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Substance UseSKYNCT03074877

Substance Use Screening and Prevention for Adolescents in Pediatric Primary Care

A study testing Family Check-Up in people with Substance Use, run by RTI International at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is to test the effectiveness of integrating and adapting two National Institute on Drug Abuse (NIDA)-funded procedures for use in primary care pediatric clinics serving low-income youth: 1)the Youth Risk Index (YRI) and Transmissible Liability Index-Parent (TLI-P) nurse and/or research… Read more about this study

Who is it for?
Ages 9 to 13 years
Conditions the study is for
Substance Use
What is being tested?
Family Check-Up
Could I receive a placebo?
No, everyone receives an active treatment
How many people
722 participants
Where
1 siteUnited States
Study dates
1 Jun 2014to 31 Jul 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 9 to 13 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Child Aged 9 years, 9 months to 13 years, 11 months.
  • A biological or adoptive parents or legal guardian with appropriate documentation with custody of the child.
  • Either child or parent's score on screening assessment score must fall in elevated risk range.
  • Child must be recipient of needs based Medicaid or family income must be at or below 150% Health and Human Services (HHS) Poverty Guidelines.

Who cannot join

  • Inability to read English,
  • Having moderate to severe mental disability (based on medical records),
  • Child not accompanied by a biological or adoptive parent with legal custody or legal guardian with appropriate documentation
  • Participant in the Early Steps Project

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15260

Other trials in United States

About this study

This study is to test the effectiveness of integrating and adapting two National Institute on Drug Abuse (NIDA)-funded procedures for use in primary care pediatric clinics serving low-income youth: 1)the Youth Risk Index (YRI) and Transmissible Liability Index-Parent (TLI-P) nurse and/or research assistant-administered screening tools for high risk of substance use (SU) prior to high school and thus also for SUD and 2) the Family Check-Up (FCU) - a brief, family-based program to prevent SU/SUD with replicated efficacy.

Read the detailed description

This study is to test the effectiveness of integrating and adapting two National Institute on Drug Abuse (NIDA)-funded procedures for use in primary care pediatric clinics serving low-income youth: 1) the Youth Risk Index (YRI) and Transmissible Liability Index (TLI-P) nurse and/or research assistant-administered screening tools for high risk of substance use (SU) prior to high school and thus also for SUD and 2) the Family Check-Up (FCU) - a brief, family-based program to prevent SU/SUD with replicated efficacy.

The following three aims focus on evaluating and refining the adaptation of the YRI \& TLI-P program for primary-care use: 1) to replicate the effectiveness of the YRI \& TLI-P screening tool in terms of concurrent and predictive validity and the engagement rate in the FCU; 2) to identify and address challenges in implementing and integrating the YRI \& TLI-P/FCU prevention strategy within a primary care clinic serving urban, low-income youth; and 3) to test the effectiveness of the YRI \& TLI-P/FCU on emerging SU, sexual activity, and conduct problems, as well as the putative mediators of these outcomes including parenting and parental well-being.

Based on prior FCU efficacy studies, 500 dyads of parents and their 9 years, 9 months to 13 years, 11 months old children from low-income, ethnically diverse families will be recruited from two large primary care clinics in an urban community. The FCU will be delivered for two or three years to test impact of dosage. Participants will be followed-up one year after completing FCU to evaluate longitudinal outcomes of the Integrated YRI \& TLI-P/FCU .

Conditions
Substance Use
Being tested
Family Check-Up
Keywords
Substance Use
Medical subject headings
Substance-Related Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Family Check-UpBehavioural

    The Family Check-Up (FCU) is a brief, family-based program to prevent Substance Use/Substance Use Disorder (SU/SUD) with replicated efficacy

