NCT02672150

Brief Summary

This is a multi site experiment to evaluate the impact of various strategies for increasing the use of evidence based screening, assessment and linkage to substance use treatment. All sites collect baseline data and receive a core intervention. Half are then randomly assigned to get an additional year of coaching to facilitate implementation.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
839

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jul 2013

Longer than P75 for not_applicable

Geographic Reach
1 country

8 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2013

Completed
2.6 years until next milestone

First Submitted

Initial submission to the registry

January 22, 2016

Completed
12 days until next milestone

First Posted

Study publicly available on registry

February 3, 2016

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 31, 2019

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2019

Completed
Last Updated

July 23, 2019

Status Verified

July 1, 2019

Enrollment Period

5.6 years

First QC Date

January 22, 2016

Last Update Submit

July 22, 2019

Conditions

Substance Use Disorders

Keywords

evidence-based practice implementationsystem changeinteragency collaborationsubstance usetreatment servicesdata-driven decision makingjuvenile justiceadolescentsjustice-involved youthcluster randomized trial

Outcome Measures

Primary Outcomes (2)

  • Service Cascade: % Referred to Substance Use Treatment

    Calculated from juvenile justice and substance use treatment agency records as the number of youth referred to substance use treatment divided by the number of youth identified as need of substance use treatment.

    120 weeks

  • Staff Perception: Value of Evidenced Based Substance Use Treatment

    Calculated from staff surveys at juvenile justice and substance use treatment agencies as the average staff ranking of the perceived "value" of using of evidence-based substance use treatment services.

    120 weeks

Secondary Outcomes (13)

  • Service Cascade: % Screened for Substance Use Problems

    120 weeks

  • Service Cascade: % Clinically Assessed for Substance Use Problems

    120 weeks

  • Service Cascade: % In Need of Substance Use Treatment

    120 weeks

  • Service Cascade: % Initiating Substance Use Treatment

    120 weeks

  • Service Cascade: % Engaged in Substance Use Treatment

    120 weeks

  • +8 more secondary outcomes

Study Arms (3)

Control

NO INTERVENTION

During the Baseline Control data is collected in all 36 sites at the agency, staff, and youth level on the 6 months prior to the interventions in Arms 2 \& 3 to document what practice was before the study.

Core

ACTIVE COMPARATOR

In the second phase (after baseline) all 36 sites receive a Core condition that includes five interventions: (1) JJ-TRIALS Orientation Meetings, (2) Needs Assessment, (3) Behavioral Health Training, (4) Site Feedback Report, (5) Goal Achievement Training, (6) Monthly Site Check-ins, and (7) Quarterly Reports. As part of Goal Achievement Training, sites receive assistance in using their Site Feedback Reports to select goals to meet their local needs. Sites are trained on using Data-Driven Decision Making (DDDM) to inform decisions (e.g., selecting a goal, monitoring progress) and enlisting DDDM templates and tools (developed as part of the project) to plan and implement proposed changes. these principles to their improvement efforts during the implementation phase.

Behavioral: Core

Enhanced

EXPERIMENTAL

While the core intervention and DDDM are expected to facilitate change, organizations may need additional support to apply these principles to their improvement efforts during the implementation phase. In the third phase (after Core), 1/2 of the sites are randomly assigned to an Enhanced condition that provides continuing support for the use of DDDM tools by adding research staff facilitation of DDDM over a 12-month period and formalized Local Change Teams (LCTs) featuring representation from the JJ agency and a local BH provider, with meetings facilitated by research staff).

Behavioral: CoreBehavioral: Enhanced

Interventions

CoreBEHAVIORAL
Also known as: GAT, DDDM
CoreEnhanced
EnhancedBEHAVIORAL
Also known as: DDDM, Facilitation
Enhanced

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

Emory University

Atlanta, Georgia, 30322, United States

Location

Chestnut Health Systems

Bloomington, Illinois, 61701, United States

Location

University of Kentucky

Lexington, Kentucky, 40508, United States

Location

National Institute on Drug Abuse

Rockville, Maryland, 20892, United States

Location

Mississippi State University

Starkville, Mississippi, 39759, United States

Location

Columbia University

New York, New York, 10032, United States

Location

Temple University

Philadelphia, Pennsylvania, 19122, United States

Location

Texas Christian University

Fort Worth, Texas, 76129, United States

Location

Related Publications (8)

  • Jones SD, Bartkowski JP, Belenko S, Becan JE, Taxman FS, Wasserman GA, Aarons GA, McReynolds LS, Dolbear C, Xu X. Site engagement in implementation research: Introducing SEAMLIS as a conceptual and measurement framework. Health Justice. 2025 Jul 5;13(1):44. doi: 10.1186/s40352-025-00349-1.

    PMID: 40616691DERIVED

  • Nelson V, Wood J, Belenko S, Pankow J, Piper K. Conditions of successful treatment referral practices with justice-involved youth: Qualitative insights from probation and service provider staff involved in JJ-TRIALS. J Subst Use Addict Treat. 2024 Jul;162:209358. doi: 10.1016/j.josat.2024.209358. Epub 2024 Mar 27.

