Substance Use Disorders Clinical Trial
Official title:
Peer-enhanced Motivational Interviewing in Federally-Qualified Health Clinics for Substance-using Emerging Adults
The main purpose of this study is to test whether a Peer-Enhanced Motivational Interviewing (PMI) intervention, which has been successful with college students, results in superior alcohol and marijuana use outcomes for emerging adults (EA), ages 18-29, who are clients of Federally-qualified Health Centers, and their peers. In the first phase of the study, seventy-five peer dyads (total n = 150, ntarget client = 75, npeer = 75) will be randomized to receive either Peer-Enhanced Motivational Interviewing (PMI), Motivational Interviewing only (MI) or Waitlist Control (WC.) In the second, expanded phase of the study, an additional 325 peer dyads (total n = 650, ntarget client = 325, npeer = 325) will be randomized to receive either Peer-Enhanced Motivational Interviewing, Motivational Interviewing only (MI) or Waitlist Control.
Status | Not yet recruiting |
Enrollment | 150 |
Est. completion date | February 2024 |
Est. primary completion date | February 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 29 Years |
Eligibility |
Inclusion Criteria: - For the Target Client 1. 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, 2. Have a friend that they are willing to refer to the study to be their 'peer' (support) and that peer agrees to participate, 3. Are able to complete baseline and follow-up assessments and have a valid email, 4. Are willing to be video recorded, and 5. Are fluent in English - For the Peer 1. Have weekly contact with the participating Target Client who referred them, 2. Are will to attend all study procedures (i.e. baseline assessment, intervention, follow up), 3. Are willing to be video record, 4. Are fluent in English Exclusion Criteria: - For the Target Client 1. Are current students in the lead Investigator's classes, 2. Are seeking residential treatment at the time of the screening call, 3. Are incarcerated or court-ordered to receive treatment at the time of the screening call, 4. Use drugs besides marijuana or alcohol over 45 of the past 90 days. - For the Peer 1. Are current students in the lead Investigator's classes, 2. Are seeking residential treatment at the time of the screening call, 3. Are incarcerated or court-ordered to receive treatment at the time of the screening call, 4. Use drugs besides marijuana or alcohol over 45 of the past 90 days, 5. Are romantic partners of the Target Client |
Country | Name | City | State |
---|---|---|---|
United States | School of Social Work | Urbana | Illinois |
Lead Sponsor | Collaborator |
---|---|
University of Illinois at Urbana-Champaign | University of Washington |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change: Global Appraisal of Individual Needs (GAIN) Substance Problem Scale | A 16-item scale composed of lifetime symptoms of substance abuse, dependence, and substance-induced health and psychological disorders based on the Diagnostic and Statistical Manual of Mental Disorders (DSM) -IV. | Baseline and at month 1, 2, 3, 6 and 9 post-intervention period | |
Secondary | Change: Marijuana Consequences Questionnaire (MACQ) | A 50-item self-report measure modeled after the Young Adult Alcohol Consequences Questionnaire (YAACQ) assessing marijuana problems over the past 6 months. A 6-month time frame was chosen to adequately capture potential infrequent consequences among marijuana users. Each item is rated dichotomously (yes/no) to indicate whether the marijuana-related problem occurred in the last 6 months. | Baseline and at month 1, 2, 3, 6 and 9 post-intervention period | |
Secondary | Change: Days of Combined Cannabis and Alcohol Use | Past month measure of days (out of past 30) when participant used both marijuana and alcohol (based on Stein et al., 2018) | Baseline and at month 1, 2, 3, 6 and 9 post-intervention period | |
Secondary | Change: Days of Cannabis and Binge Alcohol Use | Past month measure of days (out of past 30) of use of either substance. Binge drinking calculated from Time-Line Follow-Back (TLFB) as number of days of consuming 4+ (females)/5+ (males) drinks. Items drawn from GAIN's Substance Frequency Scale. | Baseline and at month 1, 2, 3, 6 and 9 post-intervention period | |
Secondary | Change: Drinking Consequences | From the Rutgers Alcohol Problems Index and used to indicate indicates the frequency of experiencing negative consequences due to alcohol use. | Baseline and at month 1, 2, 3, 6 and 9 post-intervention period | |
Secondary | Change: Urine Testing | National Institute of Drub Abuse-approved urine test kit to determine presence of Marijuana metabolites in urine. | Baseline and at month 1, 2, 3, 6 and 9 post-intervention period |
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