An interventional study of Substance Use and Health Risk Intervention (SUHRI) in Substance Use Disorders, sponsored by Texas Christian University. Completed at 1 site in United States. Open to participants aged 14 Years to 18 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-01-29.
Sponsored by Texas Christian University · Not applicable, Interventional, and Treatment
This investigation will adapt and pilot test an integrated health risk-reduction and motivational enhancement intervention for Juvenile Justice (JJ) youth that will ultimately be (after full testing through a subsequent large-scale RCT) a sustainable intervention implemented within a JJ supervision/case management context to teach and facilitate positive, pro-social, and expected behaviors. The intervention will use graphical approaches to encourage introspection and problem identification, enhance self-regulation, improve analytical problem-solving skills, and promote healthy behaviors in two inter-related target areas: substance use and risky sex practices. Existing evidence-based intervention materials will be incorporated and delivered through a web-based application. Sessions will be self-directed (require minimal instruction/interaction assistance), and also include a service referral piece whereby youth are provided with a list of treatment and health agencies at the end of sessions that address specific topics. Research activities will be carried out in two pilot studies: (1) Intervention Adaptation and Feasibility and (2) Protocol Feasibility and Preliminary Efficacy Trial. In Pilot 1, intervention content will be adapted from existing evidence-based interventions so that it is developmentally appropriate for the target population and suitable for a web-based format (N = 30; 20 youth, 10 JJ staff). Pilot 2 will test a scaled-down version of an intervention efficacy trial, testing the web-based intervention using a 1-arm design whereby 60 enrolled youth (who meet eligibility requirements) from one juvenile probation department are enrolled to participate. This clinical trial submission, and the accompanying IRB protocol are based on pilot 2 only.
A 1-arm design was used to examine preliminary efficacy of the adapted intervention. Youth aged 14 to 18 who are disposed to community supervision (deferred adjudication or probation) and meet eligibility requirements (1+ indicator of substance use, under community supervisions, English-speaking, no indication of suicide risk or thought disorder) were sampled from a large urban Texas juvenile probation department. Protocol administration was proctored by a TCU research assistant at a private space within a juvenile justice office or mutually agreed upon location of participant's choosing. Youth were asked to complete all assessments and participate in the 4 individualized technology-based intervention sessions where youth received information and engaged in decision making scenario-based games about substance use, sex risk practices, and related health-risk.
2,124 studies on the registry are indexed under Substance-Related Disorders; 393 are open to participants now.
This study's enrollment of 40 is below the median of 108 across 1,727 interventional studies indexed under Substance-Related Disorders.
Browse Substance-Related Disorders studies →Texas Christian University is the lead sponsor of 33 studies on the registry; 6 are open to participants now.
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Exclusion Criteria:
A technology-based application (administered via tablet) that addresses the interrelated topics of substance use and risky sex practices, within the context of personal relationships. This is the only arm for this clinical trial; and reflects pilot 2 only with accompanying IRB protocol.
Behavioral: Substance Use and Health Risk Intervention (SUHRI)
Technology-based intervention designed as 4 sessions administered on a tablet as a self-directed approach (requiring an onsite proctor) for addressing factors that increase risk for significant health problems. Topics such as SU and risky sex are important but often sensitive or difficult for juvenile justice staff to address in their role as probation officers.
Service Initiation
Number of Participants Who Initiated Substance Use or Health Services; obtained through client interviews.
Time frame: Baseline
Service Initiation
Number of Participants Who Initiated Substance Use or Health Services; obtained through client interviews.
Time frame: Week 7
| Milestone | Substance Use and Health Risk Intervention (SUHRI) |
|---|---|
| Started | 40 |
| Completed | 9 |
| Not completed | 31 |
| Withdrew: Lost to follow-up | 31 |
Number of Participants Who Initiated Substance Use or Health Services; obtained through client interviews.
| Participants | Substance Use and Health Risk Intervention (SUHRI) |
|---|---|
| Service Initiation | 15 |
Number of Participants Who Initiated Substance Use or Health Services; obtained through client interviews.
| Participants | Substance Use and Health Risk Intervention (SUHRI) |
|---|---|
| Service Initiation | 4 |
Collected over 15 weeks. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Substance Use and Health Risk Intervention (SUHRI) | 0/40 (0%) | 7/40 (17.5%) | 0/40 (0%) |
| Event | Substance Use and Health Risk Intervention (SUHRI) |
|---|---|
| detentionSocial circumstances | 4/40 |
| hospitalizationGeneral disorders | 3/40 |
| Age, Continuous(years) | Substance Use and Health Risk Intervention (SUHRI) |
|---|---|
| Mean | 15.76 (14 to 18) |
| Sex/Gender, Customized(Participants) | Substance Use and Health Risk Intervention (SUHRI) |
|---|---|
| FEMALE | 8 |
| MALE | 27 |
| UNKNOWN | 5 |
| Ethnicity (NIH/OMB)(Participants) | Substance Use and Health Risk Intervention (SUHRI) |
|---|---|
| Hispanic or Latino | 11 |
| Not Hispanic or Latino | 23 |
| Unknown or Not Reported | 6 |
| Race (NIH/OMB)(Participants) | Substance Use and Health Risk Intervention (SUHRI) |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 0 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 17 |
| White | 10 |
| More than one race | 3 |
| Unknown or Not Reported | 10 |
| Region of Enrollment(participants) | Substance Use and Health Risk Intervention (SUHRI) |
|---|---|
| United States | 40 |
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Plan to share: No
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Texas Christian University