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Alcohol, Suicide and HIV Prevention for Teens in Mental Health Treatment

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ClinicalTrials.gov Identifier: NCT02228044
Recruitment Status : Completed
First Posted : August 28, 2014
Last Update Posted : August 28, 2014
Sponsor:
Collaborator:
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Information provided by (Responsible Party):
George Mason University

Brief Summary:
This study examines whether an integrated alcohol/substance abuse, suicide, and HIV prevention protocol is associated with lower onset and frequency of alcohol and other drug use, suicidal behavior, and high risk sexual behavior among adolescents receiving community based mental health care.

Condition or disease Intervention/treatment Phase
Suicide Alcohol Abuse Drug Abuse HIV Behavioral: Prevention program Not Applicable

Detailed Description:
The purpose of this study is to compare an integrated adolescent alcohol/drug, suicide, and HIV prevention program to an assessment only control condition in a randomized clinical trial. This prevention protocol is designed as an "add-on" intervention to standard mental health care. We will examine the extent to which the addition of this prevention protocol is associated with lower rates of alcohol use and drug use, suicidal behavior, and HIV related risk behaviors.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 81 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Alcohol, Suicide, and HIV Prevention for Teens in Mental Health Treatment
Study Start Date : September 2008
Actual Primary Completion Date : March 2014
Actual Study Completion Date : March 2014

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Prevention Program
This is a cognitive-behavioral substance abuse, suicide, and HIV prevention program delivered in a workshop format to adolescent participants and their parents/legal guardians.
Behavioral: Prevention program
No Intervention: Assessment Only



Primary Outcome Measures :
  1. adolescent alcohol use and binge drinking (any, number of days, number of related problems) [ Time Frame: change from baseline to 6 months (prior 3 months) ]
    This was assessed using the Customary Drinking and Drug Use Record

  2. adolescent suicidal ideation and behavior (severity of suicidal ideation and presence of any suicidal ideation or suicidal behavior) [ Time Frame: change from baseline to 6 months (prior month to 6 months) ]
    This was assessed using the Suicidal ideation Questionnaire and the Self-Injurious Thoughts and Behavior Interview

  3. adolescent HIV risk behavior (any sexual behavior, number of sexual partners, number of unprotected sexual acts) [ Time Frame: change from baseline to 6 months (prior 3 months) ]
    This was assessed using the Adolescent Risk Behavior Assessment.

  4. adolescent marijuana use (any use, number of days, related problems) [ Time Frame: change from baseline to 6 months (prior 3 months) ]
    This was assessed with the Customary Drinking and Drug Use Measure

  5. adolescent alcohol use and binge drinking (any, number of days, number of related problems) [ Time Frame: change from baseline to 12 months (prior 3 months) ]
    This was assessed using the Customary Drinking and Drug Use Measure

  6. adolescent suicidal ideation and behavior (severity of suicidal ideation and presence of any suicidal ideation or suicidal behavior) [ Time Frame: change from baseline to 12 months (prior month to 6 months) ]
    This was assessed with the Suicidal Ideation Questionnaire and the Self-Injurious Thoughts and Behavior Questionnaire

  7. adolescent HIV risk behavior (any sexual behavior, number of sexual partners, number of unprotected sexual acts) [ Time Frame: change from baseline to 12 months (prior 3 months) ]
    This was assessed with the Adolescent Risk Behavior Assessment

  8. adolescent marijuana use (any use, number of days, related problems) [ Time Frame: change from baseline to 12 months (prior 3 months) ]
    This was assessed with the Customary Drinking and Drug Use Record


Secondary Outcome Measures :
  1. frequency of parental monitoring behavior [ Time Frame: change from baseline to 1 month ]
    This was assessed with the Parental Monitoring Questionnaire

  2. quality of parent-child communication around high risk behaviors [ Time Frame: change from baseline to 1 month ]
    This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior

  3. adolescent perceptions of parental degree of disapproval of high risk behavior [ Time Frame: change from baseline to 1 month ]
    This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use

  4. adolescent perception of degree of interpersonal coping and stress management skills [ Time Frame: change from baseline to 6 months ]
    This was assessed with the Bar-On Emotional Quotient Inventory - Youth Version

