Culturally Enhancing a Motivational Interviewing Intervention For Latinx Adolescents

Study Overview
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Brief Summary
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The purpose of this study is to compare two versions of an intervention focused on teaching 10-14-year-old Latina/o adolescent's skills that will decrease the likelihood that they will use tobacco, alcohol, and other drugs. We are also interested in determining how cultural context is related to substance use and whether additional information about other tobacco products should be added to the GMIT intervention.

Detailed Description
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All adolescents will receive the Group Motivational Interviewing for Teens (GMIT) intervention. GMIT is an evidence-based group intervention that has been shown to prevent substance use among adolescents. In this project, GMIT will be delivered virtually in a group setting to multiple Latina/o adolescents. In addition, some parents will virtually participate in a parent-only support group; the other parents will not participate in any group. In this study, participants will be randomly assigned (like flipping a coin) to receive one of two versions of an alcohol, drug, and tobacco program. As part of the program teen participants will virtually attend six 30-min intervention sessions with other teens. Parents may also participate in virtual group sessions. Participants will be asked on three separate occasions (before, immediately after, and 3 months after the sessions) to complete forms (phone/online) that ask questions about teens behavior at home, school, and in the community.

Official Title
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Culturally Enhancing a Motivational Interviewing Intervention For Latinx Adolescents

Conditions
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Underage Alcohol Use, Smoking, Non-Tobacco Products

Intervention / Treatment
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* Behavioral: GMIT
* Behavioral: GMIT+


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adolescents must be between 10 and 16 years of age - parents can be any age Parent and adolescent must consent/assent to participate as dyad Self-identify as Latina/o or Hispanic Exclusion Criteria: Under the age of 10 or over the age of 16 Parent or adolescent refuses Identify as non-Latina/o or non-Hispanic

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 16 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: Basic Science
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Control<br>GMIT | Behavioral: GMIT<br>* Six 30-minute sessions delivered virtually in a group format. Each week a group facilitator will elicit adolescents' feedback on important topics related to substance use and provide experiential activities to help adolescents explore their beliefs and practice making healthy choices.<br>|
| Experimental: Intervention<br>Modified GMIT + Parenting support groups | Behavioral: GMIT+<br>* Six 30-minute sessions delivered virtually in a group format. Each week a group facilitator will elicit adolescents' feedback on important topics related to substance use and provide experiential activities to help adolescents explore their beliefs and practice making healthy choices. Parents and/or guardians will virtually participate in parent-only support group sessions.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in tobacco use intentions | 4-item self-reported tobacco use scale. Each item is scored from 1 (definitely yes) to 4 (definitely no) yielding a range between 4 and 16 | Baseline to 3 months | 
| Change in tobacco use attitudes | 7-item self-reported attitudes about tobacco scale. Each item is scored from 1 (strongly disagree) to 4 (strongly agree) yielding a range between 7 and 28 | Baseline to 3 months | 
| Change in smoking refusal intentions | 7 item self-reported smoking refusal intentions scale. Each item is scored from 1 (Definitely would say No) to 5 (Definitely would not say No) yielding a range from 7 to 35 | Baseline to 3 months | 
| Change in marijuana or other drug refusal intentions | 5-item self-reported marijuana or other drug refusal intentions scale. Each item is scored from 1 (Definitely would) to 5 (Definitely would not) yielding a range from 5 to 25. | Baseline to 3 months | 
| Change in parent-child communication about tobacco | 6-item self-reported antismoking socialization scale. Item scores vary depending on response type (Yes/no or Likert scale). Total scores range from 0 to 9 | Baseline to 3 months | 
| Change in parental monitoring - adolescent | 24-item self-reported parenting practices scale completed by adolescents. Each item is scored from 1 (high monitoring) to 5 (low monitoring) yielding a range from 24 to 120 | Baseline to 3 months | 
| Change in parental monitoring - parent | 24-item self-reported parenting practices scale completed by parents. Each item is scored from 1 (high monitoring) to 5 (low monitoring) yielding a range from 24 to 120 | Baseline to 3 months | 
| Change in parent-child conflict - adolescent | 3-item conflict scale completed by adolescents. Each item is scored 1 (Never or Hardly at all) to 5 (Always or Extremely much) yielding scores ranging from 3 to 15 | Baseline to 3 months | 
| Change in parent-child conflict - parent | 20-item conflict scale completed by parents. Each item is scored 0 (False) or 1 (True) yielding scores ranging from 0 to 20 | Baseline to 3 months | 
| Change in family cohesiveness - adolescent | 10-item Family Adaptability and Cohesion Evaluation Scale completed by adolescents. Each item is scored from 1 (almost never) to 5 (almost always) yielding a range from 10 to 50. | Baseline to 3 months | 
| Change in family cohesiveness - parent | 10-item Family Adaptability and Cohesion Evaluation Scale completed by parents. Each item is scored from 1 (almost never) to 5 (almost always) yielding a range from 10 to 50. | Baseline to 3 months | 
| Change in parent-child communication - adolescent | 20-item Parent-Adolescent Communication Scale completed by adolescents. Each item is scored from 1 (strongly disagree) to 4 (strongly agree) yielding a range between 20 and 100. | Baseline to 3 months | 
| Change in parent-child communication - parent | 20-item Parent-Adolescent Communication Scale completed by parents. Each item is scored from 1 (strongly disagree) to 4 (strongly agree) yielding a range between 20 and 100. | Baseline to 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Program feasibility | Change in number of dyads enrolled in the study and number who completed the intervention | Baseline to 6 weeks |