Assessing the Fit of Motivational Interviewing by Cultures With Adolescents

NCT01948700 | Terminated DMC

• 1 other identifier: 5R01AA017878-05
• Study Type: interventional
• Target: 506
• Locations: 1 country
• Sites: 1

Brief Summary

Hispanic adolescents experience more severe alcohol-related consequences due to their alcohol abuse and yet significantly fewer Hispanic adolescents receive alcohol treatment, particularly among justice-involved youth. Despite the level of research that has been conducted on motivational interviewing (MI) with mainstream samples, no published studies have investigated the efficacy of this brief, individual intervention with Hispanic adolescents. The overarching objective of this application is to evaluate the efficacy of a brief individual intervention (MI) for problem drinking behaviors with a sample of justice-involved Hispanic and Caucasian adolescents to determine if this intervention is differentially effective between Hispanic and Caucasian adolescents. Specifically, the first aim is to determine whether an MI intervention targeting alcohol abuse is effective at reducing alcohol use and related risk behavior in a sample of adolescent alcohol abusers. The second aim is to examine whether the effects of MI on problem drinking outcomes (e.g., alcohol problems, quantity of drinking, frequency of binging) are different between Hispanic versus Caucasian adolescents. Because it is important to determine the mechanisms that mediate the effects of MI and determine whether these mechanisms differ between Caucasian and Hispanic adolescents, the third aim is to examine whether group (Hispanic vs. Caucasian) moderates the mediational linkages in the overall model using a cross-groups approach to moderated mediation. To accomplish these aims, 453 Caucasian and Hispanic justice-involved alcohol abusing adolescents (ages 14-17) will be randomized to either two 60 minute MI interventions (one at baseline and a second, one week later) or an education condition. All adolescents will receive behavioral assessments at baseline, 3, 6 and 12 months. The proposed research is expected to take a significant step towards reducing current racial/ethnic health disparities in alcohol treatment for Hispanic adolescents.

Conditions

Alcoholism

Keywords

Motivational Interviewing; Problem Drinking; Adolescents; Minority Health

Outcome Measures

Primary Outcomes (1)

• Frequency of alcohol use

  Change from baseline in frequency of alcohol use at 3 , 6 , & 12 month follow-up

Secondary Outcomes (1)

• Quantity of alcohol use

  Change from baseline in quantity of alcohol use at 3 , 6 , & 12 month follow-up

Other Outcomes (1)

• Number of alcohol-related problems as indicated in the Rutgers Alcohol Problems Index

  Change from baseline in number of alcohol-related problems at 3 , 6 , & 12 month follow-up

Study Arms (2)

Brief Intervention

OTHER

Motivational Interviewing (MI)

Behavioral: Motivational Interviewing

Standard Intervention

OTHER

Education

Other: Education

Interventions

Motivational Interviewing BEHAVIORAL

Brief Intervention

Education OTHER

Standard Intervention

Eligibility Criteria

• Age: 13 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Age 13 - 18
• Provision of informed assent (or self-consent if age 18)
• Parent/ guardian consent if under age 18
• Regular substance use (use at least 1 per month for past 6 months)

You may not qualify if:

• active psychosis
• mental retardation
• neurodevelopmental disorder
• severe medical illness

Sponsors & Collaborators

• University of New Mexico: lead
• National Institutes of Health (NIH): collaborator
• National Institute on Alcohol Abuse and Alcoholism (NIAAA): collaborator

Study Sites (1)

University of New Mexico Center on Alcoholism, Substance Abuse, and Addictions

Albuquerque, New Mexico, 87106, United States

Location

Related Publications (1)

• Feldstein Ewing S, Bryan AD, Dash GF, Lovejoy TI, Borsari B, Schmiege SJ. Randomized controlled trial of motivational interviewing for alcohol and cannabis use within a predominantly Hispanic adolescent sample. Exp Clin Psychopharmacol. 2022 Jun;30(3):287-299. doi: 10.1037/pha0000445. Epub 2021 Mar 22.

  PMID: 33749294 DERIVED

MeSH Terms

Conditions

Alcoholism

Interventions

Motivational Interviewing; Educational Status

Condition Hierarchy (Ancestors)

Alcohol-Related Disorders; Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services; Socioeconomic Factors; Population Characteristics

Study Officials

• Sarah W. Feldstein Ewing, Ph. D.

  Assistant Professor UNM

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 16, 2013
• First Posted: September 24, 2013
• Study Start: October 1, 2009
• Primary Completion: July 1, 2015
• Study Completion: July 1, 2015
• Last Updated: March 12, 2024

Record last verified: 2024-03

Locations

US (1)