Clinical trial NCT04446910: Using Technology to Reduce Youth Substance Use
Official title: Using Technology to Reduce Youth Substance Use
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Drug Use
Keywords: Adolescent
Juvenile justice
text messaging
Substance use
mHealth
Lead sponsor: University of California, San Francisco
Sponsor class: OTHER
Collaborators: name: National Institute on Drug Abuse (NIDA)
First posted: 2020-06-25
Enrollment: 79
Sex: ALL
Minimum age (years): 13
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Intervention model description: This is a hybrid 1 effectiveness-implementation design in which the investigators will test a theory-driven digital health (i.e., SMS text-messaging) treatment engagement intervention while also collecting data on the text messaging platform's potential implementation and adoption within juvenile justice and behavioral health settings.
Primary purpose: TREATMENT

Brief summary: The research project will focus on conducting a trial of whether a tailored SMS text-messaging intervention is efficacious in improving justice-involved youths' substance use or dual diagnosis treatment attendance and engagement.

Detailed description: The study will demonstrate how delivery of motivational/coaching messages to justice-involved youth and their caregivers will lead to greater youth substance use treatment attendance and engagement. The study will start with identifying the feasibility and acceptability of the SMS text-messaging intervention with community-supervised justice-involved youth. Then, the study will determine whether the tailored dyadic (youth and caregiver) SMS text-messaging intervention improves justice-involved youth substance use or dual diagnosis treatment attendance and engagement relative to standard of care (not receiving motivational/coaching messages). Finally, the study will characterize patterns of key justice and behavioral health system-level factors that promote or hinder eventual adoption and sustainability of mHealth technology as a tool to improve treatment attendance for justice-involved youth.

Eligibility criteria: Inclusion Criteria:

* English-speaking youth with willing adult caregiver
* Ages 13-18
* Justice-involved while living in the community
* Own a mobile phone or tablet
* Are willing to send and receive text messages
* Are referred to community-based substance use and/or mental health treatment

Exclusion Criteria:

-

Primary outcomes:
measure: Treatment session attendance
timeFrame: 30 days post baseline
measure: Treatment session attendance
timeFrame: 60 days post baseline
measure: Treatment session attendance
timeFrame: 90 days post baseline
measure: Treatment session attendance
timeFrame: 120 days post baseline
measure: Treatment session attendance
timeFrame: 180 days post baseline
Secondary outcomes:
measure: First treatment session initiation
timeFrame: 120 days post baseline
measure: First treatment session initiation
timeFrame: 180 days post baseline
Other outcomes:
measure: Alcohol use
timeFrame: 90 days post baseline
measure: Alcohol use
timeFrame: 180 days post baseline
measure: Drug use
timeFrame: 90 days post baseline
measure: Drug use
timeFrame: 180 days post baseline
measure: Drug Use
timeFrame: 90 days post baseline
measure: Drug Use
timeFrame: 180 days post baseline
measure: Response rate to SMS messages
timeFrame: 30 days post baseline
measure: Response rate to SMS messages
timeFrame: 60 days post baseline
measure: Response rate to SMS messages
timeFrame: 90 days post baseline
measure: Psychiatric symptoms
timeFrame: 90 days post baseline
measure: Psychiatric symptoms
timeFrame: 180 days post baseline
measure: Therapeutic Alliance
timeFrame: 30 days post baseline
measure: Therapeutic Alliance
timeFrame: 60 days post baseline
measure: Therapeutic Alliance
timeFrame: 90 days post baseline
measure: Therapeutic Alliance
timeFrame: 120 days post baseline
measure: Therapeutic Alliance
timeFrame: 180 days post baseline
measure: Treatment Motivation
timeFrame: 30 days post baseline
measure: Treatment Motivation
timeFrame: 60 days post baseline
measure: Treatment Motivation
timeFrame: 90 days post baseline
measure: Treatment Motivation
timeFrame: 120 days post baseline
measure: Treatment Motivation
timeFrame: 180 days post baseline
measure: Characteristics of Communication and Interaction with Probation Officers and Treatment Providers
timeFrame: 30 days post baseline
measure: Characteristics of Communication and Interaction with Probation Officers and Treatment Providers
timeFrame: 60 days post baseline
measure: Characteristics of Communication and Interaction with Probation Officers and Treatment Providers
timeFrame: 90 days post baseline
measure: Characteristics of Communication and Interaction with Probation Officers and Treatment Providers
timeFrame: 120 days post baseline
measure: Characteristics of Communication and Interaction with Probation Officers and Treatment Providers
timeFrame: 180 days post baseline
Locations:
city: San Francisco
country: United States
facility: UCSF Zuckerberg San Francisco General Hospital
state: California
Study officials:
affiliation: University of California, San Francisco
name: Marina Tolou-Shams, PhD
role: PRINCIPAL_INVESTIGATOR
References: