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| Name | Class |
|---|---|
| Native American Research Center for Health | OTHER |
| White Mountain Apache Tribe | UNKNOWN |
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This study will test if a program called 'Bright Horizons' is effective at reducing binge substance use among adolescents.
Bright Horizons is a culturally adapted intervention developed and tested through a partnership between The White Mountain Apache Tribe and Johns Hopkins University. Bright Horizons is a brief intervention that teaches emotion regulation, coping skills, and problem solving. The intervention also uses goal setting to reduce alcohol and other substance use and to connect to individuals with treatment.
The goal of this study is to understand how Bright Horizons impacts adolescents who have a recent binge substance use event. Participants will receive a lesson on binge substance use and answer questions at three different time points: when participants enroll in the study; 4 weeks later; and 8 weeks after that visit. Evaluation questions will ask about participants' substance use, family and peer relationships, and other emotions and behaviors.
Control participants will receive the Bright Horizons intervention after enrollment of all intervention participants is complete.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Case management + Bright Horizons | Experimental | Participants enrolled into the Bright Horizons intervention group will receive one 2-4 hour long session with an Research Program Assistant. |
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| Case management | Placebo Comparator | Participants in the control group will receive standard case management via the White Mountain Apache suicide and self-harm surveillance system. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bright Horizons | Behavioral | Bright Horizons is a brief substance use intervention delivered by Research Program Assistants. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in Alcohol Use as assessed by Timeline Followback | Alcohol use over the past 30 days (Timeline Followback to assess number of drinking days and number of drinks per day) | Baseline, 4 weeks and 8 weeks post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Coping with Stressful Life Events as assessed by the Difficulties in emotion regulation scale | Difficulties in emotion regulation scale is a 36-item instrument that asks individuals to rate their difficulties in regulating emotions including non-acceptance of emotional responses, awareness of emotions and access to regulation strategies. Scores can range from 36 to 180, with higher scores indicating more difficulties in regulating emotions. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mary Cwik, PhD | Contact | 410-955-6931 | mcwik1@jhu.edu | |
| Novalene Goklish, PhD | Contact |
| Name | Affiliation | Role |
|---|---|---|
| Mary Cwik, PhD | Johns Hopkins Bloomberg School of Public Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johns Hopkins Center for Indigenous Health - Whiteriver Site | Recruiting | Whiteriver | Arizona | 85941 | United States |
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| ID | Term |
|---|---|
| D000437 | Alcoholism |
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D019973 | Alcohol-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D019090 | Case Management |
| ID | Term |
|---|---|
| D010347 | Patient Care Planning |
| D003191 | Comprehensive Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
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| Case Management | Behavioral | Placebo condition |
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| Baseline, 4 weeks, and 8 weeks |
| Impulsivity as assessed by the UPPS Impulsive Behavior Scale | UPPS Impulsive Behavior Scale is a 45-item inventory designed to measure four personality pathways to impulsive behavior: Urgency to Act, Lack of Perseverance, Lack of Premeditation, and Sensation Seeking, each rated on a 4-point scale. Scores can range from 45 to 180, with higher scores indicating more impulsivity. | Baseline, 4 weeks, 8 weeks |
| Family Functioning as assessed by the Problem-oriented screening instrument (POSIT) Family Functioning scale | Problem-oriented screening instrument (POSIT) Family Functioning Items is a 10 item scale that measures family functioning around parenting, communication and child monitoring. Responses No=0 and Yes=1. A score of 8 shows healthier family functioning, and a score of 2 shows worse family functioning. | Baseline, 4 weeks, 8 weeks |
| Peer Relationships as assessed by the Peer Norms questionnaire | Peer Norms measure is a 20-item measure asking about peer behaviors and the participant's perception of peer behaviors. Topics include sexual activity, drinking and other substance use. Peer groups discussed include best friends, people in their grade, and people their age. Scores can range from 11 to 60, with higher scores indicating more peer pressure and less healthy peer relationships. | Baseline, 4 weeks, 8 weeks |
| Other substance use as assessed by the Youth Risk Behavior Survey (YBBS) | Youth Risk Behavior Survey (YRBS) was developed so youth can describe their behaviors that may affect their health. For this study, 19 items have been selected that ask about alcohol, marijuana, and other substance use. Scores can range from 0 to 99, with higher scores indicating more/worse substance use. | Baseline, 4 weeks, 8 weeks |
| Enculturation as assessed by the Tribal identification scale | Tribal identification scale comprises 7 questions that ask about identity and connection to ones tribal community. Scores can range from 7 to 35, with higher scores indicating less connection with tribal community. | Baseline, 4 weeks, 8 weeks |