Study groups in NCT03074877
Study groupRoleWhat they receive
Family Check-Up (FCU)ExperimentalFamilies recruited in Year 1 who are randomized to the FCU group will be provided with the Family Check-Up (FCU) after the initial in-home assessment and after 1 year follow-up assessment. The FCU is a brief (i.e., typically 3-5 sessions per year) family-centered intervention. The FCU intervention process consists of 3, and in some cases, 4 components: a) family assessment, b) a "Get to Know You" session, c) feedback, and d) follow-up treatment sessions.
Receives: Behavioral: Family Check-Up
Waitlist GroupExperimentalFamilies recruited in Year 1 who are randomized to the wait-list group, and all families recruited in Year 2 will be assigned to the wait-list group. This group will receive the materials provided to all families, noted above, and the initial in-home assessment within 2 weeks of the screening to be conducted by a trained research assistant. At 1 year post-screening, the families in the wait-list group will be administered the follow-up assessment and will begin the Family Check-Up (FCU) intervention.
Receives: Behavioral: Family Check-Up
Control GroupNo interventionThese families will be recruited in Year 3 of the study. These families will be provided the materials noted above and will receive the in-home assessments conducted by a trained research assistant. The initial in-home assessments will be conducted within 2 weeks of the screening, and follow-up assessments conducted 1 year post-screening.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA)

    Administer Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA)

    Measured: baseline

  2. Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA)

    Administer Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA)

    Measured: twelve months

  3. Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA)

    Administer Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA)

    Measured: twenty-four months

  4. Contextual Risk and Resources - 1

    Administer Centers for Epidemiological Studies Depression Scale (CESD)

    Measured: baseline

  5. Contextual Risk and Resources - 1

    Administer Centers for Epidemiological Studies Depression Scale (CESD)

    Measured: twelve months

  6. Contextual Risk and Resources - 1

    Administer Centers for Epidemiological Studies Depression Scale (CESD)

    Measured: twenty-four months

  7. Contextual Risk and Resources - 2

    Administer Demographic Questionnaire (DEMO)

    Measured: baseline

  8. Contextual Risk and Resources - 2

    Administer Demographic Questionnaire (DEMO)

    Measured: twelve months

  9. Contextual Risk and Resources - 2

    Administer Demographic Questionnaire (DEMO)

    Measured: twenty-four months

  10. Contextual Risk and Resources - 3

    Administer Dyadic Adjustment Scale (DYAD)

    Measured: baseline

  11. Contextual Risk and Resources - 3

    Administer Dyadic Adjustment Scale (DYAD)

    Measured: twelve months

  12. Contextual Risk and Resources - 3

    Administer Dyadic Adjustment Scale (DYAD)

    Measured: twenty-four months

  13. Contextual Risk and Resources - 4

    Administer Financial Stress Questionnaire (FINCE)

    Measured: baseline

  14. Contextual Risk and Resources - 4

    Administer Financial Stress Questionnaire (FINCE)

    Measured: twelve months

  15. Contextual Risk and Resources - 4

    Administer Financial Stress Questionnaire (FINCE)

    Measured: twenty-four months

  16. Contextual Risk and Resources - 5

    Administer Me and My Neighborhood Questionnaire (MMNQ)

    Measured: baseline

  17. Contextual Risk and Resources - 5

    Administer Me and My Neighborhood Questionnaire (MMNQ)

    Measured: twelve months

  18. Contextual Risk and Resources - 5

    Administer Me and My Neighborhood Questionnaire (MMNQ)

    Measured: twenty-four months

  19. Contextual Risk and Resources - 6

    Administer Parent Substance Use Questionnaire (SUBST-PC)

    Measured: baseline

  20. Contextual Risk and Resources - 6

    Administer Parent Substance Use Questionnaire (SUBST-PC)

    Measured: twelve months

  21. Contextual Risk and Resources - 6

    Administer Parent Substance Use Questionnaire (SUBST-PC)

    Measured: twenty-four months

  22. Youth Outcomes - 1

    Administer Child Behavior Checklist (CBCL)

    Measured: baseline

  23. Youth Outcomes - 1

    Administer Child Behavior Checklist (CBCL)

    Measured: twelve months

  24. Youth Outcomes - 1

    Administer Child Behavior Checklist (CBCL)

