This study will examine the effectiveness of ON-TRAC (Options for Navigating Talking about Risk and Adolescent Choices), which is an online substance use prevention program that also teaches emotion regulation skills. 200 adolescents, 12-15 years of age, will be randomized to ON-TRAC or a wait list comparison group (who will be offered the intervention at the end of their study participation) to determine impact on substance use, emotion regulation abilities, mental health symptoms, and other risk behavior outcomes.
Contact with the Rhode Island child welfare system
Caregiver who is a parent/guardian of a child who experienced maltreatment
Caregiver who speaks English or Spanish
Caregiver who does not have developmental delays
Adolescent who cannot read at a 4th grade level
Adolescent who has a sibling who has participated in the program
Adolescent who has developmental delays
Adolescent who lacks parental consent for the study
Parallel
ON-TRAC
BehavioralOnline tablet-based intervention that teaches youth emotion regulation skills and integrates substance use prevention content
Timeline Follow Back
A calendar assisted daily substance use estimation method obtained by interview. Days used will serve as primary outcome. More days used represent more substance use.
Drinking Refusal Self-Efficacy Questionnaire - Shortened Adolescent Version
Assesses self-efficacy to resist alcohol use. Scores range from 9 to 54. Higher scores represent greater drinking refusal self-efficacy.
Drinking Refusal Self-Efficacy Questionnaire - Shortened Adolescent Version (Adapted for Marijuana Use)
Assesses self-efficacy to resist marijuana use. Scores range from 9 to 54. Higher scores represent greater marijuana refusal self-efficacy.
Youth Risk Behavior Surveillance Survey
Single items assess other risk behaviors such as sexual risk or violence behaviors. Endorsement of each individual item indicates engagement in the risk behavior.
Patient-Reported Outcome Measures Information System - Anger Scale
Assesses symptoms of mental health and social functioning. Scores range from 5 to 25. Higher scores indicate greater anger.
Difficulties in Emotion Regulation Scale
Assesses perceptions of emotion regulation skills. Scores range from 18-90. Higher scores indicate more difficulty regulating emotions.
Emotion Regulation Behaviors Scale
Assesses use of emotion regulation behaviors taught in the intervention. Scores range from 9 to 36. Higher scores indicate more frequent use of the strategies taught.
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