Project RAP: Reaching Adolescents for Prevention
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 14 - 21 |
| Updated: | 4/2/2016 |
| Start Date: | October 2004 |
| End Date: | December 2009 |
| Contact: | Barbara Cole |
| Email: | barbcole@bu.edu |
| Phone: | 617-638-4600 |
RAP: Reaching Adolescents for Prevention - A Randomized Trial of a Brief Negotiated Interview and Active Referral to Reduce Alcohol Related Morbidity Among Youth and Young Adults in the Pediatric Emergency Department
The purpose of the study is to determine if a brief motivational interview in the context of
an emergency health care visit will reduce high-risk drinking and drug-taking and associated
health consequences among adolescents ages 14-21 years old.
an emergency health care visit will reduce high-risk drinking and drug-taking and associated
health consequences among adolescents ages 14-21 years old.
Many studies have shown that a brief motivational interview in the context of a routine or
emergency health care visit may assist adults to reduce high-risk drinking and drug-taking.
Center researchers are conducting a 1,400-person, randomized clinical trial involving teen
patients at the Boston Medical Center Pediatric Emergency Department in order to determine
if a similar approach will be effective with youth. All patients aged 14 to 21 get a brief
alcohol and drug screen, and those whose scores indicate they drink or use marijuana are
invited to participate in the study. One-third of the enrollees will receive an assessment,
a brief motivational interview performed by a trained peer counselor, direct referrals to
community-based resources for adolescents, and a 10-day follow-up phone call. One-third will
receive only the assessment and a list of community resources; and the final third will
receive only the list of resources. All participants will be followed over time and
re-screened to measure the impact of the initial brief intervention on their drinking and
drug-taking. The key hypothesis is that individuals who receive the brief motivational
interview in the emergency department setting will have lower rates of alcohol and illicit
drug use and fewer health consequences over time.
emergency health care visit may assist adults to reduce high-risk drinking and drug-taking.
Center researchers are conducting a 1,400-person, randomized clinical trial involving teen
patients at the Boston Medical Center Pediatric Emergency Department in order to determine
if a similar approach will be effective with youth. All patients aged 14 to 21 get a brief
alcohol and drug screen, and those whose scores indicate they drink or use marijuana are
invited to participate in the study. One-third of the enrollees will receive an assessment,
a brief motivational interview performed by a trained peer counselor, direct referrals to
community-based resources for adolescents, and a 10-day follow-up phone call. One-third will
receive only the assessment and a list of community resources; and the final third will
receive only the list of resources. All participants will be followed over time and
re-screened to measure the impact of the initial brief intervention on their drinking and
drug-taking. The key hypothesis is that individuals who receive the brief motivational
interview in the emergency department setting will have lower rates of alcohol and illicit
drug use and fewer health consequences over time.
Inclusion Criteria:
- Pediatric emergency department patients
- Aged 14-21
- An Alcohol Use Disorders Identification Test (AUDIT) score above selected cut-point
for age or with history of alcohol-related consequences
Exclusion Criteria:
- Not resident in area or able to provide contact information for 12 month follow-up
- Medically unstable
- Not oriented to person, time and place
We found this trial at
2
sites
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Boston, Massachusetts 02118
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