Adaptation and Evaluation of Bright Horizons

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age10-24
SponsorJohns Hopkins Bloomberg School of Public Health

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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

Disqualifiers

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

Trial design

Design model

Parallel

Treatments tested in this trial

  • Bright Horizons

    Behavioral

    Bright Horizons is a brief substance use intervention delivered by Research Program Assistants.

  • Case Management

    Behavioral

    Placebo condition

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: Case management + Bright HorizonsExperimental treatment 2 interventions
Group B: Case managementPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in Alcohol Use as assessed by Timeline Followback

Alcohol use over the past 30 days (Timeline Followback to assess number of drinking days and number of drinks per day)

Time frame
Baseline, 4 weeks and 8 weeks post-intervention

Secondary outcomes

1

Coping with Stressful Life Events as assessed by the Difficulties in emotion regulation scale

Difficulties in emotion regulation scale is a 36-item instrument that asks individuals to rate their difficulties in regulating emotions including non-acceptance of emotional responses, awareness of emotions and access to regulation strategies. Scores can range from 36 to 180, with higher scores indicating more difficulties in regulating emotions.

Time frame
Baseline, 4 weeks, and 8 weeks
2

Impulsivity as assessed by the UPPS Impulsive Behavior Scale

UPPS Impulsive Behavior Scale is a 45-item inventory designed to measure four personality pathways to impulsive behavior: Urgency to Act, Lack of Perseverance, Lack of Premeditation, and Sensation Seeking, each rated on a 4-point scale. Scores can range from 45 to 180, with higher scores indicating more impulsivity.

Time frame
Baseline, 4 weeks, 8 weeks
3

Family Functioning as assessed by the Problem-oriented screening instrument (POSIT) Family Functioning scale

Problem-oriented screening instrument (POSIT) Family Functioning Items is a 10 item scale that measures family functioning around parenting, communication and child monitoring. Responses No=0 and Yes=1. A score of 8 shows healthier family functioning, and a score of 2 shows worse family functioning.

Time frame
Baseline, 4 weeks, 8 weeks
4

Peer Relationships as assessed by the Peer Norms questionnaire

Peer Norms measure is a 20-item measure asking about peer behaviors and the participant's perception of peer behaviors. Topics include sexual activity, drinking and other substance use. Peer groups discussed include best friends, people in their grade, and people their age. Scores can range from 11 to 60, with higher scores indicating more peer pressure and less healthy peer relationships.

Time frame
Baseline, 4 weeks, 8 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Johns Hopkins Bloomberg School of Public Health

Lead sponsor

Native American Research Center for Health

Collaborator

White Mountain Apache Tribe

Collaborator