Choices-Teen: A Bundled Risk Reduction Intervention for Juvenile Justice Females
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Houston
- Enrollment
- 28
- Primary Endpoint
- Risk of nicotine-exposed pregnancy
Study Overview
Brief Summary
This pilot study will: 1) demonstrate the feasibility of delivering CHOICES-TEEN with master's level mental health professionals within a juvenile justice setting; 2) determine acceptance of CHOICES-TEEN as measured by client adherence, retention, and treatment satisfaction; and 3) assess client improvement at 3-month follow-up (e.g., reduction of risk of HIV, nicotine-exposed pregnancy, and alcohol-exposed pregnancy).
Detailed Description
The overall objective of this study is to assess the feasibility and promise of an adapted CHOICES preconception intervention (CHOICES-TEEN) in reducing the risk of HIV, nicotine-exposed pregnancy (NEP), and alcohol-exposed pregnancy (AEP) in adolescent females on intensive community probation. The current study posits that a two-session CHOICES intervention adapted to target multiple bundled health risks-AEP, NEP, and HIV-will be feasible, acceptable, and promising in reducing these risks among females on community-based juvenile probation. This study will: Aim 1: Modify the efficacious CHOICES preconception intervention to target the prevention of HIV, AEP, and NEP. The result will be a two session individual intervention (CHOICES-TEEN) and accompanying therapy manual based on the Transtheoretical Model (TTM) and Motivational Interviewing. Aim 2: Conduct a one-arm feasibility trial with females in the juvenile justice system to assess the promise of CHOICES-TEEN. This pilot study will: 1) demonstrate the feasibility of delivering CHOICES-TEEN with master's level mental health professionals within a juvenile justice setting; 2) determine acceptance of CHOICES-TEEN as measured by client adherence, retention, and treatment satisfaction; and 3) assess client improvement at 3-month follow-up (e.g., reduction of risk of HIV, NEP, and AEP). This study will inform subsequent Stage II/III behavioral intervention studies and contribute to a missing, fundamental element in the knowledge base - further understanding of the feasibility of targeting bundled health risks in high-risk adolescents, and the potential promise of a gender-specific intervention for this population.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 14 Years to 17 Years (Child)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Have had vaginal intercourse with a male in the last 90 days
- •Inconsistent/ineffective contraception use
- •Inconsistent/ineffective condom use
- •Drinking at risk levels
- •Available for the follow-up period
Exclusion Criteria
- •Infertile
- •Insufficient locator information
- •Language other than English
Arms & Interventions
Choices-Teen Intervention
A three session intervention with two counseling sessions with a master's level therapist and a counseling session with a physician. The counseling with the master's level therapist utilizes a motivational interviewing approach to encourage changes in alcohol use, contraceptive use, smoking and HIV risk behaviors. This part of the intervention (a) provides norms-based-but personalized-feedback; (b) encourages participating in the smoking cessation program; (c) increases motivation to change each of the target behaviors; (d) decreases temptation to engage in risk behaviors; (e) increases confidence to avoid risk behaviors; and (f) develops a personalized, tailored change plan. The physician session provides individualized contraception and HIV risk reduction counseling.
Intervention: Choices-Teen (Behavioral)
Outcomes
Primary Outcomes
Risk of nicotine-exposed pregnancy
Time Frame: 3 months
Timeline Followback Interview
Risk of alcohol-exposed pregnancy
Time Frame: 3 months
Timeline Followback Interview
HIV risk
Time Frame: 3 months
Timeline Followback Interview
Secondary Outcomes
- Confidence/self-efficacy to not engage in health risk behaviors (alcohol, smoking, HIV)(3 months)
- Excessive alcohol consumption(3 months)
- Experiential and behavioral processes of change for health risk behaviors (alcohol, smoking, HIV)(3 months)
- Temptation to engage in health risk behaviors (alcohol, smoking, HIV)(3 months)
- Psychological distress and symptoms(3 months)
- Pros and cons of engaging in health risk behaviors (alcohol, smoking, HIV)(3 months)
Investigators
Danielle Parrish
Assistant Professor
University of Houston