NCT05897164

Brief Summary

The goal of this study is to test the newly expanded WisePath for Teens (WPT) for substance use app, a direct-to-consumer paired mobile phone app for iOS and Android platforms that supports parents/guardians in delivering evidence-based techniques to reduce youth substance abuse and co-occurring mental health problems. This project will expand WPT for use with a general population of teens with problematic substance use and their parents to reduce substance abuse, its harmful effects, opioid overdoses, and progression to substance use disorders, as well as other behavioral health problems that are exacerbated by substance abuse and/or interfere with substance abuse treatment.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
600

participants targeted

Target at P75+ for not_applicable

Timeline
7mo left

Started Aug 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

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 Progress19%
Aug 2026Apr 2027

First Submitted

Initial submission to the registry

May 22, 2023

Completed
18 days until next milestone

First Posted

Study publicly available on registry

June 9, 2023

Completed
3.2 years until next milestone

Study Start

First participant enrolled

August 18, 2026

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2026

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2027

Last Updated

August 20, 2026

Status Verified

August 1, 2026

Enrollment Period

3 months

First QC Date

May 22, 2023

Last Update Submit

August 18, 2026

Conditions

Outcome Measures

Primary Outcomes (9)

  • Change in Timeline Followback Method Assessment (TLFB)

    The TLFB assesses use of alcohol and 13 different drugs over the past 30 days. It involves asking clients to retrospectively estimate their drug, marijuana or cigarette use.

    Baseline (Time 1), 1-4 weeks (Time 2), 5-8 weeks (Time 3), and 9-12 weeks (Time 4)

  • Change in Global Assessment of Individual Needs-Q3 (GAIN)

    Scales from GAIN specifically identify and address substance use frequency (3 items), substance problems (5 items), crime/violence (5 items), and recovery environment risk (9 items) and are well-validated for adolescents.

    Baseline (Time 1), 1-4 weeks (Time 2), 5-8 weeks (Time 3), and 9-12 weeks (Time 4)

  • Change in Achenbach (Child/Adult) Behavior Checklist

    A widely used 123-item caregiver report form used to assess youth behavioral and emotional problems.

    Baseline (Time 1), 1-4 weeks (Time 2), 5-8 weeks (Time 3), and 9-12 weeks (Time 4)

  • Change in Family Environment Scale (FES)

    A widely-used measure of family conflict (12 items) and cohesion (15 items).

    Baseline (Time 1), 1-4 weeks (Time 2), 5-8 weeks (Time 3), and 9-12 weeks (Time 4)

  • Change in Parent-Adolescent Relationship Scale (PARS)

    A 15-item reliable measure of parent-teen connectedness, hostility, and involvement.

    Baseline (Time 1), 1-4 weeks (Time 2), 5-8 weeks (Time 3), and 9-12 weeks (Time 4)

  • Change in Alabama Parenting Questionnaire (APQ)

    A psychometrically sound measure of positive parenting (6 items), monitoring/supervision (10 items), and discipline consistency (6 items).

    Baseline (Time 1), 1-4 weeks (Time 2), 5-8 weeks (Time 3), and 9-12 weeks (Time 4)

  • Change in Perceived Stress Scale (PSS)

    A reliable 10-item measure to assess parents' overall stress in parenting over the past two weeks.

    Baseline (Time 1), 1-4 weeks (Time 2), 5-8 weeks (Time 3), and 9-12 weeks (Time 4)

  • Change in Parent Locus of Control (PLC)

    A scale to measure parents' feelings of helplessness (10 items) and efficacy in dealing with parenting challenges (10 items).

    Baseline (Time 1), 1-4 weeks (Time 2), 5-8 weeks (Time 3), and 9-12 weeks (Time 4)

  • App Satisfaction Survey

    An 8-item survey used in EBPI's previous research and focuses on the app's ease of use and helpfulness on a five-point rating scale. The survey also captures an overall satisfaction rating for the app used on a 100-point scale.

    9-12 weeks (Time 4)

Other Outcomes (2)

  • Demographics Questionnaire

    Eligibility Screening

  • Screening to Brief Intervention (S2BI) scale

    Eligibility Screening

Study Arms (3)

WPT

EXPERIMENTAL

Youth and parents allocated to the WPT condition will use WPT, a newly developed app to support parents delivering (and for youth, receiving) evidence-based practices to reduce youth's substance abuse and other significant behavioral health problems that commonly co-occur with substance abuse, exacerbate substance abuse and/or interfere with their treatment.

Other: WisePath for Teens

WPT + PSS

EXPERIMENTAL

Youth and parents allocated to the WPT + PSS condition will use WPT paired with a family peer support specialist.

