Alcohol Use, Contraception, HIV, Smoking
Conditions
Keywords
alcohol-exposed pregnancy, nicotine-exposed pregnancy, tobacco-exposed pregnancy, alcohol, contraception, smoking, pregnancy, HIV, prevention
Brief summary
This pilot study will: 1) demonstrate the feasibility of delivering CHOICES-TEEN with master's level mental health professionals within a juvenile justice setting; 2) determine acceptance of CHOICES-TEEN as measured by client adherence, retention, and treatment satisfaction; and 3) assess client improvement at 3-month follow-up (e.g., reduction of risk of HIV, nicotine-exposed pregnancy, and alcohol-exposed pregnancy).
Detailed description
The overall objective of this study is to assess the feasibility and promise of an adapted CHOICES preconception intervention (CHOICES-TEEN) in reducing the risk of HIV, nicotine-exposed pregnancy (NEP), and alcohol-exposed pregnancy (AEP) in adolescent females on intensive community probation. The current study posits that a two-session CHOICES intervention adapted to target multiple bundled health risks-AEP, NEP, and HIV-will be feasible, acceptable, and promising in reducing these risks among females on community-based juvenile probation. This study will: Aim 1: Modify the efficacious CHOICES preconception intervention to target the prevention of HIV, AEP, and NEP. The result will be a two session individual intervention (CHOICES-TEEN) and accompanying therapy manual based on the Transtheoretical Model (TTM) and Motivational Interviewing. Aim 2: Conduct a one-arm feasibility trial with females in the juvenile justice system to assess the promise of CHOICES-TEEN. This pilot study will: 1) demonstrate the feasibility of delivering CHOICES-TEEN with master's level mental health professionals within a juvenile justice setting; 2) determine acceptance of CHOICES-TEEN as measured by client adherence, retention, and treatment satisfaction; and 3) assess client improvement at 3-month follow-up (e.g., reduction of risk of HIV, NEP, and AEP). This study will inform subsequent Stage II/III behavioral intervention studies and contribute to a missing, fundamental element in the knowledge base - further understanding of the feasibility of targeting bundled health risks in high-risk adolescents, and the potential promise of a gender-specific intervention for this population.
Interventions
BEHAVIORALChoices-Teen
Choices-Teen participants in this condition will receive two brief motivational-interviewing-based counseling sessions, and one counseling session with a physician.
Sponsors
The University of Texas Health Science Center, Houston
University of Houston
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
14 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Have had vaginal intercourse with a male in the last 90 days * Inconsistent/ineffective contraception use * Inconsistent/ineffective condom use * Drinking at risk levels * Smoking * Available for the follow-up period
Exclusion criteria
* Pregnant * Infertile * Insufficient locator information * Language other than English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Risk of alcohol-exposed pregnancy | 3 months | Timeline Followback Interview |
| Risk of nicotine-exposed pregnancy | 3 months | Timeline Followback Interview |
| HIV risk | 3 months | Timeline Followback Interview |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pros and cons of engaging in health risk behaviors (alcohol, smoking, HIV) | 3 months | Decisional Balance Scale |
| Confidence/self-efficacy to not engage in health risk behaviors (alcohol, smoking, HIV) | 3 months | Confidence Scale |
| Temptation to engage in health risk behaviors (alcohol, smoking, HIV) | 3 months | Temptation Scale |
| Experiential and behavioral processes of change for health risk behaviors (alcohol, smoking, HIV) | 3 months | Processes of Change Questionnaire |
| Excessive alcohol consumption | 3 months | AUDIT Scale |
| Psychological distress and symptoms | 3 months | Brief Symptom Inventory -18 |
Outcome results
None listed