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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Tailored Teen Alcohol and Violence Prevention in the ER

Conditions
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Violence, Alcohol Abuse

Intervention / Treatment
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* Behavioral: Adapted Motivational Interviewing & Skills Training


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 1<br>Therapist delivered adapted motivational enhancement therapy and skills training | Behavioral: Adapted Motivational Interviewing & Skills Training<br>* Single session, 45 minute brief intervention during Emergency Department Visit<br>* Other names: 3: Control condition;|
| Active Comparator: 2<br>Computer delivered adapted motivational enhancement therapy and skills training | Behavioral: Adapted Motivational Interviewing & Skills Training<br>* Single session, 45 minute brief intervention during Emergency Department Visit<br>* Other names: 3: Control condition;|
| No Intervention: 3<br>3: Control brochure | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Primary outcome variables include alcohol misuse and violent behaviors. |  | 12-months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Secondary outcome measures include illicit drug use, unintentional injury, delinquency and weapon carriage. |  | 12-months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Alcohol, Violence, Alcohol consumption, Alcohol, drinking