Alcohol Misuse, Cannabis Misuse
Conditions
Keywords
alcohol misuse, cannabis misuse
Brief summary
This study aims to improve a short motivational conversation to better help young adults who were injured in assaults and also use alcohol or cannabis. Researchers will gather both interview and survey data from young adults who came to the emergency department after an assault and currently use alcohol or cannabis. Guided by a theory about risky behaviors, the study will focus on how confident young people feel about making changes to their alcohol and cannabis use, and how their friends and family influence their alcohol and cannabis use and involvement in injuries from assault. The team will follow a step-by-step process used by the NIH to adapt and test the improved motivational conversation in the emergency department.
Detailed description
Aim 1: Quantitatively and qualitatively assess self-efficacy, perceived peer and familial norms, and motivation to reduce alcohol and/or cannabis use and engage in treatment referral, among assault-injured emerging adults. AIM 2: Adapt the BNI for use among assault-injured emerging adults with alcohol and/or cannabis misuse in the ED. AIM 3: Determine the feasibility and acceptability of an adapted BNI among assault-injured emerging adults with alcohol and/or cannabis misuse presenting to the ED through a randomized pilot trial comparing those who have received the adapted BNI and treatment referrals to a referrals-only control group. The focus of this registration is the randomized pilot in Aim 3. Anticipated start dates will be reflected in the clinical trial component in Aim 3.
Interventions
BEHAVIORALBrief Negotiation Interview intervention (BNI) (adapted)
A brief motivational interview designed to increase motivation to reduce alcohol and/or cannabis use and engagement in treatment referral.
Sponsors
Yale University
National Institute on Drug Abuse (NIDA)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
Aim 1: * Be clients of the Yale Hospital Violence Intervention Program (YHVIP) * Be between the ages of 18-25 y/o upon study enrollment * Have sustained an intentional injury inflicted by another person not considered to be a boy/girlfriend, fiancée, or spouse in the past year * Report current alcohol and/or cannabis misuse * Be English-speaking and able to provide informed consent. Aim 2 and 3: * Present to Yale New Haven Hospital ED for an intentional injury inflicted by another person not considered to be a boy/girlfriend, fiancée, or spouse * Be between the ages of 18-25 y/o upon study enrollment * Report current alcohol and/or cannabis misuse * Be English-speaking and able to provide informed consent.
Exclusion criteria
Aim 1: * Be actively suicidal or severely cognitively impaired precluding informed consent * Sustain an intentional injury from a boy/girlfriend, fiancée, or spouse or sexual assault * Be incarcerated or in police custody * Currently engaged in addiction treatment Aim 2 and 3: * Be actively suicidal or severely cognitively impaired precluding informed consent * Sustain intentional injury from a boy/girlfriend, fiancée, spouse or by sexual assault * Be incarcerated or in police custody * Currently engaged in addiction treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility assessed by recruitment | Day 0 and 30 | Recruitment measured as the percentage of those invited/those who enrolled |
| Feasibility assessed by randomization | Day 0 and 30 | Recruitment measured as the percentage of screened eligible participants who enroll/those who receive either intervention or control arm |
| Feasibility assessed by retention | Day 0 and 30 | Recruitment measured as the percentage of those enrolled who have received either intervention or control arm/ participants who have completed all 30-day follow up assessments |
| Acceptability assessed by Acceptability of Intervention Measure (AIM) | Day 0 | Acceptability of the intervention will be assessed using the Acceptability of Intervention Measure (AIM). It has 4-items scored on a 5-point Likert scale summed to achieve a total score. Total score range of 0-20. Higher scores indicate more acceptability. |
Countries
United States
Contacts
CONTACTEdouard Coupet Jr., MD, MS
PRINCIPAL_INVESTIGATOREdouard Coupet, MD, MS
Yale University
Outcome results
None listed