Parent SMART (Substance Misuse in Adolescents in Residential Treatment)
Improving Outcomes of Adolescents in Residential Substance Use Treatment Via a Technology-Assisted Parenting Intervention
2 other identifiers
interventional
220
1 country
3
Brief Summary
Adolescents in residential substance use treatment have serious substance-related problems and poor outcomes following discharge: follow-up studies indicate that 60% of adolescents treated in residential treatment will relapse within the first 90 days. Parenting practices have been established as a critical predictor of adolescents' substance use outcomes and likelihood of relapse following treatments, but parents are notoriously difficult to engage in adolescent substance use treatment. Findings such as these provide strong justification for targeting parents of adolescents in residential substance use treatment via easily accessible interventions. This study tests the effectiveness of a technology-assisted parenting intervention called Parent SMART (Substance Misuse among Adolescents in Residential Treatment). The intervention combines an off-the-shelf computer program that teaches parenting skills called Parenting Wisely, four telehealth coaching sessions, and a networking forum that allows parents to connect with a clinical expert and with other parents. The investigators will compare adolescents who receive standard residential substance use treatment to adolescents who receive the same treatment plus whose parents receive Parent SMART. Investigators will test the comparative effectiveness of Parent SMART versus residential treatment as usual on parental monitoring and communication, adolescent substance use (i.e., days of substance use and substance-related problems), and substance-related high-risk behaviors (i.e., school-related problems, criminal involvement, externalizing behavior). The investigators will also test whether improvements in parenting partially mediate any observed changes in adolescent substance use and other high-risk behaviors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2022
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
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 13, 2021
CompletedFirst Posted
Study publicly available on registry
December 27, 2021
CompletedStudy Start
First participant enrolled
March 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 2, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
February 2, 2027
April 3, 2025
April 1, 2025
4.9 years
December 13, 2021
April 1, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Change in Parental Monitoring
The Parental Monitoring Questionnaire (PMQ), a parent-report and adolescent-report measure, will be used to assess dimensions of parental monitoring. It has three subscales: Child Disclosure, Parent Solicitation, and Parental Control.
Baseline to 24 Weeks Post Discharge
Change in Parental Communication
The Parent-Adolescent Communication Scale (PCAS), a parent-report and adolescent-report measure, will be used to assess dimensions of parental monitoring. It has two subscales: General Communication and Problems with Communication.
Baseline to 24 Weeks Post Discharge
Change in Family Assessment Task Interaction Ratings
The Family Assessment Task, a video-taped family problem solving task will be used to provide an in vivo assessment of parenting behavior. Three tasks provide data on monitoring and communication: Limit Setting, Substance Use Norms, and Monitoring and Listening. Tapes will be coded by two raters blind to condition.
Baseline to 24 Weeks Post Discharge
Change in Proportion of Days Used Over the Past 90 Days Outside of a Controlled Environment
The Global Appraisal of Individual Needs - Core is a well-validated clinical interview used to assess adolescent substance use in a range of settings. Substance consumption information is collected using a calendar format with temporal cues (e.g., holidays) to assist in recall of days when alcohol and other drugs were used. Possible number of days range from 0 to 90. Values are adjusted to reflect the percent of days used outside of controlled environment, with final values ranging from 0 to 100%.
Baseline to 24 Weeks Post Discharge
Change in Substance Use Problems
The Global Appraisal of Individual Needs - Core is a well-validated clinical interview used to assess adolescent substance use in a range of settings. The Substance-Related Problems Scale provides a count of substance-related problems experienced over the past 90 days. Possible values range from 0 to 11.
Baseline to 24 Weeks Post Discharge
Study Arms (2)
Parent SMART
EXPERIMENTALParent SMART is a technology-assisted parenting intervention combining an off-the-shelf computer program (Parenting Wisely), up to four telehealth coaching sessions, and access to an app-based networking forum.
Treatment as Usual
ACTIVE COMPARATORThe active comparator is defined as residential treatment services as usual.
Interventions
Eligibility Criteria
You may qualify if:
- admitted to residential treatment due to concerns about frequency and/or severity of substance use
- report alcohol and/or drug use in the past 90 days
- be discharged to live with primary guardian
- fluent in English or Spanish
- willing and able to participate in a 2 hour interview prior to discharge from residential
You may not qualify if:
- does not report alcohol or drug use in the past 90 days
- discharge plan does not include living with primary guardian
- not fluent in English or Spanish
- not willing or able to complete baseline interview
- parent or legal guardian of adolescent aged 12-18 years inclusive, at project start
- adolescent admitted to residential treatment due to concerns about frequency and/or severity of substance use
- will be primary guardian living with adolescent after discharge from residential
- fluent in English or Spanish
- willing and able to complete the baseline assessment prior to the adolescent's discharge
- access to a smartphone that can receive text messages and reliably access the internet
- not legal guardian of adolescent or adolescent not aged between 12-18 years
- adolescent not admitted to residential treatment due to substance use concerns
- will not be living with adolescent after adolescent's discharge from residential
- not fluent in English or Spanish
- not willing or able to complete the baseline assessment prior to the adolescent's discharge
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Brown Universitylead
- National Institute on Drug Abuse (NIDA)collaborator
- Northwestern Universitycollaborator
Study Sites (3)
Rosecrance Health Network
Rockford, Illinois, 61107, United States
Rosecrance Jackson Centers
Sioux City, Iowa, 51101, United States
Hazelden Betty Ford
Plymouth, Minnesota, 55441, United States
Related Publications (2)
Patel-Syed Z, Helseth SA, Rosales R, Janssen T, Scott K, Becker SJ. The effects of neighborhood perceptions on response to a technology-assisted parenting intervention for adolescent substance use: protocol of a diversity supplement to parent SMART (Substance Misuse in Adolescents in Residential Treatment). Addict Sci Clin Pract. 2024 Oct 18;19(1):75. doi: 10.1186/s13722-024-00509-y.
PMID: 39425208DERIVEDBecker SJ, Helseth SA, Kelly LM, Janssen T, Wolff JC, Spirito A, Wright T. Parent SMART (Substance Misuse in Adolescents in Residential Treatment): Protocol of a Randomized Effectiveness Trial of a Technology-Assisted Parenting Intervention. JMIR Res Protoc. 2022 Feb 28;11(2):e35934. doi: 10.2196/35934.
PMID: 35225821DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sara J Becker, Ph.D.
Brown University and Northwestern University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- Outcomes assessors will be masked to study condition.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 13, 2021
First Posted
December 27, 2021
Study Start
March 1, 2022
Primary Completion (Estimated)
February 2, 2027
Study Completion (Estimated)
February 2, 2027
Last Updated
April 3, 2025
Record last verified: 2025-04
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
- Time Frame
- Protocol will be submitted for publication in 2021. Analytic code and participant-level data will be made ready for distribution within 12 months of study completion.
- Access Criteria
- Data will only be shared with external investigators when a data use agreement (DUA) is executed between Brown University and the requester's institution. The DUA will specify the requested data elements (each of which must be justified), the specific research question, the timeline for the project, and schedule for data destruction.
Study protocol and statistical analysis plan for the primary outcomes will be submitted to the Journal of Medical Internet Research Protocols. Additional data (analytic code, participant-level data) can be requested from the Principal Investigator. Analysis files will be constructed from the stored electronic data and will be stripped of identifying information. Specifically, participants will be identified with a numeric identifier that is not related to any element of their personal identifying information. No names, addresses, telephone numbers, fax numbers, email addresses, medical record numbers, etc. will be retained in the de-identified files.