Peer-enhanced Motivational Interviewing for Emerging Adults With Risky Substance Use
试验速览
- 阶段
- 2 期
- 入组人数
- 180
- 试验地点
- 2
- 主要终点
- GAIN Substance Problem Scale
研究概览
简要总结
The main purpose of this project is to test whether Peer-Enhanced Motivational Interviewing (PMI) results in superior alcohol and marijuana use outcomes for emerging adults (EAs, ages 18-29) and their peers. Ninety peer dyads (total n = 180, ntarget client = 90, npeer = 90) are randomized to receive either Peer-Enhanced Motivational Interviewing (PMI) or Waitlist Control (WC).
详细描述
This project randomized peer dyads, consisting of one EA (Emerging Adult; 18-29 years old) with a substance use problem (i.e. target client) and one peer, to one of two conditions. In the Peer-Enhanced Motivational Interviewing (PMI) condition, target clients and peers will receive separate one-hour sessions of Motivational Interviewing (MI) , an empirically-supported treatment that helps individuals work through ambivalence about making changes in substance use. MI is thought to work because it is a non-confrontational intervention where a therapist empathetically reviews substance use behaviors, listens empathetically, and reinforces any client statements indicating a desire to change. With the 'peer' of each PMI dyad, the therapist presents peers with data about the extent of the target client's substance use, builds the peer's motivation to help their friend, and teaches the peer communication skills they can use to influence the target client's substance use. In the WC condition, target clients and peers can receive PMI after the study follow-up period. Both target clients and their peers are followed for 12 weeks post-intervention.
The main purpose of this project is to test whether Peer-Enhanced Motivational Interviewing (PMI) results in superior alcohol and marijuana use outcomes for emerging adults (EAs, ages 18-29) and their peers. Ninety peer dyads (total n = 180, ntarget client = 90, npeer = 90) are randomized to receive either Peer-Enhanced Motivational Intervie (PMI) or Waitlist Control (WC).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 29 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •For the Target Client
- •Score 5 or higher on the AUDIT-C measure and/or use alcohol or marijuana 13 days or more out of the past 90 days,
- •Have a friend that they are willing to refer to the study to be their 'peer' (support) and that peer agrees to participate,
- •Are able to complete baseline and follow-up assessments and have a valid email,
- •Are willing to be video recorded, and
- •Are fluent in English
- •For the Peer
- •Have weekly contact with the participating Target Client who referred them,
- •Are will to attend all study procedures (i.e. baseline assessment, intervention, follow up),
- •Are willing to be video record,
- •Are fluent in English
排除标准
- •For the Target Client
- •Are current students in the lead Investigator's classes,
- •Are seeking residential treatment at the time of the screening call,
- •Are incarcerated or court-ordered to receive treatment at the time of the screening call,
- •Use drugs besides marijuana or alcohol over 45 of the past 90 days.
- •For the Peer
- •Are current students in the lead Investigator's classes,
- •Are seeking residential treatment at the time of the screening call,
- •Are incarcerated or court-ordered to receive treatment at the time of the screening call,
- •Use drugs besides marijuana or alcohol over 45 of the past 90 days,
- •Are romantic partners of the Target Client
研究组 & 干预措施
Peer-Enhanced Motivational Interviewing
Both dyad members, the target client and their peer support person, in this Peer-Enhanced Motivational Interviewing arm will receive separate one-hour Motivational Interviewing (MI) sessions with a trained counselor.
干预措施: Peer-Enhanced Motivational Interviewing (Behavioral)
Waitlist Control
Delayed Treatment.
干预措施: Waitlist Control (Other)
结局指标
主要结局
GAIN Substance Problem Scale
时间窗: Baseline and every 2 weeks during 12 week post-intervention period
a 16-item scale composed of lifetime symptoms of substance abuse, dependence, and substance-induced health and psychological disorders based on the DSM-IV
次要结局
- GAIN Substance Frequency Scale (change)(Baseline and every 2 weeks during 12 week post-intervention period)
- Significant Other Behavior Questionnaire(Baseline and every 2 weeks during 12 week post-intervention period)
- Rutgers Alcohol Problem Index (change)(Baseline and every 2 weeks during 12 week post-intervention period)
研究者
Douglas Smith
Associate Professor, School of Social Work
University of Illinois at Urbana-Champaign