Family and Social Intervention for Young People

NCT02399865 | Unknown

• 1 other identifier: NIHR 11/60/01
• Study Type: interventional
• Target: 53
• Locations: 0 countries
• Sites: N/A

Brief Summary

Research evidence shows that there is a high prevalence of substance use among young people in the UK. Early onset and high levels of use are associated with a range of negative outcomes, including increased risk of later problematic use and dependence. A growing body of research has identified family interventions to be effective in treating young people's substance use problems. However, despite this evidence, takeup of family based approaches, at least in the UK, has been low. A key factor appears to be the resource intensive nature of many family interventions, making them difficult to implement and deliver in many service settings, especially in the context of substantial cuts to drug and alcohol services for young people (1). Another potential barrier may be the cultural adaptation of approaches developed in the USA to a UK setting. There is growing awareness of the need to adapt evidence-based treatments to different cultural groups and settings in order to ensure successful implementation (2,3,4). Following on from developmental and adaptation work, this study aims to demonstrate the feasibility of recruiting young people to specifically developed family and network based intervention. In addition the feasibility of training staff from existing young people addiction services to deliver this intervention will be explored and treatment retention will be assessed. Qualitative interviews will elicit the participants' views on the acceptability of the intervention and their experiences of both it and the study process.

Conditions

Alcohol Misuse; Drug Misuse

Outcome Measures

Primary Outcomes (3)

• Recruitment Rate

  Quantitative assessment of the acceptability of the research will be assessed by numbers referred, number eligible and those agreeing to participate.

  3 months

• Retention in Treatment

  Retention in treatment will be evaluated by number of sessions attended as a measure of acceptability of the interventions to participants.

  3 months (12 weeks)

• Follow up completion rates

  Quantitative assessment of the number of follow-up interviews completed.

  12 months

Secondary Outcomes (6)

• Qualitative Interviews

  3 to 12 months

• Emotional Well-being as measured by Social Difficulties Questionnaire (SDQ)

  12 months

• Social Network Support as measured by Important People Drug and Alcohol interview (IPDA)

  12 months

• Family Environment as measured by Family Environment Scale (FES)

  12 months

• Working Alliance Inventory

  3 months

Other Outcomes (3)

• Activities and Engagement

  12 months

• Intervention effectiveness as measured by Timeline Follow-Back (TLFB)

  90 days

• Young peoples' involvement

  24 months

Study Arms (2)

YSBNT Group

EXPERIMENTAL

Six 50 minute YSBNT sessions (delivered by a trained YSBNT practitioner) for over a maximum period of 12 weeks

Other: Youth Social Behaviour and Network Therapy

Treatment as Usual Group

NO INTERVENTION

Usual care delivered by treatment-as-usual practitioners

Interventions

Youth Social Behaviour and Network Therapy OTHER

The Y-SBNT will be delivered according to the developed purpose-designed therapy manual. Participants randomised to Y-SBNT will be offered six, 50 minute SBNT sessions for over a maximum period of 12 weeks. Where consent is obtained, sessions will audio-recorded and reviewed by the research team to ensure fidelity with the YSBNT manual and principles of practice. Using the identification of the social network of the young person conducted in the first session as a platform, subsequent core strategies of the adapted YSBNT approach include motivational techniques, improving communication and coping mechanisms, and crucially given the nature of substance misuse, developing a network-based relapse management plan. Participants will be given the opportunity to invite members of their network to the treatment sessions. The therapeutic approach also has scope to address client-focussed elective areas, for example, educational requirements.

Also known as: YSBNT

YSBNT Group

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• (i) Young people with drug and/or alcohol problems newly referred and accepted for treatment by the two agencies during the period of recruitment. (ii) Willing to provide written informed consent. (iii) Able to provide written informed consent.

You may not qualify if:

• (i) Concurrent severe mental illness that precludes them from active participation.
• (ii) Severe physical illness that precludes them from active participation. (iii) Unable or unwilling to give written informed consent.

Sponsors & Collaborators

• University of Birmingham: lead
• University of York: collaborator
• Birmingham and Solihull Mental Health NHS Foundation Trust: collaborator
• National Institute for Health Research, United Kingdom: collaborator
• Northumberland, Tyne and Wear NHS Foundation Trust: collaborator
• Newcastle University: collaborator

Related Publications (1)

• 1.Drugscope. Charities warn of 'devastating impact' of cuts to young people's drug and alcohol services. 2011; 20 July. 2.Bernal G, JimenezChafey M, Domenech Rodriquez MM. Cultural adaptation of treatments: a resource for considering culture in evidencebased practice. Professional Psychology; Research and Practice. 2009: 40 (4); 361368. 3.Cortese CA (1999). Drug services and cultural adaptation. Drugs: education, prevention and policy. 1999: 6 (3); 361366 4.Lau, A.S. Making the case for selective and directed cultural adaptations of evidence-based treatments: examples from parent training. Clin Psychol Sci Prac. 2006: 13; 295310.

  BACKGROUND

Related Links

• Protocol paper published in Pilot and Feasibility Studies

MeSH Terms

Conditions

Drug Misuse

Condition Hierarchy (Ancestors)

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

Study Officials

• Alex G Copello, PhD

  University of Birmingham

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 23, 2015
• First Posted: March 26, 2015
• Study Start: May 1, 2014
• Primary Completion: September 1, 2015
• Study Completion: September 1, 2015
• Last Updated: March 31, 2015

Record last verified: 2015-03