Tailored Teen Alcohol and Violence Prevention in the Emergency Room (ER)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Maureen A Walton, University of Michigan
ClinicalTrials.gov Identifier:
NCT00251212
First received: November 7, 2005
Last updated: April 9, 2014
Last verified: April 2014
  Purpose

This study is designed to address both alcohol misuse and violence among adolescents ages 14-18 seeking care in an urban emergency department (ED). The study is a randomized controlled trial comparing the effectiveness of a combined Adapted Motivational Interviewing and Skills Training intervention, delivered either by a computer or by a counselor, and an informational handout control condition.


Condition Intervention
Violence
Alcohol Abuse
Behavioral: Adapted Motivational Interviewing & Skills Training

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Factorial Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Tailored Teen Alcohol and Violence Prevention in the ER

Further study details as provided by University of Michigan:

Primary Outcome Measures:
  • Primary outcome variables include alcohol misuse and violent behaviors. [ Time Frame: 12-months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Secondary outcome measures include illicit drug use, unintentional injury, delinquency and weapon carriage. [ Time Frame: 12-months ] [ Designated as safety issue: Yes ]

Enrollment: 3694
Study Start Date: September 2006
Study Completion Date: October 2012
Primary Completion Date: October 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
Therapist delivered adapted motivational enhancement therapy and skills training
Behavioral: Adapted Motivational Interviewing & Skills Training
Single session, 45 minute brief intervention during Emergency Department Visit
Other Names:
  • 1: Therapist delivered brief intervention
  • 2: Computer delivered brief intervention
  • 3: Control condition
Active Comparator: 2
Computer delivered adapted motivational enhancement therapy and skills training
Behavioral: Adapted Motivational Interviewing & Skills Training
Single session, 45 minute brief intervention during Emergency Department Visit
Other Names:
  • 1: Therapist delivered brief intervention
  • 2: Computer delivered brief intervention
  • 3: Control condition
No Intervention: 3
3: Control brochure

Detailed Description:

This study will screen ~3000 adolescents in the ED (ages 14-18) over 30 months. Eligible adolescents will be asked to participate in the longitudinal study, stratified by age and gender and randomized to conditions (n=225/group): Computer Prevention Program, Counselor Prevention Program, or an informational handout control condition. Primary outcomes will be evaluated at 3, 6 and 12-months and include alcohol use/misuse, violent behaviors, illicit drug use, unintentional injury, delinquency, and weapon carriage. The proposed study integrates brief intervention strategies for alcohol misuse and violent behaviors using state-of-the-art technology to tailor the interventions to the specific risk factors of the adolescent. Tailored computerized programs use available technology to replace the need for clinical staff in the ED setting, where there is limited staff time to effect behavior change. This project will provide the critical first step toward the implementation of an integrated prevention program addressing overlapping risk factors that has the potential to be delivered to the millions of adolescents visiting urban Emergency Departments each year.

  Eligibility

Ages Eligible for Study:   14 Years to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • adolescents (ages 14-18) presenting to the ED for a medical injury or illness (except exclusions as noted below)
  • adolescents ability to provide informed assent/consent depending on age
  • access to a parent or guardian to provide informed consent

Exclusion Criteria:

  • adolescents who do not understand English
  • prisoners
  • adolescents classified by medical staff as "Level 1" trauma
  • adolescents deemed unable to provide informed consent
  • adolescents treated in the ED for suicide attempts
  • adolescents triaged to the psychiatric ED
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00251212

Sponsors and Collaborators
University of Michigan
Investigators
Principal Investigator: Maureen Walton, PhD, MPH University of Michigan
  More Information

Publications:

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Maureen A Walton, Associate Professor, University of Michigan
ClinicalTrials.gov Identifier: NCT00251212     History of Changes
Other Study ID Numbers: AA-014889-01A1
Study First Received: November 7, 2005
Last Updated: April 9, 2014
Health Authority: United States: Institutional Review Board

Keywords provided by University of Michigan:
Alcohol
Violence
Alcohol consumption
Alcohol, drinking

ClinicalTrials.gov processed this record on October 23, 2014