A Social Network AOD Intervention for Homeless Youth Transitioning to Housing
Trial Snapshot
- Phase
- Phase 1
- Status
- Completed
- Sponsor
- RAND
- Enrollment
- 39
- Locations
- 1
- Primary Endpoint
- Number of Days Cannabis Used
Study Overview
Brief Summary
This project will pilot test a computer-assisted social network intervention, using motivational interviewing techniques, that can help case managers work with formerly homeless young adults who recently transitioned to supportive housing to reduce substance use and increase permanent supportive connections during this critical transitional period.
Detailed Description
The goal of this study is to conduct a pilot evaluation of a motivational network intervention (MNI) to reduce substance use and strengthen supportive connections for recently homeless 18-25 year-olds who have transitioned to a housing program. The goal of this pilot study is to evaluate, through a small randomized controlled trial (Stage 1b), the added benefit of incorporating the MNI into case management for transitional age youth (TAY) residents of housing programs. We hypothesized that residents receiving the MNI as part of case management would show more positive changes in their substance use behaviors and the composition and structure of their personal networks (i.e., greater proportion of network members who are low-risk) over a 3-month follow-up period compared to residents receiving usual case management only.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 25 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Age 18-25
- •In a housing program for homeless transition age youth
- •Past month substance use
- •Screen positive for past-year harmful substance use
Exclusion Criteria
- •Not able to speak/understand English
Arms & Interventions
Intervention
The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management.
Intervention: Motivational Network Intervention (Behavioral)
Usual Care
As part of residency, participants receive regular case management meetings.
Intervention: Usual Care (Other)
Outcomes
Primary Outcomes
Number of Days Cannabis Used
Time Frame: 30 days
Count of days that respondent used cannabis in the past 30 days
Proportion of Risky Network Members
Time Frame: 4 weeks
Proportion of network members who engaged in substance use or the participant used more substances when they were with the network member.
Number of Drinks Consumed on Drinking Days
Time Frame: 30 days
Participants reported on the typical number of drinks they consumed on drinking days in the past month.
Number of Drinking Days
Time Frame: 30 days
Number of days in the past month (0-30) that participants reported engaging in any alcohol use.
Number of Days Consumed 5 (for Men) or 4 (for Women) Drinks on a Single Occasion
Time Frame: 30 days
Number of days in the past month (0-30) that participants reported engaging in heavy alcohol use (5 or more drinks for men and four or more drinks for women on a single occasion).
Secondary Outcomes
No secondary outcomes reported
Investigators
David Kennedy
Senior Social / Behavioral Scientist
RAND