Brief Integrative Alcohol Interventions for Adolescents

Study Overview
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Brief Summary
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The primary aim of this research is to test the efficacy of innovative, brief alcohol abuse prevention strategies that integrate positive youth development messages and health risk messages for adolescents in high school settings. A secondary aim is to examine these strategies in various combinations as interventions and re-interventions (i.e., boosters) for sustaining or enhancing behavior change over time. These strategies are founded upon an emerging conceptual framework titled the Behavior-Image Model emanating from findings of our recent trials examining multiple behavior health interventions. The long-term objective of this project is to reduce alcohol abuse and problems among older high-risk adolescents for whom alcohol and drug use disparities exist, yet who are often overlooked in prevention research and services.

Detailed Description
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A total of 921 adolescents from two diverse high schools in northeast Florida were randomized to receive either the: 1) in-person consult, 2) parent-youth letter, 3) adolescent newsletter, or 4) standard care control . Three-month, one-year and 18-month follow-ups are planned, with interventions to be implemented in rotating fashion as re-interventions immediately after three-month and one-year data collections. Plans for following year include the following: 1) collecting and analyzing 3-month post-intervention data to determine the effects of the initial consult, parent-youth and adolescent print strategies, intervention costs, and assess possible mediators and moderators of outcomes; 2) implementing the first round of re-interventions; 3) collecting and analyzing one-year post-baseline effects of re-interventions, determining costs and cost-effectiveness of the interventions/re-interventions, and assessing possible mediators and moderators of outcomes; and 4) implementing the second round of re-interventions.

Official Title
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Brief Integrative Alcohol Interventions for Adolescents

Conditions
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Alcohol Abuse, Drug Abuse

Intervention / Treatment
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* Behavioral: Brief Prevention Program Using Positive Image
* Behavioral: Brief Prevention Program Using Positive Image
* Behavioral: Brief Prevention Program Using Positive Image
* Behavioral: Brief Prevention Program Using Positive Image


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Can read English 10th and 11th grade high school students at participating sites Exclusion Criteria: Cannot read English Not in 10th and 11th grade high school students at participating sites
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: Prevention
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Consult<br>Consult | Behavioral: Brief Prevention Program Using Positive Image<br>* Consult<br>* Other names: Consult;|
| Experimental: Newsletter<br>Newsletter | Behavioral: Brief Prevention Program Using Positive Image<br>* Newsletter<br>* Other names: Newsletter;|
| Experimental: Parent Letter<br>Parent Letter | Behavioral: Brief Prevention Program Using Positive Image<br>* Parent Letter<br>* Other names: Parent Letter;|
| Active Comparator: Control<br>Control | Behavioral: Brief Prevention Program Using Positive Image<br>* Control - Standard of Care<br>* Other names: Control;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in alcohol, cigarette and marijuana use consumption from baseline to 3 months follow up. |  | Baseline to 3 months follow up | 
| Change in alcohol, cigarette and marijuana use consumption from baseline to 12 months follow up. |  | Baseline to 12 months follow up | 
| Change in alcohol, cigarette and marijuana use consumption from baseline to 18 months follow up. |  | Baseline to 18 months follow up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in frequency of health promoting behaviors from baseline to 3 months follow up. |  | Baseline to 3 months follow up | 
| Change in frequency of health promoting behaviors from baseline to 12 months follow up. |  | Baseline to 12 months follow up | 
| Change in frequency of health promoting behaviors from baseline to 18 months follow up. |  | Baseline to 18 months follow up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Brief, Image, Intervention, Adolescents, School