Adolescent Stress and Substance Intervention Subsequent to Trauma (ASSIST)

Lifespan

Status: Not yet enrolling

Conditions: Acute Stress Disorder; PTSD; Substance Use Disorder (SUD)

Treatments: Behavioral: ASSIST Video Intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT07197476

1R21DA062071 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The long-term goal of this study is to address the adoption of the new trauma center requirement to establish best practices of screening for acute stress with an intervention to prevent both adolescent PTSD and substance use. The investigators will develop, refine, and pilot test the Adolescent Stress and Substance Intervention Subsequent to Trauma (ASSIST) video interventions that build upon the American College of Surgeons Committee on Trauma guidelines to improve mental health care during and after hospitalization for traumatic injury. The aims are:

PHASE I - Primary Aim 1: To develop and refine two ASSIST video interventions for adolescents and parents admitted to a level 1 pediatric trauma center.

PHASE II

• Primary Aim 2a: To evaluate the feasibility, acceptability and implementation potential of the ASSIST video interventions.
• Primary Aim 2b: Develop the ASSIST implementation protocol using a national advisory panel of pediatric trauma center leaders.

Participants in PHASE 1:

Parent and child duo:

• Review storyboards for the video interventions
• Participate in qualitative interviews at hospital admission and 1 month following discharge

Pediatric trauma center clinical staff members:

- Complete qualitative interviews

Participants in PHASE II:

Parent and child duo:

• Shown their own video interventions
• Complete assessments at admission and 1-, 2-, 3- months after discharge

Enrollment: 62 estimated patients

Sex: All

Ages: 12 to 17 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria for Youth:

• Must be 12-17 years
• Fluent in English or Spanish
• Able to provide informed assent
• Have a parent able to provide informed consent

Inclusion Criteria for Parents:

• Live with an admitted pediatric trauma patient
• Fluent in English or Spanish
• Able to provide informed consent

Exclusion Criteria:

• Prisoner or in police custody
• Involvement with child protective services
• Admitted due to suicide attempt or non-suicidal self-injury
• Any acute condition that would preclude provision of informed consent or assent

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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62 participants in 1 patient group

Develop and Pilot Test ASSIST Video Intervention

Experimental group

Description:

The investigators will develop and pilot test the Adolescent Stress and Substance Intervention Subsequent to Trauma (ASSIST) video intervention that builds upon ACS-COT guidelines to improve mental health care during and after hospitalization for traumatic injury. The ASSIST video intervention is a simple, cost-effective, and scalable tool that may be easily integrated into usual care settings to address posttraumatic symptoms and decrease risk of subsequent substance use following discharge.

Treatment:

Behavioral: ASSIST Video Intervention