Clinical trial NCT00183157: Project RAP: Reaching Adolescents for Prevention
Official title: RAP: Reaching Adolescents for Prevention - A Randomized Trial of a Brief Negotiated Interview and Active Referral to Reduce Alcohol Related Morbidity Among Youth and Young Adults in the Pediatric Emergency Department
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE2
Conditions: Alcohol Related Morbidity
Alcohol Dependence
Keywords: High risk drinking
Alcohol dependence
Alcohol related injury
Lead sponsor: National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Sponsor class: NIH
First posted: 2005-09-16
Enrollment: 1400
Sex: ALL
Minimum age (years): 14
Maximum age (years): 21
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The purpose of the study is to determine if a brief motivational interview in the context of an emergency health care visit will reduce high-risk drinking and drug-taking and associated health consequences among adolescents ages 14-21 years old.

Detailed description: Many studies have shown that a brief motivational interview in the context of a routine or emergency health care visit may assist adults to reduce high-risk drinking and drug-taking. Center researchers are conducting a 1,400-person, randomized clinical trial involving teen patients at the Boston Medical Center Pediatric Emergency Department in order to determine if a similar approach will be effective with youth. All patients aged 14 to 21 get a brief alcohol and drug screen, and those whose scores indicate they drink or use marijuana are invited to participate in the study. One-third of the enrollees will receive an assessment, a brief motivational interview performed by a trained peer counselor, direct referrals to community-based resources for adolescents, and a 10-day follow-up phone call. One-third will receive only the assessment and a list of community resources; and the final third will receive only the list of resources. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.

Eligibility criteria: Inclusion Criteria:

* Pediatric emergency department patients
* Aged 14-21
* An Alcohol Use Disorders Identification Test (AUDIT) score above selected cut-point for age or with history of alcohol-related consequences

Exclusion Criteria:

* Not resident in area or able to provide contact information for 12 month follow-up
* Medically unstable
* Not oriented to person, time and place

Primary outcomes:
measure: Reduction in drinking
timeFrame: 12 months
Secondary outcomes:
measure: Reduction in alcohol associated health consequences
timeFrame: 12 months
Other outcomes:
Locations:
city: Boston
country: United States
facility: Boston Medical Center Pediatric Emergency Department
state: Massachusetts
city: Boston
country: United States
facility: Boston University School of Public Health - Youth Alcohol Prevention Center
state: Massachusetts
Study officials:
affiliation: Boston University School of Public Health - Youth Alcohol Prevention Center
name: Edward Bernstein, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: Boston University School of Public Health - Youth Alcohol Prevention Center
name: Judith Bernstein, RNC, PhD
role: PRINCIPAL_INVESTIGATOR
References: