Behavioral Incentives to Increase Caregiver Engagement in Juvenile Drug Courts
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 53
- 试验地点
- 4
- 主要终点
- Number of Participants With Positive Urine Drug Screens at 5 Months Post-baseline
研究概览
简要总结
The purpose of this study is to test a prize-based contingency management intervention for increasing caregiver engagement in juvenile drug court and adolescent drug treatment, and for achieving the ultimate outcomes of reduced substance use and delinquent behavior among drug court-involved youth.
详细描述
Juvenile offenders with substance abuse problems represent a large and underserved population that is at high risk of deleterious outcomes and long-term costs for themselves, their families, communities, and society. Moreover, a high percentage of substance abusing adolescents continue to abuse substances and engage in criminal activity into adulthood. Although one juvenile justice intervention, Juvenile Drug Court (JDC), has emerged as a promising model for reducing drug use and delinquency among youth, its effectiveness is variable. Drug court outcomes may be compromised by the lack of caregiver engagement in JDC processes and adolescent drug treatment. Incorporating easily implemented evidence-based incentive programs in JDCs might improve their effectiveness in reducing youth drug use and re-offending. An extensive body of research supports the critical role that families play in the etiology, maintenance, and treatment of adolescent substance abuse. Although family-based interventions for adolescent substance abuse have been shown to be superior to other treatment modalities, parents must attend treatment and participate in meaningful ways for these superior outcomes to be realized. This randomized clinical trial will examine the efficacy of a prize-based contingency management intervention for increasing caregiver engagement (attendance and participation) in JDC and adolescent drug treatment. This caregiver contingency management intervention (CCM) will be compared with drug court treatment as usual (TAU). Increased caregiver participation is predicted to improve adolescent outcomes (decreased drug use and delinquent behavior). One hundred and eighty youth enrolled in JDC will be randomly assigned along with a parent/caregiver to TAU or CCM. Analyses will examine measures of caregiver engagement in JDC as well as youth substance use (urine drug screens) and delinquent activity. Results from this study will demonstrate the effectiveness of CCM procedures for increasing caregiver attendance and participation in JDC and adolescent drug treatment above and beyond drug court and usual care. If effective, the CCM approach may ultimately be used to enhance JDC outcomes, thereby reducing substance use and recidivism in juvenile offenders served by this promising juvenile justice intervention.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 13 Years 至 89 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Involved in juvenile drug court
- •Aged 13-17 years
- •Youth is willing to participate
- •At least one caregiver is willing to participate in the youth's treatment
- •Fluent in English or Spanish
排除标准
- •Diagnosed with intellectual disability or autism spectrum disorder
- •Inclusion Criteria for caregivers:
- •Caregiver of youth involved in juvenile drug court
- •Caregiver is willing to participate
- •Fluent in English or Spanish
- •Exclusion Criteria for caregivers:
- •Diagnosed with intellectual disability or autism spectrum disorder
- •Inclusion Criteria for therapists:
- •Providing substance abuse treatment to a youth in juvenile drug court
- •Exclusion Criteria for therapists:
- •Inclusion Criteria for Juvenile Drug Court Personnel:
- •Personnel working in juvenile drug court
- •Exclusion Criteria for Juvenile Drug Court Personnel:
研究组 & 干预措施
Caregiver Contingency Management + Usual Drug Court Treatment
This group will receive a caregiver contingency management intervention plus the standard outpatient substance abuse treatment services provided at JDC.
干预措施: Caregiver Contingency Management + Usual Drug Court Treatment (Behavioral)
Usual Drug Court Treatment
This group will receive the standard outpatient substance abuse treatment services provided at JDC.
干预措施: Usual Drug Court Treatment (Behavioral)
结局指标
主要结局
Number of Participants With Positive Urine Drug Screens at 5 Months Post-baseline
时间窗: Baseline to 5 months
This measure reflects the number of positive urine drug screens for THC, amphetamines, methamphetamines, opiates, cocaine, benzodiazepines, MDMA, and oxycodone collected from youth participants. Assessed at baseline and 5 months; data reported for 5-month time point
Frequency of Substance Use and Substance-related Problems Self-reported by Youth on the Global Appraisal of Individual Needs.
时间窗: Baseline, 5 months
The GAIN Substance Frequency Scale assesses frequency of substance use over the past 90 days. Scores range from 0 (no use) to 90 (daily use). Higher scores indicate greater substance use severity.
次要结局
- Rates of Treatment Completion.(Up to 4 months on average)
- Changes From Baseline to 18 Months Post-baseline in Youth Arrests, Charges, and Convictions.(Baseline to 18 months)
- Changes From Baseline to 18 Months Post-baseline in Youth Delinquent Behaviors (Measured at 0, 3, 5, 6, 9, 12, and 18 Months).(Baseline to 18 months)
- Changes From Baseline to 18 Months Post-baseline in Caregiver Reports on Youth Internalizing Symptoms and Externalizing Behaviors (Measured at 0, 1, 2, 3, 4, 5, 6, 9, 12, and 18 Months).(Baseline to 18 months)
- Changes From Baseline to 18 Months Post-baseline in Youth Reports on Youth Internalizing Symptoms and Externalizing Behaviors (Measured at 0, 1, 2, 3, 4, 5, 6, 9, 12, and 18 Months).(Baseline to 18 months)
- Changes From Baseline to Post-treatment in Caregiver Substance Use Problems.(Baseline through treatment completion, an average of 4 months)
- Changes From Baseline to Post-treatment in Caregiver Depressive Symptoms.(Baseline through treatment completion, an average of 4 months)
- Changes From Baseline to Post-treatment in Therapist-Family Working Alliance (Measured at 1, 2, 3, and 4 Months, as Well as Post-treatment).(Baseline through treatment completion, an average of 4 months)
- Changes From Baseline to Post-treatment in Caregiver Treatment Attendance and Activity Completion (Measured at 1, 2, 3, and 4 Months, as Well as Post-treatment).(Baseline through treatment completion, an average of 4 months)
- Changes From Baseline to the End of JDC Involvement in Caregiver Attendance at JDC Sessions.(Baseline through the end of JDC involvement, an average of 12 months)
- Rates of Treatment Completion.(Up to 4 months on average)
- Levels of Satisfaction With Treatment and JDC.(Up to 4 months on average)
- Changes From Baseline to Post-treatment in Caregiver Perceptions of Incentive Programs.(Baseline through treatment completion, an average of 4 months)
- Changes From Baseline to 36 Months Post-baseline in Therapist and JDC Personnel Perceptions of Incentive Programs (Measured at 0, 12, 24, and 36 Months).(Baseline to 36 months)
- Reports at Post-treatment on Youth and Caregiver Attitudes Toward Incentive Programs.(Up to 4 months on average)
- Changes From Baseline to 36 Months Post-baseline in Therapist and JDC Personnel Attitudes Toward Incentive Programs (Measured at 0, 12, 24, and 36 Months).(Baseline to 36 months)