaired driver. |
| HIV Risk Behavior | past-90-days | We will compare group trends in prevalence and frequency of past-90-days HIV Risk Behaviors. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Treatment process/quality | 60 days | We will compare completion of the 2 MET sessions, and completion of the third follow-up visit between the iMET and MET conditions. |
Countries
United States
Outcome results
None listed