Clinical trial NCT03079856: Drug Use and Sexual Risk Behaviors Among Emerging Adults in the ER
Official title: Drug Use and Sexual Risk Behaviors Among Emerging Adults in the ER
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Drug Use
Sex Behavior
Keywords: Emerging adults
Drugs
HIV
Risky Sex Behaviors
Lead sponsor: University of Michigan
Sponsor class: OTHER
Collaborators: name: National Institute on Drug Abuse (NIDA)
First posted: 2017-03-15
Enrollment: 63
Sex: ALL
Minimum age (years): 18
Maximum age (years): 25
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This project will develop a technology-augmented HIV and substance use risk reduction intervention for delivery in the Emergency Department, a medical setting where at-risk emerging adults who use drugs and engage in HIV-related risk behaviors are likely to present.

Detailed description: Research regarding substance use (including illicit drugs and non-medical use of prescription drugs) and HIV-related sexual risk behaviors (HIV SRBs; e.g., inconsistent condom use, multiple partners, sex while intoxicated; and prevention of injection drug use) among emerging adults (EAs; ages 18-25) has generally focused on alcohol use among college students from campus settings; however, substance use and HIV (and other associated Sexually Transmitted Infections) disproportionately occur among young people living in urban, low-resource communities, particularly individuals of racial minorities. The Emergency Department (ED) is a critical venue for accessing at-risk EAs engaging in substance use and HIV risk behaviors. Research shows high rates of substance use and HIV SRBs among EA patients in the ED, yet no intervention exists for EAs in this setting. The ED may be the only opportunity to intervene with these young people because EAs in urban, low-resource settings often lack a primary care provider during the transition from pediatric to adult medicine, may be un-insured or under-insured, and may not be involved in a traditional college campus setting. Further the use of technology (e.g., mobile phones) is relatively ubiquitous among this age group, and most prefer technology-based communication (e.g., text messaging or instant messaging via apps), therefore interventions for EAs may be enhanced by this type of technology. In this phase we will test a tailored intervention for EA patients in the ED focusing on reducing substance use and HIV SRBs, which will be enhanced through the use of mobile app notifications.

Eligibility criteria: Inclusion Criteria:

* Medically stable
* Mentally and physically able to consent
* English-speaking
* Between ages 18-25
* Past-month substance use (including illicit drugs and/or non-medical prescription drug use) and inconsistent condom use in the past month
* Ownership of a smartphone

Exclusion Criteria:

* ED presentation suicidality and/or acute psychosis, being in police custody, or present with psychological distress requiring intensive social work (e.g. sexual assault)
* Patients with a significant other that they live with who is currently participating in study
* Actively participating in another study
* Participated in prospective and intervention development phases of the study
* Married
* Do not wish to consent to audio-taping the in-person portion of the ED-based intervention session

Primary outcomes:
measure: Change in days substance use
timeFrame: 2-months post baseline
measure: Change in quantity of marijuana use
timeFrame: 2-months post baseline
measure: Change in total alcohol consumption
timeFrame: 2-months post baseline
Secondary outcomes:
measure: Change in HIV risk behaviors
timeFrame: 2-months post baseline
measure: Change in substance use consequences
timeFrame: 2-months post baseline
Other outcomes:
Locations:
city: Flint
country: United States
facility: Hurley Medical Center
state: Michigan
Study officials:
affiliation: University of Michigan
name: Erin E Bonar, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References: