Substance Use Clinical Trial
Official title:
Evaluation of a Brief "Surf the Urge" Intervention
The purpose of this study is to evaluate the effectiveness of a brief "Surf the Urge" intervention to reduce adolescent and young adult (i.e., 14 to 24 years old) urge-related behaviors. These behaviors will include, but not be limited to, substance use, deliberate self-harm, aggressive behavior, pulling out hair, and loosing control when eating.The intervention will utilize mindfulness skills (i.e., awareness, acceptance, nonjudgment) to assist in reducing these risky behaviors.
Empirical research has not specifically examined the effectiveness of the Surf the Urge
intervention with an adolescent and young adult sample. Additionally, the value of this
intervention with urge-related behaviors besides smoking (e.g., substance use, purging,,
deliberate self-harm) is unclear. The current study will examine the efficacy of the Surf
the Urge intervention in a sample of 14 to 24-year-olds who engage in a diverse array of
urge-related behaviors. To aid participants in reducing their urge-related behavior, and
coping with urges, the investigators will cue urges during the intervention by utilizing a
cue exposure script. Urge-related behaviors to examine include alcohol use, drug use,
tobacco use, deliberate self-harm, and self-induced vomiting. Additionally, only
participants who experience urges or engage in the urge-related behavior a minimum of one
time per week will be included. If participants report engaging in several urge-related
behaviors, or experiencing varying urges, throughout a one-week period, they will be
prompted to report the urge engaged in, or experienced, more frequently.purging, restrictive
eating, violent actions (e.g., punching someone), gambling, stealing, trichotillomania, etc.
Additionally, the duration of the study will consist of a 6-week time-period, with the
intervention occurring at either 2- or 4-weeks, creating a mixed-design model. This model
will require fewer participants and allow the evaluation of individual differences related
to intervention effectiveness. Additionally, this will enable the comparison of whether
participants who were provided with the intervention at 2-weeks, compared to 4-weeks, were
able to reduce their urge-related behaviors earlier. It is hypothesized that:
1. The Surf the Urge mindfulness intervention will decrease various urge-related behaviors
(e.g., substance use, deliberate self-harm); however, this intervention will not
directly affect a participant's self reported urge levels. Furthermore, individuals in
the 2- week intervention group will reduce their urge-related behaviors sooner than
those in the 4-week intervention group.
2. Participants who score higher on a self-report mindfulness questionnaire (Five Facet
Mindfulness Questionnaire) will show greater reductions in their urge-related behaviors
(e.g., substance use, deliberate self-harm).
3. Participants who demonstrate the greatest change from their pre- to post- assessment
mindfulness self-report scores (Five Facet Mindfulness Questionnaire) will show the
greatest changes in urge-related behaviors. They will also rate the Surf the Urge
intervention as more satisfying (Client Satisfaction Questionnaire-8).
4. Participants who rate the Surf the Urge intervention as more satisfying (Client
Satisfaction Questionnaire-8) will demonstrate a greater reduction in their
urge-related behaviors.
5. There will be a 95% adherence rate to both the cue exposure and Surf the Urge protocols
demonstrating proper implementation. When assessing intervention integrity, there will
be no statistically significant difference in adherence between trained therapists and
myself.
This study will provide information on the effectiveness of a brief mindfulness intervention
to reduce various urge-related behaviors in a high-risk population (i.e., adolescents). It
will provide additional information on a growingly popular intervention technique in a newly
studied population and with newly examined problem behaviors. These results may lead to
further information on the effectiveness of mindfulness interventions with adolescents and
have implications for future treatment modalities. Additionally, it will also provide
information on the characteristics of individuals who may be more responsive to briefer
urge-behavior reduction interventions.
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