Targeting HIV Risk Behaviors in Juvenile Drug Court-Involved Youth

NCT01511380 | Completed Phase 2 DMC

• 1 other identifier: R01DA025880
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

This study is designed to gain knowledge about effective interventions for reducing HIV risk in a high risk population. A new Risk Reduction Therapy for Adolescents (RRTA) will be compared to usual services received by youth in juvenile drug courts. It is expected that youth treated with RRTA will show greater reductions in substance use and risky sexual behaviors. Reducing HIV risk by effectively targeting substance use and risky sexual behaviors in high-risk groups such as juvenile drug court-involved youth could favorably impact society at multiple levels (individual, family, peer, community, fiscal).

Conditions

Substance Use; Sexual Risk Behaviors

Keywords

juvenile; randomized trial; substance abuse; sexual risk; contingency management

Outcome Measures

Primary Outcomes (1)

• Change in substance use frequency

  Self-reported substance use by the adolescent will be assessed using a variation of the Form 90. Urine drug screens for cannabis, cocaine, opiates, methamphetamines, and amphetamines will be collected using the "5-Test Integrated Cup" supplied by BioTechNostix.

  Baseline through 18 months post-baseline

Secondary Outcomes (3)

• Change in delinquent behavior

  Baseline through 18 months post-baseline

• Change in sexual risk behaviors

  Baseline through 18 months post-baseline

• Change in frequency of HIV counseling and testing

  Baseline through 18 months post-baseline

Study Arms (2)

Risk Reduction Therapy for Adolescents

EXPERIMENTAL

Youth randomly assigned to RRTA will complete a family focused treatment program that will work with the youth and his or her caregiver to help reduce youth substance use and risky sexual behavior using principals of behavior modification and contingency management.

Behavioral: Risk Reduction Therapy for Adolescents

Usual services

ACTIVE COMPARATOR

For youth randomly assigned to usual treatment services, the youth will receive the treatment services recommended by the drug court.

Behavioral: Usual services

Interventions

Risk Reduction Therapy for Adolescents BEHAVIORAL

This project integrates CM and a family systems intervention for sexual risk with evidence-based family engagement strategies, and tests this intervention in a juvenile drug court setting. Due to the individualized nature of the proposed intervention, the specific course of treatment will vary by youth and family. Based on our experience with clinic-based treatment models it is anticipated that most families will remain in active treatment for 4-6 months and that, during this time, they will attend approximately 1-2 sessions per week, for 1-2 hours per session.

Risk Reduction Therapy for Adolescents

Usual services BEHAVIORAL

In addition to the standard juvenile drug court requirements, youth randomly assigned to the usual services condition are also ordered to receive treatment services from the local state or privately-funded alcohol and drug treatment provider agencies. The service delivery model for agencies typically includes intensive outpatient, traditional outpatient, and home-based services, depending upon assessment of youth and family needs. Groups focus on risk reduction, peer influence, conflict resolution, and anger management. Additionally, youth might receive treatment pertaining to drug selling behavior, individual sessions and/or family group therapy. The theoretical orientations of the provider agencies are cognitive-behavioral and systems theory. Interventions are not usually manual driven, and selection of material is typically left to the therapists' discretion.

Usual services

Eligibility Criteria

• Age: 12 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• enrolled in juvenile drug court or pre-enrollment status
• residing with permanent caregiver
• youth and caregiver fluent in English

Sponsors & Collaborators

• Medical University of South Carolina: lead

Study Sites (1)

Medical University of South Carolina

Charleston, South Carolina, 29401, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 4, 2012
• First Posted: January 18, 2012
• Study Start: September 1, 2008
• Primary Completion: June 1, 2013
• Study Completion: June 1, 2013
• Last Updated: May 4, 2016

Record last verified: 2013-05

Locations

US (1)