Motivational Interviewing and Neuroimaging With Adolescents

Study Overview
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Brief Summary
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This is a randomized controlled trial to examine the impact of two brief interventions on adolescent and young adult alcohol use behaviors and related brain response. The interventions being compared are motivational interviewing (MI) and brief adolescent mindfulness (BAM).

Official Title
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Motivational Interviewing and Neuroimaging With Adolescents

Conditions
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Alcohol Use, Unspecified

Intervention / Treatment
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* Behavioral: Motivational Interviewing (MI)
* Behavioral: Brief Adolescent Mindfulness (BAM)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: within the specified age range >= 1 past two month binge drinking episode right-handed proficient in English agree to be contacted for the 3, 6, and 12 month follow ups informed consent of a parent/guardian, if under 18 years old informed assent/consent of participating youth Exclusion Criteria: > 3 past-month instances of non-nicotine and/or non-cannabis substance use (e.g., methamphetamine) evidence of brain injury/illness or neurological disorder including psychosis lifetime loss of consciousness >= 2 min unremovable metal on/in body, or other functional magnetic resonance imaging (fMRI) contraindications (e.g., pregnancy)

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Motivational Interviewing (MI)<br>This randomly assigned group receives two 60-minute 1:1 sessions of motivational interviewing. | Behavioral: Motivational Interviewing (MI)<br>* Motivational interviewing introduced a conversation about alcohol use, and the personally-experienced consequences of problem drinking. The MI sessions explored youths' stories around their substance use, the factors in youths' lives that support problem drinking (e.g., what they like about drinking), and the consequences of their recent or previous problem drinking (e.g., getting in trouble). Youth were provided personalized feedback about how their problem drinking compared to age-matched norms in the U.S. The ultimate goal of the MI sessions was to engage youth in a thoughtful conversation about their problem drinking with an eye to bolstering and supporting youths' own inherent drive for behavior change.<br>|
| Active Comparator: Brief Adolescent Mindfulness (BAM)<br>This randomly assigned group receives two 60-minute 1:1 sessions of Brief Adolescent Mindfulness. | Behavioral: Brief Adolescent Mindfulness (BAM)<br>* Brief Adolescent Mindfulness introduced a conversation about what mindfulness is, and ways that it might be personally-relevant to adolescents' current experiences. This manualized treatment introduced concepts of eastern thought in a manner articulated to adolescents. Treatment included a discussion of factors in the youth's life that could be positively impacted by using or engaging mindful approaches (e.g., current experiences of stress) and a link to how mindful approaches might be applicable or relevant to the adolescent's problem drinking. The ultimate goal was to engage youth in a thoughtful conversation about BAM and how eastern thought and mindful approaches could unburden some aspects of their current lived experiences.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Alcohol-related Problems | Rutgers Alcohol Problems Index (RAPI) to assess alcohol-related problems. Minimum individual value = 0; maximum individual value = 92. Higher scores mean more alcohol-related problems. | assessed at baseline, and 3-, 6-, and 12-month post-treatment follow ups; 12-month follow up reported |