Clinical trial NCT01546025: Brief Alcohol Intervention for School-to-Work Transitions
Official title: Brief Alcohol Intervention for School-to-Work Transitions
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Binge Drinking
Lead sponsor: Brown University
Sponsor class: OTHER
Collaborators: name: National Institute on Alcohol Abuse and Alcoholism (NIAAA)
First posted: 2012-03-07
Enrollment: 168
Sex: ALL
Minimum age (years): 17
Maximum age (years): 20
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This is a 2-year research project to test the efficacy of brief motivational intervention for reducing heavy alcohol use in young adults transitioning out of high school. Participation occurs within 3 months prior to graduation or within 1 year following graduation or dropout from high school. Heavy drinkers ages 17-20 will be randomly assigned to receive one session of BMI or one session of relaxation training. All participants complete identical assessments at baseline and immediately post-intervention (during session 1). Participants also complete in-person 6-week and 3-month follow up assessments to evaluate intervention effects. Study aims involve: a) testing the comparative efficacy of BMI; b) identifying moderators (person-level predictors) of intervention response; and c) identifying mediators (mechanisms) of intervention effects, that is, how BMI exerts its effect on outcomes.

Detailed description: This study tested the efficacy of a single session of BMI for reducing heavy drinking and related adverse consequences among underage young adult drinkers not attending a 4-year college or university. We designed the intervention to be delivered proximal to the transition out of high school (with or without graduation), because such periods of transition and discontinuity in the life course present opportunities to positively alter developmental paths (Masten et al., 2009). Thus, interventions timed to co-occur with naturalistic transition points may have great potential for decreasing drinking trajectories or preventing harmful escalations in trajectories going forward. To increase the applicability of our findings to the heterogeneous population of community-dwelling young adults, our recruitment targeted a purposefully inclusive "non-4-year-college" population. We hypothesized that, compared to a time and attention-matched control condition (i.e., relaxation training \[REL\]), BMI would result in significantly reduced heavy drinking and reduced adverse consequences of alcohol use at 6-week and 3-month follow-up.

Eligibility criteria: Inclusion Criteria:

* high school students anticipating graduation within 3 months, drop outs or graduates
* males must report at least one day drinking 5 or more standard drinks in past month
* females must report at least one day drinking 4 or more standard drinks in past month

Exclusion Criteria:

* plans to enroll at traditional 4-year college within 12 months
* plans to enter military within next 12 months
* plans to move more than 1 hour from current location in within 12 months

Primary outcomes:
measure: Timeline Follow Back Assessing Number of Standard Drinks
timeFrame: 3 months
Secondary outcomes:
measure: Brief Young Adult Alcohol Consequences Questionnaire
timeFrame: 6 week and 3 month follow ups
measure: Help Seeking
timeFrame: 6 week and 3 month follow ups
measure: Drinking Reduction Strategies
timeFrame: 6 week and 3 month follow ups
measure: Employment Outcomes
timeFrame: 6 week and 3 month follow ups
measure: Satisfaction With Life
timeFrame: 6 week and 3 month follow ups
measure: Adolescent Reinforcement Survey Schedule (ARSS)
timeFrame: 6 week and 3 month follow ups
Other outcomes:
Locations:
Study officials:
References:
citation: Colby SM, Orchowski L, Magill M, Murphy JG, Brazil LA, Apodaca TR, Kahler CW, Barnett NP. Brief Motivational Intervention for Underage Young Adult Drinkers: Results from a Randomized Clinical Trial. Alcohol Clin Exp Res. 2018 Jul;42(7):1342-1351. doi: 10.1111/acer.13770. Epub 2018 Jun 6.