Adaptation and Evaluation of Bright Horizons

Study Overview
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Brief Summary
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This study will test if a program called 'Bright Horizons' is effective at reducing binge substance use among adolescents. Bright Horizons is a culturally adapted intervention developed and tested through a partnership between The White Mountain Apache Tribe and Johns Hopkins University. Bright Horizons is a brief intervention that teaches emotion regulation, coping skills, and problem solving. The intervention also uses goal setting to reduce alcohol and other substance use and to connect to individuals with treatment.

Detailed Description
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The goal of this study is to understand how Bright Horizons impacts adolescents who have a recent binge substance use event. Participants will receive a lesson on binge substance use and answer questions at three different time points: when participants enroll in the study; 4 weeks later; and 4 weeks after that visit. Evaluation questions will ask about participants' substance use, family and peer relationships, and other emotions and behaviors. Control participants will receive the Bright Horizons intervention after enrollment of all intervention participants is complete.

Official Title
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Adaptation and Evaluation of Bright Horizons: An Evidence Based Intervention for Prevention of Binge Drinking and Drug Use

Conditions
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Alcohol Abuse, Substance Use

Intervention / Treatment
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* Behavioral: Bright Horizons
* Behavioral: Case Management


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 12-17 Confirmed binge alcohol use event reported to the surveillance system within 90 days Self identify as Native American Reside on or near the Fort Apache Indian Reservation Have parental or legal guardian consent/provide youth assent Exclusion Criteria: Unstable and severe medical, psychiatric or drug use problems that necessitates inpatient treatment Acute suicidal or homicidal ideation requiring immediate intervention Recent and severe stressful life events such as physical or sexual abuse, or violent crime victimization that requires specific and high intensity interventions or out of home placement Doesn't speak English Severally visually impaired

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 17 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: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Case management + Bright Horizons<br>Participants enrolled into the Bright Horizons intervention group will receive one 2-4 hour long session with an Research Program Assistant. | Behavioral: Bright Horizons<br>* Bright Horizons is a brief substance use intervention delivered by Research Program Assistants.<br>Behavioral: Case Management<br>* Placebo condition<br>|
| Placebo Comparator: Case management<br>Participants in the control group will receive standard case management via the White Mountain Apache suicide and self-harm surveillance system. | Behavioral: Case Management<br>* Placebo condition<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Alcohol Use as assessed by Timeline Followback | Alcohol use over the past 30 days (Timeline Followback to assess number of drinking days and number of drinks per day) | Baseline, 4 weeks and 8 weeks post-intervention |