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| Name | Class |
|---|---|
| The University of Texas Health Science Center, Houston | OTHER |
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This pilot study will: 1) demonstrate the feasibility of delivering CHOICES-TEEN with master's level mental health professionals within a juvenile justice setting; 2) determine acceptance of CHOICES-TEEN as measured by client adherence, retention, and treatment satisfaction; and 3) assess client improvement at 3-month follow-up (e.g., reduction of risk of HIV, nicotine-exposed pregnancy, and alcohol-exposed pregnancy).
The overall objective of this study is to assess the feasibility and promise of an adapted CHOICES preconception intervention (CHOICES-TEEN) in reducing the risk of HIV, nicotine-exposed pregnancy (NEP), and alcohol-exposed pregnancy (AEP) in adolescent females on intensive community probation. The current study posits that a two-session CHOICES intervention adapted to target multiple bundled health risks-AEP, NEP, and HIV-will be feasible, acceptable, and promising in reducing these risks among females on community-based juvenile probation. This study will: Aim 1: Modify the efficacious CHOICES preconception intervention to target the prevention of HIV, AEP, and NEP. The result will be a two session individual intervention (CHOICES-TEEN) and accompanying therapy manual based on the Transtheoretical Model (TTM) and Motivational Interviewing. Aim 2: Conduct a one-arm feasibility trial with females in the juvenile justice system to assess the promise of CHOICES-TEEN. This pilot study will: 1) demonstrate the feasibility of delivering CHOICES-TEEN with master's level mental health professionals within a juvenile justice setting; 2) determine acceptance of CHOICES-TEEN as measured by client adherence, retention, and treatment satisfaction; and 3) assess client improvement at 3-month follow-up (e.g., reduction of risk of HIV, NEP, and AEP). This study will inform subsequent Stage II/III behavioral intervention studies and contribute to a missing, fundamental element in the knowledge base - further understanding of the feasibility of targeting bundled health risks in high-risk adolescents, and the potential promise of a gender-specific intervention for this population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Choices-Teen Intervention | Experimental | A three session intervention with two counseling sessions with a master's level therapist and a counseling session with a physician. The counseling with the master's level therapist utilizes a motivational interviewing approach to encourage changes in alcohol use, contraceptive use, smoking and HIV risk behaviors. This part of the intervention (a) provides norms-based-but personalized-feedback; (b) encourages participating in the smoking cessation program; (c) increases motivation to change each of the target behaviors; (d) decreases temptation to engage in risk behaviors; (e) increases confidence to avoid risk behaviors; and (f) develops a personalized, tailored change plan. The physician session provides individualized contraception and HIV risk reduction counseling. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Choices-Teen | Behavioral | Choices-Teen participants in this condition will receive two brief motivational-interviewing-based counseling sessions, and one counseling session with a physician. |
| Measure | Description | Time Frame |
|---|---|---|
| Risk of alcohol-exposed pregnancy | Timeline Followback Interview | 3 months |
| Risk of nicotine-exposed pregnancy | Timeline Followback Interview | 3 months |
| HIV risk | Timeline Followback Interview | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Excessive alcohol consumption | AUDIT Scale | 3 months |
| Psychological distress and symptoms | Brief Symptom Inventory -18 | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Danielle E Parrish, Ph.D. | University of Houston | Principal Investigator |
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| ID | Term |
|---|---|
| D000428 | Alcohol Drinking |
| D012907 | Smoking |
| ID | Term |
|---|---|
| D004327 | Drinking Behavior |
| D001519 | Behavior |
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| Pros and cons of engaging in health risk behaviors (alcohol, smoking, HIV) | Decisional Balance Scale | 3 months |
| Experiential and behavioral processes of change for health risk behaviors (alcohol, smoking, HIV) | Processes of Change Questionnaire | 3 months |
| Temptation to engage in health risk behaviors (alcohol, smoking, HIV) | Temptation Scale | 3 months |
| Confidence/self-efficacy to not engage in health risk behaviors (alcohol, smoking, HIV) | Confidence Scale | 3 months |