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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04183400
Other study ID # UDenverSAFE
Secondary ID 1R15DA039355-01
Status Completed
Phase N/A
First received
Last updated
Start date September 2015
Est. completion date September 2020

Study information

Verified date September 2020
Source University of Denver
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The SAFE study examines the effects of brief mindfulness-based cognitive-behavioral intervention aimed at improving risk-related attention skills (risk detection, problem solving, assertiveness, and help seeking) in order to reduce substance use and victimization among young people (ages 18-21) experiencing homelessness.


Description:

Youth (ages 18-21) living at a local youth shelter will be recruited and randomly assigned to receive the SAFE intervention (plus usual case management) or to receive usual case management only. Those assigned to SAFE will receive 12 mindfulness-based, cognitive-behavioral modules through a 3-day intensive group intervention provided by an agency intern and a hired project staff member. The intervention uses mindfulness-based cognitive-behavioral approaches to augment youth attention to risk-related processes, including risk detection, problem solving, assertiveness, and help seeking skills. It is hypothesized the intervention will result in reduced substance use and victimization and that these effects will be explained, at least in part, by improved risk-related attention skills (risk detection, problem solving, assertiveness, and help seeking skills). Post baseline interview, participants will be randomly assigned and will participate in a posttest interview (1 week post baseline) and follow up interviews at 6-weeks, 3-months, and 6-months post baseline interview.


Recruitment information / eligibility

Status Completed
Enrollment 244
Est. completion date September 2020
Est. primary completion date June 2020
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 21 Years
Eligibility Inclusion Criteria:

- Reside at the partnering community based youth shelter

Exclusion Criteria:

As measured by the KSADS (a semi-structured diagnostic interview administered by trained interviewers at baseline):

- presence of psychotic symptoms;

- presence of a life-threatening medical/chronic neurological illness that would prevent participation in a 4-day intervention and/or assessments;

- suicide attempt in last 6 months without current enrollment in therapy or related services to address;

- chronic self-injurious behavior/cutting without current enrollment in therapy or related services to address

- hospitalization or residential treatment for psychiatric reasons in last 6 months without current enrollment in therapy or related services to address.

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Safety Awareness For Empowerment (SAFE)
SAFE is a mindfulness-based cognitive-behavioral intervention that aims to build risk-related attention skills.

Locations

Country Name City State
United States Urban Peak Shelter and University of Denver Denver Colorado

Sponsors (2)

Lead Sponsor Collaborator
University of Denver National Institute on Drug Abuse (NIDA)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Substance use The Substance use domain of the Addiction Severity Index, 5th edition will be used to assess the frequency, type and amount of substance use in the past 30 days. This domain will be adapted to add smoking tobacco to the list of substances. Follow up at 6-weeks post baseline interview
Primary Substance use The Substance use domain of the Addiction Severity Index, 5th edition will be used to assess the frequency, type and amount of substance use in the past 30 days. This domain will be adapted to add smoking tobacco to the list of substances. Follow up at 3-months post baseline interview
Primary Substance use The Substance use domain of the Addiction Severity Index, 5th edition will be used to assess the frequency, type and amount of substance use in the past 30 days. This domain will be adapted to add smoking tobacco to the list of substances. Follow up at 6-months post baseline interview
Primary Victimization The Juvenile Victimization Questionnaire (JVQ) will be used to asses exposure to a range of types of victimization. Follow up at 6-weeks post baseline interview
Primary Victimization The Juvenile Victimization Questionnaire (JVQ) will be used to asses exposure to a range of types of victimization. Follow up at 3-months post baseline interview
Primary Victimization The Juvenile Victimization Questionnaire (JVQ) will be used to asses exposure to a range of types of victimization. Follow up at 6-months post baseline interview
Secondary Substance use symptoms The Mini International Neuropsychiatry Interview (MINI) will be used to assess a count of the number of substance use symptoms experienced. Follow up at 6-weeks, 3-months, and 6-months post baseline interview, controlling for baseline
Secondary Substance use disorder diagnostic criteria The Mini International Neuropsychiatry Interview (MINI) will be used to assess a whether the participant meets DSM diagnostic criteria for a substance use disorder Follow up at 6-weeks, 3-months, and 6-months post baseline interview, controlling for baseline
Secondary Risk detection Risk detection will be assessed a set of researcher-developed Risk Vignettes that describe characters in risk situations and ask participants to identify risk cues present; measure will be proportion of risk cues identified among those present in the vignettes administered Follow up at 1-week, 6-weeks, and 3-months post baseline interview, controlling for baseline
Secondary Help seeking intentions Help seeking intentions will be assessed with a modified version of the General Help Seeking Questionnaire which assesses intentions to seek help from different sources for different problems. The original scale asks about seeking help for emotional problems and suicidal thoughts; our version was modified to ask about help seeking related to safety issues and substance use. Higher scores indicate greater help seeking thus a more positive outcome. Follow up at 1-week, 6-weeks, and 3-months post baseline interview, controlling for baseline
Secondary Help seeking behaviors Help seeking behaviors will be assessed by items from the Help Seeking Behaviors scale which ask how often youth actually sought help fro different sources of help for substance and for safety. Follow up at 1-week, 6-weeks, and 3-months post baseline interview, controlling for baseline
Secondary Assertiveness Assertiveness will be assessed using the Assertion Inventory which asks how often participants engage in assertive behaviors across three domains: substance use, general, and social situations Follow up at 1-week, 6-weeks, and 3-months post baseline interview, controlling for baseline
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