    PMID: 38548060DERIVED

  • Belenko S, Dembo R, Knight DK, Elkington KS, Wasserman GA, Robertson AA, Welsh WN, Schmeidler J, Joe GW, Wiley T. Using structured implementation interventions to improve referral to substance use treatment among justice-involved youth: Findings from a multisite cluster randomized trial. J Subst Abuse Treat. 2022 Sep;140:108829. doi: 10.1016/j.jsat.2022.108829. Epub 2022 Jun 19.

    PMID: 35751945DERIVED

  • Marks KR, Leukefeld CG, Dennis ML, Scott CK, Funk R; JJ-TRIALS Cooperative. Geographic differences in substance use screening for justice-involved youth. J Subst Abuse Treat. 2019 Jul;102:40-46. doi: 10.1016/j.jsat.2019.04.005. Epub 2019 Apr 13.

    PMID: 31202287DERIVED

  • Fisher JH, Becan JE, Harris PW, Nager A, Baird-Thomas C, Hogue A, Bartkowski JP, Wiley T; JJ-TRIALS Cooperative. Using Goal Achievement Training in juvenile justice settings to improve substance use services for youth on community supervision. Health Justice. 2018 Apr 30;6(1):10. doi: 10.1186/s40352-018-0067-4.

    PMID: 29713840DERIVED

  • Becan JE, Bartkowski JP, Knight DK, Wiley TRA, DiClemente R, Ducharme L, Welsh WN, Bowser D, McCollister K, Hiller M, Spaulding AC, Flynn PM, Swartzendruber A, Dickson MF, Fisher JH, Aarons GA. A model for rigorously applying the Exploration, Preparation, Implementation, Sustainment (EPIS) framework in the design and measurement of a large scale collaborative multi-site study. Health Justice. 2018 Apr 13;6(1):9. doi: 10.1186/s40352-018-0068-3.

    PMID: 29654518DERIVED

  • Belenko S, Knight D, Wasserman GA, Dennis ML, Wiley T, Taxman FS, Oser C, Dembo R, Robertson AA, Sales J. The Juvenile Justice Behavioral Health Services Cascade: A new framework for measuring unmet substance use treatment services needs among adolescent offenders. J Subst Abuse Treat. 2017 Mar;74:80-91. doi: 10.1016/j.jsat.2016.12.012. Epub 2016 Dec 31.

    PMID: 28132705DERIVED

  • Knight DK, Belenko S, Wiley T, Robertson AA, Arrigona N, Dennis M, Bartkowski JP, McReynolds LS, Becan JE, Knudsen HK, Wasserman GA, Rose E, DiClemente R, Leukefeld C; JJ-TRIALS Cooperative. Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS): a cluster randomized trial targeting system-wide improvement in substance use services. Implement Sci. 2016 Apr 29;11:57. doi: 10.1186/s13012-016-0423-5.

    PMID: 27130175DERIVED

Related Links

MeSH Terms

Conditions

Substance-Related Disorders

Interventions

GAT

Condition Hierarchy (Ancestors)

Chemically-Induced DisordersMental Disorders

Study Officials

  • Tisha R Wiley, Ph.D.

    National Institute on Drug Abuse (NIDA)

    PRINCIPAL INVESTIGATOR

  • Gail A Wasserman, Ph.D.

    Columbia University

    PRINCIPAL INVESTIGATOR

  • Ralph DiClemente, Ph.D.

    Emory University

    PRINCIPAL INVESTIGATOR

  • Gene H Brody, Ph.D.

    Emory University

    PRINCIPAL INVESTIGATOR

  • Angela A Robertson, Ph.D.

    Mississippi State University

    PRINCIPAL INVESTIGATOR

  • Steven R Belenko, Ph.D.

    Temple University

    PRINCIPAL INVESTIGATOR

  • Danica K Knight, Ph.D.

    Texas Christian University

    PRINCIPAL INVESTIGATOR

  • Carl G Leukefeld, Ph.D.

    University of Kentucky

    PRINCIPAL INVESTIGATOR

  • Michael L Dennis, Ph.D.

    Chestnut Health Systems

    PRINCIPAL INVESTIGATOR

  • Christy K Scott, Ph.D.

    Chestnut Health Systems

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Pairs of sites were optimally randomize based on 10,000 trials to the two conditions by the coordinating center. The assignment (to core or core+enhanced) was not revealed to the local research center or site until after completion of the core. Thus it is double blind.
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Model Details: Staff from 34 juvenile community supervision agencies were observed for a 6 month baseline period than trained over 4 months on using a behavioral health service cascade model to screen, identify, and refer youth to substance use treatment. Half the sites were randomized to 12 additional months of facilitation. Sites were then monitored for an additional 4 month maintenance phase.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Coordinating Center Multi-PI

Study Record Dates

First Submitted

January 22, 2016

First Posted

February 3, 2016

Study Start

July 1, 2013

Primary Completion

January 31, 2019

Study Completion

June 30, 2019

Last Updated

July 23, 2019

Record last verified: 2019-07

Data Sharing

IPD Sharing
Will share

The coordinating center is charged with creating de-identified versions of agency, staff and client level service data available at the end of the study.

Locations

US(8)