Adaptation and Evaluation of Bright Horizons

Johns Hopkins Bloomberg School of Public Health

Status: Not yet enrolling

Conditions: Substance Use; Alcohol Abuse

Treatments: Behavioral: Bright Horizons; Behavioral: Case Management

Study type: Interventional

Funder types: Other

Identifiers

NCT05743699

IRB00021437

Details and patient eligibility

About

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.

Full description

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 4 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.

Enrollment: 100 estimated patients

Sex: All

Ages: 12 to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged 12-17
• Confirmed binge alcohol use event reported to the surveillance system within 90 days
• Self identify as Native American
• Reside on or near the Fort Apache Indian Reservation
• Have parental or legal guardian consent/provide youth assent

Exclusion criteria

• Unstable and severe medical, psychiatric or drug use problems that necessitates inpatient treatment
• Acute suicidal or homicidal ideation requiring immediate intervention
• Recent and severe stressful life events such as physical or sexual abuse, or violent crime victimization that requires specific and high intensity interventions or out of home placement
• Doesn't speak English
• Severally visually impaired

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups, including a placebo group

Case management + Bright Horizons

Experimental group

Description:

Participants enrolled into the Bright Horizons intervention group will receive one 2-4 hour long session with an Research Program Assistant.

Treatment:

Behavioral: Case Management

Behavioral: Bright Horizons

Case management

Placebo Comparator group

Description:

Participants in the control group will receive standard case management via the White Mountain Apache suicide and self-harm surveillance system.

Treatment:

Behavioral: Case Management