Adaptation and Evaluation of Bright Horizons

Purpose

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.

Conditions

  • Alcohol Abuse
  • Substance Use

Eligibility

Eligible Ages
Between 10 Years and 24 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Aged 10-24 - 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

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Prevention
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Case management + Bright Horizons
Participants enrolled into the Bright Horizons intervention group will receive one 2-4 hour long session with an Research Program Assistant.
  • Behavioral: Bright Horizons
    Bright Horizons is a brief substance use intervention delivered by Research Program Assistants.
  • Behavioral: Case Management
    Placebo condition
Placebo Comparator
Case management
Participants in the control group will receive standard case management via the White Mountain Apache suicide and self-harm surveillance system.
  • Behavioral: Bright Horizons
    Bright Horizons is a brief substance use intervention delivered by Research Program Assistants.
  • Behavioral: Case Management
    Placebo condition

Recruiting Locations

Johns Hopkins Center for Indigenous Health - Whiteriver Site
Whiteriver, Arizona 85941
Contact:
Novalene Goklish, PhD

More Details

Status
Recruiting
Sponsor
Johns Hopkins Bloomberg School of Public Health

Study Contact

Mary Cwik, PhD
410-955-6931
mcwik1@jhu.edu

Detailed 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 8 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.