    Measured: twenty-four months

  25. Youth Outcomes - 2

    Assess Extracurricular Activities (ECA)

    Measured: baseline

  26. Youth Outcomes - 2

    Assess Extracurricular Activities (ECA)

    Measured: twelve months

  27. Youth Outcomes - 2

    Assess Extracurricular Activities (ECA)

    Measured: twenty-four months

  28. Youth Outcomes - 3

    Administer Recent Activities Interview (RAI)

    Measured: baseline

  29. Youth Outcomes - 3

    Administer Recent Activities Interview (RAI)

    Measured: twelve months

  30. Youth Outcomes - 3

    Administer Recent Activities Interview (RAI)

    Measured: twenty-four months

  31. Youth Outcomes - 4

    Administer Screen for Child Anxiety-Related Emotional Disorders (SCR)

    Measured: baseline

  32. Youth Outcomes - 4

    Administer Screen for Child Anxiety-Related Emotional Disorders (SCR)

    Measured: twelve months

  33. Youth Outcomes - 4

    Administer Screen for Child Anxiety-Related Emotional Disorders (SCR)

    Measured: twenty-four months

  34. Youth Outcomes - 5

    Administer Self-Report of Delinquency (SHORT) (SRD)

    Measured: baseline

  35. Youth Outcomes - 5

    Administer Self-Report of Delinquency (SHORT) (SRD)

    Measured: twelve months

  36. Youth Outcomes - 5

    Administer Self-Report of Delinquency (SHORT) (SRD)

    Measured: twenty-four months

  37. Youth Outcomes - 6

    Target Child Substance Use (TC Subst)

    Measured: baseline

  38. Youth Outcomes - 6

    Target Child Substance Use (TC Subst)

    Measured: twelve months

  39. Youth Outcomes - 6

    Target Child Substance Use (TC Subst)

    Measured: twenty-four months

  40. Youth Outcomes - 7

    Administer Youth Risk Behavior Survey (YRBS)

    Measured: baseline

  41. Youth Outcomes - 7

    Administer Youth Risk Behavior Survey (YRBS)

    Measured: twelve months

  42. Youth Outcomes - 7

    Administer Youth Risk Behavior Survey (YRBS)

    Measured: twenty-four months

  43. Parenting and Family Socialization - 1

    Evaluate using Adult Child Relationship scale (ACRS)

    Measured: baseline

  44. Parenting and Family Socialization - 1

    Evaluate using Adult Child Relationship scale (ACRS)

    Measured: twelve months

  45. Parenting and Family Socialization - 1

    Evaluate using Adult Child Relationship scale (ACRS)

    Measured: twenty-four months

  46. Parenting and Family Socialization - 2

    Distressing Experiences Microaggression Scale (MIC)

    Measured: baseline

  47. Parenting and Family Socialization - 2

    Distressing Experiences Microaggression Scale (MIC)

    Measured: twelve months

  48. Parenting and Family Socialization - 2

    Distressing Experiences Microaggression Scale (MIC)

    Measured: twenty-four months

  49. Parenting and Family Socialization - 3

    Child Daily Face-to-Face Racial Discrimination (CDIS)

    Measured: baseline

  50. Parenting and Family Socialization - 3

    Child Daily Face-to-Face Racial Discrimination (CDIS)

    Measured: twelve months

  51. Parenting and Family Socialization - 3

    Child Daily Face-to-Face Racial Discrimination (CDIS)

    Measured: twenty-four months

  52. Parenting and Family Socialization - 4

    Assess using Parental Involvement Scale (PI)

    Measured: baseline

  53. Parenting and Family Socialization - 4

    Assess using Parental Involvement Scale (PI)

    Measured: twelve months

  54. Parenting and Family Socialization - 4

    Assess using Parental Involvement Scale (PI)

    Measured: twenty-four months

  55. Parenting and Family Socialization - 5

    Parental Monitoring Interview - Parent Response, - Child Response (PMI-PR, PMI-CR)

    Measured: baseline

  56. Parenting and Family Socialization - 5

    Parental Monitoring Interview - Parent Response, - Child Response (PMI-PR, PMI-CR)

