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Stepped Care for Mandated College Students
This study is currently recruiting participants.
Verified by National Institute on Alcohol Abuse and Alcoholism (NIAAA), September 2008
Sponsored by: National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Information provided by: National Institute on Alcohol Abuse and Alcoholism (NIAAA)
ClinicalTrials.gov Identifier: NCT00247182
  Purpose

This project provides stepped care to college students mandated for alcohol-related offenses. Students are first provided with a minimal intervention, a 15-minute discussion of their alcohol use. Students who continue to drink in a risky manner are provided with a more intensive, hour-long brief motivational interview. By providing more intensive treatment to the students who exhibit risky drinking, we hope to maximize the efficiency of campus alcohol programs.


Condition Intervention Phase
Drinking Behavior
High Risk Alcohol Use
Behavioral: Step 1: Minimal Intervention
Behavioral: Step 2: Brief Motivational Intervention
Behavioral: Alcohol Assessment
Phase I

MedlinePlus related topics: Alcohol Consumption
Drug Information available for: Ethanol
U.S. FDA Resources
Study Type: Interventional
Study Design: Randomized, Open Label, Placebo Control, Factorial Assignment, Efficacy Study
Official Title: Stepped Care for Mandated College Students

Further study details as provided by National Institute on Alcohol Abuse and Alcoholism (NIAAA):

Primary Outcome Measures:
  • Alcohol consumption [ Time Frame: 3, 6, and 9 months ] [ Designated as safety issue: No ]
  • Alcohol-related consequences [ Time Frame: 3, 6, and 9 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Predictors of response to treatment [ Time Frame: 3, 6, and 9 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 604
Study Start Date: October 2006
Estimated Study Completion Date: December 2009
Estimated Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Step 1
Minimal Intervention
Behavioral: Step 1: Minimal Intervention
All participants will receive Step 1, a 15-minute minimal intervention including a discussion of the referral incident and the provision of a booklet containing advice to reduce drinking. Participants will be assessed six weeks later. All students will complete 3, 6, and 9 month follow-up assessments
Behavioral: Step 2: Brief Motivational Intervention
Participants continuing to exhibit risky alcohol use will receive Step 2, randomization to: (a) a 60-90 minute brief motivational intervention (BMI) or (b) an assessment-only control. All students will complete 3, 6, and 9 month follow-up assessments.
Step 2-A: Active Comparator
Brief motivational intervention (BMI)
Behavioral: Step 2: Brief Motivational Intervention
Participants continuing to exhibit risky alcohol use will receive Step 2, randomization to: (a) a 60-90 minute brief motivational intervention (BMI) or (b) an assessment-only control. All students will complete 3, 6, and 9 month follow-up assessments.
Step 2-B: Active Comparator
Assessment-only control
Behavioral: Alcohol Assessment
Participants continuing to exhibit risky alcohol use will receive Step 2, randomization to: (a) a 60-90 minute brief motivational intervention (BMI) or (b) an assessment-only control. All students will complete 3, 6, and 9 month follow-up assessments.

Detailed Description:

Colleges and universities have seen a large increase in the number of students referred to the administration for the violation of alcohol policies. However, research indicates that the majority of mandated students may not require extensive treatment. Stepped care assigns individuals to different levels of care according to their response to treatment. Encouraging research indicates that minimal interventions and BMIs may reduce heavy drinking in mandated college students. Thus, implementing stepped care using these interventions could maximize treatment efficiency and reduce the demands on campus alcohol programs.

Participants will be students mandated to attend an alcohol program at a northeastern private university. All participants will receive Step 1, a 15-minute minimal intervention including a discussion of the referral incident and the provision of a booklet containing advice to reduce drinking. Participants will be assessed six weeks later, and those continuing to exhibit risky alcohol use will receive Step 2, randomization to: (a) a 60-90 minute brief motivational intervention (BMI) or (b) an assessment-only control. All students will complete 3, 6, and 9 month follow-up assessments. The three groups will be compared on two outcome measures: frequency of binge drinking episodes and alcohol-related problems in the past 30 days. Predictors of treatment response (readiness to change, alcohol expectancies, age of first drink, sensation seeking, descriptive norms, and reaction to the referral) will also be evaluated for both steps of the intervention. Research findings will assist college alcohol programs in determining the most effective and efficient allocation of their limited resources in treating mandated students. The long-term objectives of this research are to inform preventive intervention research about the utility and cost-effectiveness of stepped-care approaches and to identify individual and situational factors that qualify these effects.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male and female students 18 years of age or older.
  • Participants will have signed a witnessed informed consent.
  • Participants will have been referred for an alcohol-related offense

Exclusion Criteria:

  • Participants who meet current DSM-IV criteria for substance use disorder
  • Participants who are currently in treatment for substance use.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00247182

Contacts
Contact: Donna L. Darmody, MS 1-401-254-3413 ddarmody@rwu.edu

Locations
United States, Rhode Island
Roger Williams University Recruiting
Bristol, Rhode Island, United States, 02809
Contact: Donna L. Darmody     401-254-3413     ddarmody@rwu.edu    
Contact: Brian E. Borsari, PhD     401-863-6659     Brian_Borsari@brown.edu    
Principal Investigator: Brian E. Borsari, PhD            
Sponsors and Collaborators
Investigators
Principal Investigator: Brian E. Borsari, PhD Brown University
  More Information

Responsible Party: Brown University ( Brian Borsari, Ph.D. )
Study ID Numbers: NIAAABOR015518, NIH Grant R01 AA015518-01
Study First Received: October 28, 2005
Last Updated: September 12, 2008
ClinicalTrials.gov Identifier: NCT00247182  
Health Authority: United States: Federal Government

Keywords provided by National Institute on Alcohol Abuse and Alcoholism (NIAAA):
Stepped Care
Brief Motivational Intervention
Minimal Intervention
Treatment response
College Students

Study placed in the following topic categories:
Drinking Behavior
Alcohol Drinking
Ethanol

ClinicalTrials.gov processed this record on January 16, 2009