  5. adolescent degree of perceived self-efficacy for condom use [ Time Frame: change from baseline to 1 month ]
    This was assessed with the Self-Efficacy for Condom Use Scale

  6. adolescent degree of HIV related knowledge [ Time Frame: change from baseline to 1 month ]
    This was assessed with the HIV Knowledge Scale

  7. adolescent perceptions of degree of peer substance use and tolerance of use [ Time Frame: change from baseline to 6 months ]
    This was assessed with Peer Substance Use and Tolerance of Use scale

  8. adolescent perception of the degree of peer approval of sexual activity [ Time Frame: change from baseline to 6 months ]
    This was assessed with the Peer Norms Scale for Sexual Activity scale

  9. adolescent degree of perceived self-efficacy for HIV prevention [ Time Frame: change from baseline to 1 month ]
    This was assessed with the Self-Efficacy for HIV Prevention Scale

  10. frequency of positive and negative thoughts related to suicide [ Time Frame: change from baseline to 1 month ]
    This was assessed with the Positive and Negative Suicide Ideation Inventory

  11. degree of adolescent positive/negative attitudes and beliefs about alcohol [ Time Frame: change from baseline to 1 month ]
    This was assessed with the Youth Alcohol and Drug Survey

  12. degree of adolescent positive/negative attitudes and beliefs about marijuana use [ Time Frame: change from baseline to 1 month ]
    This was assessed with the Youth Alcohol and Drug Survey

  13. frequency of parental monitoring behavior [ Time Frame: change from baseline to 6 months ]
    This was assessed with the parental monitoring questionnaire

  14. frequency of parental monitoring behavior [ Time Frame: change from baseline to 12 months ]
    This was assessed with the parental monitoring questionnaire

  15. quality of parent-child communication around high risk behaviors [ Time Frame: change from baseline to 6 months ]
    This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior

  16. quality of parent-child communication around high risk behaviors [ Time Frame: change from baseline to 12 months ]
    This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior

  17. adolescent perceptions of parental degree of disapproval of high risk behavior [ Time Frame: change from baseline to 6 months ]
    This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use

  18. adolescent perceptions of parental degree of disapproval of high risk behavior [ Time Frame: change from baseline to 12 months ]
    This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use

  19. adolescent perception of degree of interpersonal and stress management coping skills [ Time Frame: change from baseline to 12 months ]
    This was assessed with the Bar-On Emotional Quotient Inventory - Youth Version

  20. adolescent perceptions of degree of peer substance use and approval of use [ Time Frame: change from baseline to 12 months ]
    This was assessed with Peer Substance Use and Tolerance of Use scale

  21. adolescent perception of the degree of peer approval of sexual activity [ Time Frame: change from baseline to 12 months ]
    This was assessed with the Peer Norms Scale for Sexual Activity scale



Information from the National Library of Medicine

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Ages Eligible for Study:   13 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • ages 13-18
  • English speaking adolescent and at least one English speaking parent
  • receiving mental health treatment
  • living with a parent or guardian willing to participate

Exclusion Criteria:

  • Active Alcohol or Marijuana Dependence Diagnosis
  • HIV infection
  • Pregnant
  • Current psychosis
  • Cognitively unable to give assent

Information from the National Library of Medicine

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): NCT02228044


Locations
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United States, Virginia
George Mason University
Fairfax, Virginia, United States, 22030
Sponsors and Collaborators
George Mason University
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Investigators
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Principal Investigator: Christianne Esposito-Smythers, Ph.D. George Mason University

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: George Mason University
ClinicalTrials.gov Identifier: NCT02228044     History of Changes
Other Study ID Numbers: 5970
R01AA016854 ( U.S. NIH Grant/Contract )
First Posted: August 28, 2014    Key Record Dates
Last Update Posted: August 28, 2014
Last Verified: August 2014
Keywords provided by George Mason University:
suicide
alcohol
marijuana
HIV
prevention
adolescent
Additional relevant MeSH terms:
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Alcoholism
Substance-Related Disorders
Suicide
Self-Injurious Behavior
Behavioral Symptoms
Alcohol-Related Disorders
Chemically-Induced Disorders
Mental Disorders
Ethanol
Anti-Infective Agents, Local
Anti-Infective Agents
Central Nervous System Depressants
Physiological Effects of Drugs