Family Intervention for Teen Drinking in the ER
1 other identifier
interventional
104
1 country
3
Brief Summary
The investigators propose a randomized controlled trial with five aims: 1. To investigate the engagement potential and effectiveness of a family-centered intervention (MDFT) and Family Motivational Interviewing Intervention (FMII)/group for teens with alcohol-related crises; 2. To explore differential treatment effects with comorbid adolescents; 3. To examine the role of motivation and family factors as treatment mediators; 4. To examine long-term abstinence, patterns and predictors of relapse up to 18 months follow-up; and 5. To compare the total and net monetary benefits to society of MDFT, FMII/group, and standard care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2010
Longer than P75 for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 26, 2010
CompletedFirst Posted
Study publicly available on registry
October 28, 2010
CompletedStudy Start
First participant enrolled
November 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2015
CompletedMay 1, 2015
April 1, 2015
4.4 years
October 26, 2010
April 29, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Treatment engagement/retention
To investigate the engagement potential and effectiveness of a family-centered intervention (MDFT) and family-involved MI (FMII) for teens with alcohol-related crises.
Proportion of adolescents enrolled in substance abuse treatment at 3 months post -intake.
Secondary Outcomes (1)
Alcohol use/abstinence
Youth assigned to MDFT and FMII/group will show greater decreases in alcohol use and binge drinking than youth in standard care at 3 months post intake.
Study Arms (3)
Multidimensional Family Therapy
EXPERIMENTALMultidimensional Family Therapy is an outpatient family-based treatment for troubled youth.(Liddle, 2002) considered in the U.S. and abroad as an empirically supported Best Practice treatment for teen substance abuse and delinquency (USDHHS 2002; Drug Strategies 2003; NIDA 1999; Rigter et al 2004).
Family Motivational Interviewing
EXPERIMENTALMotivational Interviewing (MI; Miller 1983; Miller \& Rollnick 1991), is a client-centered treatment designed to strengthen clients' commitment and empower them to change their substance use behavior (Miller \& Rollnick 2002).
Standard Care
OTHERThe standard care condition will represent typical services for teens with alcohol problems in the community: assessment and referral for treatment
Interventions
Clients attend two 90-minute group sessions per week.Treatment lasts for three months.
Multidimensional Family Therapy is an outpatient family-based treatment for troubled youth (Liddle, 2002). Treatment duration is 3 months, sessions last 60-90 minutes, with an average of 2 sessions per week and additional extrafamilial work and phone contacts as needed.
Youth and parents receive 2 FMII sessions in their homes within 72 hours of the ER incident, and youth will be linked with group treatment lasting 3 months.
Eligibility Criteria
You may qualify if:
- Between ages 12 to 18 years old
- Present in ER/trauma unit
- Meet minimum cut-off of 4 on the AUDIT; OR BAC of 0.01% or more on QED; OR report alcohol use within 6 hours of ER visit
- Not receiving any other behavioral treatment
- At least one parent/guardian is willing to participate in assessments and intervention
- Parent consent/youth assent
You may not qualify if:
- Meet DSM-IV dependence criteria for any substance other than alcohol, marijuana, or tobacco
- Mental retardation or pervasive developmental disorders
- Psychotic symptoms
- Current suicidality
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Jackson Memorial Hospital
Miami, Florida, 33136, United States
University of Miami Miller School of Medicine
Miami, Florida, 33136, United States
Miami Children's Hospital
Miami, Florida, 33155, United States
Related Publications (1)
Rowe CL, Liddle HA. Family-based treatment development for adolescent alcohol abuse. Int J Adolesc Med Health. 2006 Jan-Mar;18(1):43-51. doi: 10.1515/ijamh.2006.18.1.43.
PMID: 16639858BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Cynthia L Rowe, PhD
University of Miami
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
October 26, 2010
First Posted
October 28, 2010
Study Start
November 1, 2010
Primary Completion
April 1, 2015
Study Completion
April 1, 2015
Last Updated
May 1, 2015
Record last verified: 2015-04