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Substance Use Interventions for Truant Adolescents

Not Applicable
Completed
Conditions
Truancy; Socialized
Marijuana Abuse
Adolescent Problem Behavior
Truancy; Unsocialized
Substance Abuse
Alcohol Abuse
Interventions
Behavioral: Motivational + Family Check-up (MET+FCU)
Other: Psychoeducation
Registration Number
NCT03655574
Lead Sponsor
Brown University
Brief Summary

This study evaluates a brief motivation-building intervention for parents and teens to reduce truancy and substance use. It is hypothesized that the motivational intervention will result in better outcomes compared to an education-only intervention.

Detailed Description

Adolescents who use marijuana and are truant from school are a high-risk population with increased likelihood of substance use disorders, criminal justice involvement, and long-term impairments in vocational, family, and peer domains.

This study will test a theory-driven intervention for early adolescent marijuana using, truant youth identified through Rhode Island Truancy and Family Courts. Adolescents will be randomly assigned to one of the 2 conditions: a motivational interview versus psychoeducation.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
110
Inclusion Criteria
  • the target child is in 6th-10th grade at the start of the project and living at home with at least one parent/guardian,
  • the teen must report 6 or more incidences of marijuana use in the last 90 days (an approximation of biweekly use)
  • by law, the teen must have at least 20 unexcused absences in an academic year to be in truancy court, and (4) parental consent and teen assent are obtained.
Exclusion Criteria
  • the family is not able to speak and understand English or Spanish well enough to complete study procedures
  • developmental delay, as determined by school placements outside the regular classroom, that would affect comprehension of the intervention.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Motivational + Family Check-up (MET+FCU)Motivational + Family Check-up (MET+FCU)The MET individual session covers three constructs; 1) intentions to use marijuana; 2) normative beliefs about peer substance use; and 3) attitudes towards peer substance use. These same three constructs are also addressed with respect to truancy. In addition, motivation to abstain from substance use is discussed. The FCU session with teens and parents/caregivers begins by collecting self-report measures and conducting a videotaped Family Assessment Task (FAsTask) to assess parent-teen interactions. The FAsTask is the basis of FCU feedback. There are four specific phases of the feedback session: 1) Self-assessment, 2) Support and clarification, 3) Feedback, and, 4) Action plan.
PsychoeducationPsychoeducationAn interventionist will review a set of educational materials with the parents regarding teen marijuana use, effects of marijuana on the brain, body and behavior, risks associated with marijuana use, how to tell if a teen is engaging in marijuana use or truancy, and parenting skills. A comparable set of materials will be reviewed with the adolescent.
Primary Outcome Measures
NameTimeMethod
Change in Quantity of Marijuana Use per Occasion of UseLast 90 days at baseline and 3, 6, and 12 months

Average quantity of marijuana use per day

Change in Frequency of Marijuana UseLast 90 days at baseline, and 3, 6, and 12 months

Total number of marijuana use days .

Secondary Outcome Measures
NameTimeMethod
Change in Days truant from school, self-reportLast 90 days at baseline, and 3, 6, and 12 months

School attendance based on self-report

Change in Days truant from schoolLast 90 days at baseline, and 3, 6, and 12 months

School attendance based on objective school records

Trial Locations

Locations (2)

Brown Univerity

🇺🇸

Providence, Rhode Island, United States

Rhode Island Family Court

🇺🇸

Providence, Rhode Island, United States

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