Other: WisePath for TeensBehavioral: Peer Support Services (PSS)

WILLOW

ACTIVE COMPARATOR

Caregivers and teens allocated to the control condition will each be provided with access to the study-developed webpage that has links to freely-available, online, high-quality resources related to teen substance use and general stress reduction, with all links tailored to each webpage's intended audience (i.e., caregivers will be given links to parent-facing resources and teens will be given links to teen-facing or teen-appropriate webpages and resources). Dyads will receive simple instructions on how to save the webpage to their phone's home screen (similar to an app icon) to make access easier and more like accessing an installed mobile app.

Device: Control

Interventions

WPT is a paired mobile phone app for use on both Android and iOS operating systems by youth experiencing SA and their parents/guardians.

Also known as: WPT
WPTWPT + PSS

PSS are provided by people with lived experience with histories of adolescent substance abuse and are now in recovery who are also certified as peer support specialists. A specialist will virtually (e.g., over the phone, screensharing) meet with families regularly to provide support and ensure that families are able to use iKinnect-SA and access the app's features.

WPT + PSS
ControlDEVICE

Website with icon on participant's phone with Android or iOS operating systems.

Also known as: WILLOW
WILLOW

Eligibility Criteria

Age13 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Youth:
  • Resides in United States
  • years of age
  • Fluent in English
  • Possesses and is the primary user of an Android or iPhone-based smartphone with a data plan that they use on a daily basis
  • Currently residing in the same household with the linked caregiver/legal guardian participant at least five days a week
  • Meets criteria for mild-moderate or severe SA (for any drug or alcohol) on the Screening to Brief Intervention (S2BI), indicated by answering that they have used any substance at least once per month within the past 90 days.
  • Possesses and is the primary user of an Android or iPhone-based smartphone with a data plan
  • Caregivers:
  • Resides in United States
  • years or older
  • Fluent in English
  • Owns and is the primary user of an Android or iPhone-based smartphone with a data plan that they use on a daily basis
  • Able and willing to receive and send several (1-3 times/week) text messages from study staff during study participation
  • Is the primary caregiver of a youth aged 13-17 years who lives in the caregiver's home at least five days a week
  • +4 more criteria

You may not qualify if:

  • Youth:
  • Participated in previous iKinnect or WisePath for Teens research in the past 2 years
  • Caregivers:
  • Participated in previous iKinnect or WisePath for Teens research in the past 2 years
  • Currently involved with the child protective service system due to a concern about child maltreatment (i.e., abuse or neglect).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

University of Maryland, Baltimore

Baltimore, Maryland, 21201, United States

RECRUITING

Evidence-Based Practice Institute

Seattle, Washington, 98126, United States

RECRUITING

Related Links

MeSH Terms

Conditions

Substance-Related DisordersSuicide

Condition Hierarchy (Ancestors)

Chemically-Induced DisordersMental DisordersSelf-Injurious BehaviorBehavioral SymptomsBehavior

Study Officials

  • Linda Dimeff, PhD

    Chief Scientific Officer, Evidence-Based Practice Institute

    PRINCIPAL INVESTIGATOR
  • Cindy Schaeffer, PhD

    Associate Professor, University of Maryland-Baltimore

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Angela Kelley Brimer, MS

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
Participants will be blind to condition other than the one to which they are assigned; Investigators will be blind to condition until data analysis is complete.
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Youth will be randomized to condition after they and their parent provide assent/consent. As parents are yoked to youth, their assignment is automatically determined. A computerized minimization randomization procedure will be used to match youth across conditions on: (1) age (1=13-14; 2=15-17) and (2) substance use severity (1= mild-moderate SUD risk; 2= severe SUD risk). This randomization method results in equal numbers of participants in each condition at different levels of the matching variable and is superior to both simple and stratified randomization in producing balance for separate prognostic variables, particularly when the number of strata is large in comparison with number of subjects. The end will be 100 youth/parent WPT dyads, 100 WPT+PSS dyads, and 100 control/WILLOW dyads.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 22, 2023

First Posted

June 9, 2023

Study Start

August 18, 2026

Primary Completion (Estimated)

November 30, 2026

Study Completion (Estimated)

April 30, 2027

Last Updated

August 20, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will share

The final dataset will include self-reported demographic and behavioral data from youth and parent/guardian participants in the randomized controlled trial. The dataset will include sensitive data from youth participants aged 13-17 years regarding substance use, suicidal behavior, and other behavioral health problems. Thus, the de-identified dataset will be distributed by Drs. Dimeff and Schaeffer to those that request it and only under a data-sharing agreement that includes: (1) a commitment to using the data only for research purposes and not to identify any individual participant; (2) a commitment to securing the data using appropriate security protections; and (3) a commitment to destroying the data after analyses are completed.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
These materials will become available upon completion of study analyses.
Access Criteria
The de-identified dataset will be distributed only under a data-sharing agreement that includes: (1) a commitment to using the data only for research purposes and not to identify any individual participant; (2) a commitment to securing the data using appropriate security protections; and (3) a commitment to destroying the data after analyses are completed.

Locations