Alcohol, Marijuana, and Risky Sex: Group Interventions With Detained Adolescents

Study Overview
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Brief Summary
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This research is studying behaviors that young people engage in that may place them at risk for contracting a sexually transmitted disease like HIV/AIDS, and what kind of educational program works best to reduce these risky behaviors.

Detailed Description
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During baseline assessment, a computer questionnaire is administered, including questions about participants' attitudes, beliefs, and behaviors regarding sexual behavior, condom use, and drug use. A saliva sample is provided as well. A Time-Line Follow-Back is conducted, noting on which days certain activities occurred, such as sexual intercourse, alcohol use, marijuana use, and cigarette use. A urine sample is also collected in order to test for the STD's chlamydia and gonorrhea (if results are positive, we schedule a meeting with the participant to administer medication to treat the STD). In the second session, a 3-hour interventional health class is held with groups of same-gender participants. There are 3 different health classes (one focusing just on sex risk reduction, one focusing on sex and alcohol risk reduction, and one focusing on sex, alcohol, and marijuana risk reduction); participants are randomly assigned to one. Participants are contacted 3 months after the intervention, 6 months after, 9 months after, and 12 months after, in order to meet. These meetings entail completing another Time-Line Follow-Back and completing another questionnaire. At the final 12 month meeting, we collect another urine sample to again test for chlamydia and gonorrhea. As before, if results are positive, we schedule a meeting with the participant to administer medical treatment.

Official Title
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Alcohol, Marijuana, and Risky Sex: Group Interventions With Detained Adolescents

Conditions
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Risk Reduction Behavior, Health Behavior, Sexual Behavior, Adolescent Behavior, Cannabis

Intervention / Treatment
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* Behavioral: INFORMATION-ONLY SEXUAL RISK REDUCTION (INFO-ONLY)
* Behavioral: SEXUAL PLUS ALCOHOL RISK REDUCTION (SRRI+ETOH)
* Behavioral: SEXUAL + ALCOHOL + MARIJUANA RISK REDUCTION


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Ages 14-18 Involved in Juvenile Justice System (living in the Detention Center when recruited) Exclusion Criteria: Currently taking anti-psychotics Involved in similar intervention-based study (2 similar studies being conducted simultaneously by this lab)

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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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: Factorial Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Info-only sexual risk reduction<br>Corresponding intervention gives information only on STDs/HIV | Behavioral: INFORMATION-ONLY SEXUAL RISK REDUCTION (INFO-ONLY)<br>* Intervention includes presentation of STD facts, safe sex activities, condom demonstration, video about sexual decision making, group discussion<br>* Other names: INFO-ONLY;|
| Experimental: Sex plus alcohol risk reduction<br>Corresponding intervention gives info focusing on sex and alcohol risk reduction only | Behavioral: SEXUAL PLUS ALCOHOL RISK REDUCTION (SRRI+ETOH)<br>* Intervention includes presentation of STD/alcohol facts, safe sex activities, condom demonstration, video about alcohol/sexual decision making, group discussion<br>* Other names: (SRRI+ETOH);|
| Experimental: Sex + alcohol + marijuana risk reduction<br>Corresponding intervention gives info on sex, alcohol, and marijuana risk reduction | Behavioral: SEXUAL + ALCOHOL + MARIJUANA RISK REDUCTION<br>* Intervention includes presentation of STD/alcohol/marijuana facts, safe sex activities, condom demonstration, video about alcohol/marijuana/sexual decision making, group discussion<br>* Other names: (SRRI+ETOH+THC);|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time-Line Follow-Back | A Time-Line Follow-Back is a review of a recent 30-day period of the participant's life, wherein they note which days they engaged in any of the following activities: sexual intercourse, alcohol use, marijuana use, cigarette use. Further details are also provided, such as whether a condom was used, how many alcoholic drinks were consumed, etc. | used at Baseline | 
| Time-Line Follow-Back | A Time-Line Follow-Back is a review of a recent 30-day period of the participant's life, wherein they note which days they engaged in any of the following activities: sexual intercourse, alcohol use, marijuana use, cigarette use. Further details are also provided, such as whether a condom was used, how many alcoholic drinks were consumed, etc. | used at 3 months post-intervention | 
| Time-Line Follow-Back | A Time-Line Follow-Back is a review of a recent 30-day period of the participant's life, wherein they note which days they engaged in any of the following activities: sexual intercourse, alcohol use, marijuana use, cigarette use. Further details are also provided, such as whether a condom was used, how many alcoholic drinks were consumed, etc. | used at 6 months post-intervention | 
| Time-Line Follow-Back | A Time-Line Follow-Back is a review of a recent 30-day period of the participant's life, wherein they note which days they engaged in any of the following activities: sexual intercourse, alcohol use, marijuana use, cigarette use. Further details are also provided, such as whether a condom was used, how many alcoholic drinks were consumed, etc. | used at 9 months post-intervention | 
| Time-Line Follow-Back | A Time-Line Follow-Back is a review of a recent 30-day period of the participant's life, wherein they note which days they engaged in any of the following activities: sexual intercourse, alcohol use, marijuana use, cigarette use. Further details are also provided, such as whether a condom was used, how many alcoholic drinks were consumed, etc. | used at 12 months post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Computer questionnaire | Questionnaire completed by participant assesses sexual activity/consequences/attitudes, alcohol use/consequences/attitudes, marijuana use/consequences/attitudes, cigarette use/consequences/attitudes, particularly within past few months | used at Baseline | 
| Computer questionnaire | Questionnaire completed by participant assesses sexual activity/consequences/attitudes, alcohol use/consequences/attitudes, marijuana use/consequences/attitudes, cigarette use/consequences/attitudes, particularly within past few months | used at 3 months post-intervention | 
| Computer questionnaire | Questionnaire completed by participant assesses sexual activity/consequences/attitudes, alcohol use/consequences/attitudes, marijuana use/consequences/attitudes, cigarette use/consequences/attitudes, particularly within past few months | used at 6 months post-intervention | 
| Computer questionnaire | Questionnaire completed by participant assesses sexual activity/consequences/attitudes, alcohol use/consequences/attitudes, marijuana use/consequences/attitudes, cigarette use/consequences/attitudes, particularly within past few months | used at 9 months post-intervention | 
| Computer questionnaire | Questionnaire completed by participant assesses sexual activity/consequences/attitudes, alcohol use/consequences/attitudes, marijuana use/consequences/attitudes, cigarette use/consequences/attitudes, particularly within past few months | used at 12 months post-intervention |