Emotion Regulation, Risk Reduction, Risk Reduction Behavior, Substance Use, Substance Use (Drugs, Alcohol), Substance Use Risk
Conditions
Keywords
adolescent substance use, emotion regulation, risk reduction
Brief summary
This study will examine the effectiveness of ON-TRAC (Options for Navigating Talking about Risk and Adolescent Choices), which is an online substance use prevention program that also teaches emotion regulation skills. 200 adolescents, 12-15 years of age, will be randomized to ON-TRAC or a wait list comparison group (who will be offered the intervention at the end of their study participation) to determine impact on substance use, emotion regulation abilities, mental health symptoms, and other risk behavior outcomes.
Interventions
BEHAVIORALON-TRAC
Online tablet-based intervention that teaches youth emotion regulation skills and integrates substance use prevention content
Sponsors
Rhode Island Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to 15 Years
Healthy volunteers
Yes
Inclusion criteria
* Contact with the Rhode Island child welfare system * Caregiver who is a parent/guardian of a child who experienced maltreatment * Caregiver who speaks English or Spanish * Caregiver who does not have developmental delays * Adolescent who is between 12-15 years of age * Adolescent who is fluent in English * Adolescent who has active follow-up with the Rhode Island child welfare system due to an indicated finding of abuse or neglect in the past year
Exclusion criteria
* Adolescent who cannot read at a 4th grade level * Adolescent who has a sibling who has participated in the program * Adolescent who has developmental delays * Adolescent who lacks parental consent for the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Timeline Follow Back | Baseline, 2-, 5-, and 8-months | A calendar assisted daily substance use estimation method obtained by interview. Days used will serve as primary outcome. More days used represent more substance use. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Drinking Refusal Self-Efficacy Questionnaire - Shortened Adolescent Version | Baseline, 2-, 5-, and 8-months | Assesses self-efficacy to resist alcohol use. Scores range from 9 to 54. Higher scores represent greater drinking refusal self-efficacy. |
| Drinking Refusal Self-Efficacy Questionnaire - Shortened Adolescent Version (Adapted for Marijuana Use) | Baseline, 2-, 5-, and 8-months | Assesses self-efficacy to resist marijuana use. Scores range from 9 to 54. Higher scores represent greater marijuana refusal self-efficacy. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Emotion Regulation Behaviors Scale | Baseline, 2-, 5-, and 8-months | Assesses use of emotion regulation behaviors taught in the intervention. Scores range from 9 to 36. Higher scores indicate more frequent use of the strategies taught. |
| Diagnostic Analysis of Nonverbal Accuracy-2 | Baseline, 2-, and 8-months | Computer-based measure that asks participants to identify the emotion of facial expressions displayed in photographs. Scores range from 0 to 20. Higher scores indicate better identification of emotions. |
| Behavioral Indicator of Resiliency to Distress | Baseline, 2-, and 8-months | Computerized frustration task in which participants are given the option to quit at any time. Scores range from 0 to 300 seconds. Higher scores indicate more persistence in a frustrating task. |
| Self-Efficacy Questionnaire for Children | Baseline, 2-, 5-, and 8-months | Assesses perception of ability to cope with negative emotions. Scores range from 8 to 40. Higher scores indicate greater perceived ability to cope with negative emotions. |
| Youth Risk Behavior Surveillance Survey | Baseline, 2-, 5-, and 8-months | Single items assess other risk behaviors such as sexual risk or violence behaviors. Endorsement of each individual item indicates engagement in the risk behavior. |
| Respiratory sinus arrhythmia | Baseline and 2-month follow up | Collected in response to virtual reality scenes, RSA is a physiological marker of emotion regulation processes calculated from heart rate variability as an index of parasympathetic activity. |
| Feasibility and Acceptability Scale | 2-month follow-up (ON-TRAC group only) | Assesses acceptability of digital interventions to assess implementation outcomes. Scores range from 5 to 25. Higher scores indicate greater acceptability of the intervention. |
| System Usability Scale | 2-month follow-up (ON-TRAC group only) | Assesses usability of technology programs to assess implementation outcomes. Scores range from 10 to 50. Higher scores indicate greater usability of the intervention. |
| Implicit Theories of Emotions for Children - Self subscale | Baseline, 2-, 5-, and 8-months | Assesses beliefs about the controllability of emotions. Scores range from 6 to 36. Higher scores indicate stronger beliefs about the controllability of emotions. |
| Patient-Reported Outcome Measures Information System - Anger Scale | Baseline, 2-, 5-, and 8-months | Assesses symptoms of mental health and social functioning. Scores range from 5 to 25. Higher scores indicate greater anger. |
| Difficulties in Emotion Regulation Scale | Baseline, 2-, 5-, and 8-months | Assesses perceptions of emotion regulation skills. Scores range from 18-90. Higher scores indicate more difficulty regulating emotions. |
Contacts
Primary ContactChristopher Houck, PhD
Backup ContactStephanie Parade, PhD
Outcome results
None listed