Clinical trial NCT06003725: Cultural Adaptation of Drug Treatment for DJJ Youth
Official title: The Cultural Adaptation of an Alcohol and Other Drug Use Treatment for Black Justice Involved Youth
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Substance Use
Keywords: Substance use
substance misuse
adolescent
cultural adaptation
Lead sponsor: University of California, San Francisco
Sponsor class: OTHER
Collaborators: name: National Institute on Drug Abuse (NIDA)
First posted: 2023-08-22
Enrollment: 55
Sex: ALL
Minimum age (years): 12
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SEQUENTIAL
Intervention model description: Individual interviews with Black justice-involved youth (JIY) and focus groups with guardians of Black JIY and community members will be conducted. Data from focus groups and interviews will be used to inform the cultural adaptation of an evidence-based adolescent substance use treatment. The cultural adapted treatment will then be piloted with 30 Black JIY for feasibility and acceptability.
Primary purpose: TREATMENT

Brief summary: This project aims to improve the understanding of the impact of Ethnic and Racial Discrimination (ERD) on adolescent alcohol and other drug use (AOD) within the Black Justice-Involved Youth (JIY) population. Individual interviews with Black JIY and focus groups with parents and guardians of Black JIY and community members who support change and reform in the justice community for Black JIY will be conducted.

Detailed description: Black JIY are overrepresented in the criminal justice system due to institutional racism and discrimination. The General Strain Theory posits that high levels of ethnic and racial discrimination (ERD), paired with elevated levels of witnessing or experiencing police brutality, places Black JIY at unique risk of increased alcohol and other drug use (AOD) as a means of coping with stressful events. Black JIY report engaging in comorbid alcohol and cannabis use to achieve temporary respite from discrimination-induced stress. While JIY engage in higher rates of comorbid alcohol and cannabis use compared to non-justice-involved youth, overall, Black JIY are less likely to be diverted to substance use treatment programs, less likely to engage in care after being released on probation, less likely to benefit from substance use treatment in terms of reduced risk of recidivism, and are more adversely affected by early onset of AOD activity than White JIY. To date, no known adolescent substance use treatment directly addresses ERD, the increased risk of AOD due to ERD, or explicitly presents tools on how to appropriately respond to AOD and discrimination distress among Black JIY. To address this problem, the investigator's research program aspires to improve the understanding of the impact of ERD on adolescent AOD within the Black JIY population. Individual interviews with Black JIY and focus groups with guardians of Black JIY and community members will be conducted. Data will be used to culturally adapt an adolescent substance use intervention. The culturally adapted intervention will then be piloted with 30 Black JIY.

Eligibility criteria: For Focus Groups and Interviews:

Black JIY Participants:

Inclusion Criteria:

• Between the ages of 12-17, 2) identify as Black or African American, and 3) on community probation.

Exclusion Criteria:

• Will be excluded if they do not have parental consent to participate.

For Focus Groups and Interviews:

Adult Participants

Inclusion Criteria:

* A guardian of JIY
* An advocate (someone who supports change and reform in the justice community) for Black JIY.

Exclusion Criteria:

• Will be excluded if they do not provide consent to participate.

For pilot feasibility study:

Black JIY Participants:

Inclusion Criteria:

* Between the ages of 12 and 17
* Identify as Black or African American
* Be on community probation
* Meet criteria for alcohol, cannabis, or other drug misuse as defined by the DSM 5
* Be experiencing at least 1 problem related to AOD;
* The frequency of AOD must be weekly use over a 3-month period

Exclusion Criteria:

* Will be excluded if they do not have parental consent to participate
* Parole violation

Primary outcomes:
measure: Feasibility and Acceptability
timeFrame: After study completion, an average of 3 months
Secondary outcomes:
measure: Change in substance use
timeFrame: Baseline, after each study visit, at study completion, up to 3 months post-intervention, an average of 6 months.
measure: Change in mental health symptoms
timeFrame: Baseline, after each study visit, at study completion, up to 3 months post-intervention, an average of 6 months.
measure: Change in discrimination distress
timeFrame: baseline, after study completion, and up to 3 months post-intervention, an average of 6 months.
Other outcomes:
Locations:
city: San Francisco
country: United States
facility: University of California, San Francisco
state: California
city: Charleston
country: United States
facility: Medical University of South Carolina
state: South Carolina
Study officials:
affiliation: University of California, San Francisco
name: Brittany Bryant, DSW
role: PRINCIPAL_INVESTIGATOR
References: