Skills and Motivation at the Rhode Island Training School (Project SMART) - 1
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|ClinicalTrials.gov Identifier: NCT00227890|
Recruitment Status : Completed
First Posted : September 28, 2005
Last Update Posted : March 3, 2017
|Condition or disease||Intervention/treatment||Phase|
|Alcoholic, Marijuana Misuse||Behavioral: MI/CBT Behavioral: RT/TU||Phase 2|
This proposal is in response to RFA-DA-04-008, Group Treatment for Individuals in Drug Abuse or Alcoholism Treatment. Of particular interest to the agencies are group therapies for Conduct Disordered adolescents, reducing the spread of infectious disease, and mechanisms of action. This proposal targets these areas of interest. This study will focus on treating substance abusing incarcerated teens using 2 individually administered Motivational Interviewing (MI) sessions followed by 10 group sessions of Cognitive Behavior Therapy (CBT). MI is conceptualized as preparation for group CBT. The control group receives individualized Relaxation Training (RT) followed by group Treatment as Usual (TU). Currently, there is little research regarding effective group treatments for incarcerated teens and this study will address this gap in our knowledge base.
In this proposed randomized trial, a one-way design (MI/CBT vs. RT/TU) will be used to determine whether MI/CBT enhances group therapy participation and reduces substance use and related problems (such as crime, injuries and unprotected sex) post discharge in substance-involved juvenile delinquents. RT/TU is based on the 12-step model and includes psycho-educational components. Participants are followed during incarceration and for 6 months post incarceration. Primary outcome variables include alcohol and marijuana use, as well as related behaviors (illegal activity, sex or injuries while drunk or high). It is hypothesized that in comparison to teens in RT/TU, youth receiving MI/CBT will participate more in therapy (according to teen, facility staff, and counselor ratings) and will show lower levels of substance use and related problems after discharge.
Frequently, substance abuse treatment is unavailable to youths in the juvenile justice system, and when treatment is available, it may be provided in group format using untested therapies. A motivation/skills-based intervention (delivered in group format) may prove efficacious in enhancing motivation and in reducing substance abuse and related problems. This study extends previous research by rigorously evaluating group treatment for incarcerated teens. We will examine processes contributing to the efficacy of group MI/CBT, and the influence of race and ethnicity on treatment effects. The development of effective interventions for substance using juvenile offenders has the potential to reduce substance abuse and crime in this population.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||205 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Double (Participant, Care Provider)|
|Official Title:||Motivation and Skills for THC/ETOH+ Teens in Jail|
|Study Start Date :||March 2005|
|Actual Primary Completion Date :||September 2011|
|Actual Study Completion Date :||September 2011|
Motivational Interviewing followed by Cognitive Behavior Therapy (MI/CBT)
Relaxation Training followed by Treatment as Usual (RT/TU)
- Alcohol use, using Time-Line Followback, aggregated into quantity and frequency [ Time Frame: 6 months post release ]
- Marijuana use, using Time-Line Followback, aggregated into quantity and frequency [ Time Frame: 6 months post release ]
- Crime, using Misbehaviors Questionnaire, aggregated into type and frequency [ Time Frame: 6 months post release ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00227890
|United States, Rhode Island|
|Rhode Island Training School|
|Cranston, Rhode Island, United States, 02920|
|University of Rhode Island, Social Sciences Research Center|
|Kingston, Rhode Island, United States, 02881|
|Principal Investigator:||Lynda Stein, Ph.D.||University of Rhode Island|