    Measured: twelve months

  57. Parenting and Family Socialization - 5

    Parental Monitoring Interview - Parent Response, - Child Response (PMI-PR, PMI-CR)

    Measured: twenty-four months

  58. Parenting and Family Socialization - 6

    Assess using Parenting Children and Adolescents measure (PARCA)

    Measured: baseline

  59. Parenting and Family Socialization - 6

    Assess using Parenting Children and Adolescents measure (PARCA)

    Measured: twelve months

  60. Parenting and Family Socialization - 6

    Assess using Parenting Children and Adolescents measure (PARCA)

    Measured: twenty-four months

  61. Parenting and Family Socialization - 7

    Assessment using Parental Rating of Peers and Social Skills (PPRSK)

    Measured: baseline

  62. Parenting and Family Socialization - 7

    Assessment using Parental Rating of Peers and Social Skills (PPRSK)

    Measured: twelve months

  63. Parenting and Family Socialization - 7

    Assessment using Parental Rating of Peers and Social Skills (PPRSK)

    Measured: twenty-four months

  64. Parenting and Family Socialization - Discussion Tasks - 1

    Assessment using Parent Child Hot topics Discussion Task

    Measured: baseline

  65. Parenting and Family Socialization - Discussion Tasks - 1

    Assessment using Parent Child Hot topics Discussion Task

    Measured: twelve months

  66. Parenting and Family Socialization - Discussion Tasks - 1

    Assessment using Parent Child Hot topics Discussion Task

    Measured: twenty-four months

  67. Parenting and Family Socialization - Discussion Tasks - 2

    Assessment using Parent Child Hot Topics Questionnaire (PCHT)

    Measured: baseline

  68. Parenting and Family Socialization - Discussion Tasks - 2

    Assessment using Parent Child Hot Topics Questionnaire (PCHT)

    Measured: twelve months

  69. Parenting and Family Socialization - Discussion Tasks - 2

    Assessment using Parent Child Hot Topics Questionnaire (PCHT)

    Measured: twenty-four months

  70. Parenting and Family Socialization - Discussion Tasks - 3

    Assessment using Monitoring \& Listening Discussion Task

    Measured: baseline

  71. Parenting and Family Socialization - Discussion Tasks - 3

    Assessment using Monitoring \& Listening Discussion Task

    Measured: twelve months

  72. Parenting and Family Socialization - Discussion Tasks - 3

    Assessment using Monitoring \& Listening Discussion Task

    Measured: twenty-four months

  73. Parenting and Family Socialization - Discussion Tasks - 4

    Assessment using Recognition Discussion Task

    Measured: baseline

  74. Parenting and Family Socialization - Discussion Tasks - 4

    Assessment using Recognition Discussion Task

    Measured: twelve months

  75. Parenting and Family Socialization - Discussion Tasks - 4

    Assessment using Recognition Discussion Task

    Measured: twenty-four months

  76. Parenting and Family Socialization - Discussion Tasks - 5

    Assessment using Family Culture Discussion Task

    Measured: baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Mar 2017
  2. Study start1 Jun 2014
  3. Primary completion31 Jul 2019
  4. Study completion31 Jul 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
722 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03074877
Sponsor's protocol ID
5R01DA036628-02
Acronym
SKY
Status last verified
Nov 2019
First submitted
13 Feb 2017
Last updated
20 Nov 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Galan CA, Meza JI, Ridenour TA, Shaw DS. Racial Discrimination Experienced by Black Parents: Enduring Mental Health Consequences for Adolescent Youth. J Am Acad Child Adolesc Psychiatry. 2022 Oct;61(10):1251-1261. doi: 10.1016/j.jaac.2022.04.015. Epub 2022 May 2.

    PubMed 35513191

Questions about this trial

What is this clinical trial studying?

A study testing Family Check-Up in people with Substance Use, run by RTI International at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Nov 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA) (time frame: baseline). The study lists 76 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03074877, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Nov 2019.

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