Project RAP: Reaching Adolescents for Prevention

Phase 2

• Conditions: Alcohol Related Morbidity; Alcohol Dependence
• Interventions: Behavioral: Brief Motivational Intervention; Behavioral: Assessment and list of resources; Behavioral: Referral to Community Resources

• Registration Number: NCT00183157
• Lead Sponsor: National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Brief Summary

The purpose of the study is to determine if a brief motivational interview in the context of an emergency health care visit will reduce high-risk drinking and drug-taking and associated health consequences among adolescents ages 14-21 years old.

Detailed Description

Many studies have shown that a brief motivational interview in the context of a routine or emergency health care visit may assist adults to reduce high-risk drinking and drug-taking. Center researchers are conducting a 1,400-person, randomized clinical trial involving teen patients at the Boston Medical Center Pediatric Emergency Department in order to determine if a similar approach will be effective with youth. All patients aged 14 to 21 get a brief alcohol and drug screen, and those whose scores indicate they drink or use marijuana are invited to participate in the study. One-third of the enrollees will receive an assessment, a brief motivational interview performed by a trained peer counselor, direct referrals to community-based resources for adolescents, and a 10-day follow-up phone call. One-third will receive only the assessment and a list of community resources; and the final third will receive only the list of resources. All participants will be followed over time and re-screened to measure the impact of the initial brief intervention on their drinking and drug-taking. The key hypothesis is that individuals who receive the brief motivational interview in the emergency department setting will have lower rates of alcohol and illicit drug use and fewer health consequences over time.

Study Timeline

• Study Start: 2004-10
• Study First Submitted: 2005-09-12
• Study First Submitted QC: 2005-09-12
• Study First Posted: 2005-09-16
• Status Verified: 2009-02
• Last Update Submitted: 2009-02-12
• Last Update Posted: 2009-02-13
• Primary Completion: 2009-12
• Study Completion: 2009-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 1400

Inclusion Criteria

• Pediatric emergency department patients
• Aged 14-21
• An Alcohol Use Disorders Identification Test (AUDIT) score above selected cut-point for age or with history of alcohol-related consequences

Exclusion Criteria

• Not resident in area or able to provide contact information for 12 month follow-up
• Medically unstable
• Not oriented to person, time and place

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
1	Brief Motivational Intervention	Patients will receive an assessment, a brief motivational interview performed by a trained peer counselor, direct referrals to community-based resources for adolescents, and a 10-day follow-up phone call.
2	Assessment and list of resources	Patients will receive an assessment and a list of community resources
3	Referral to Community Resources	Patients will receive only the list of resources.

Primary Outcome Measures

Name	Time	Method
Reduction in drinking	12 months

Secondary Outcome Measures

Name	Time	Method
Reduction in alcohol associated health consequences	12 months

Trial Locations

Locations (2)

Boston Medical Center Pediatric Emergency Department; 🇺🇸 Boston, Massachusetts, United States

Boston University School of Public Health - Youth Alcohol Prevention Center; 🇺🇸 Boston, Massachusetts, United States