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Completed

NCT Number: NCT02414074

Adaptive Intervention Strategies in Conduct Problems Prevention

This pilot study conducts feasibility research to develop adaptive intervention strategies for conduct problems prevention. The adaptive model will stipulate for whom only brief prevention strategies are sufficient and for whom more intensive strategies are necessary. The research will involve youth (10-17 years of age) identified by law enforcement as early offenders and who are referred for pre-court juvenile diversion programming.

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Key information

Conditions

Conduct Problems

Age range

10 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Center for Personalized Prevention Research in Children's Mental Health

Minneapolis, Minnesota, 55415, United States

About this study

This project proposes to conduct feasibility research to inform implementation of a future full-scale SMART design (i.e., sequential, multiple assignment, randomized trial) that will be used to construct adaptive intervention strategies (AIS) for conduct problems prevention. AIS individualize treatment via decision rules that specify how the type (youth-focused or parent focused) or intensity (low dosage or high dosage) of an intervention should be formulated prior to the beginning of treatment based on youth and family characteristics and/or repeatedly adjusted over time based on proximal outcomes collected during treatment. AIS are needed in conduct problems prevention to address the heterogeneity of at-risk youth and the variability in response to conventional fixed-type preventive interventions. With the present SMART trial each participant will progress through two stages of intervention using a stepped-care framework. In the first stage participants will be randomized to one of two 'brief-type' intervention options, either the youth-focused Teen Intervene-Brief program (TI-B; Winters & Leitten, 2007) or the parent-focused Everyday Parenting-Brief program (EP-B; Dishion et al., 2003, 2010). Responders to either program will be stepped down and monitored over time for maintenance. Non-responders to either program will be stepped up and randomized to one of two second stage 'intensive-type' intervention options that feature either (1) continuation of the first stage option with increased dosage (EP-Expanded or TI-Expanded), or (2) switching to the alternative expanded intervention modality. This feasibility study will enroll high risk youth (10-17 years of age) who have been arrested for status or misdemeanor offenses and referred for pre-court juvenile diversion programming. The aims of this feasibility research are to (1) develop practice infrastructure for implementing a SMART design and assess practitioner adherence to the various intervention sequences, (2) roll out the stepped-care intervention sequences and obtain estimates of recruitment into SMART, attrition at both stages, and overall response rate to first-stage intervention options, (3) describe the demographic and clinical characteristics of the sample of diversion-referred youth who are enrolled in the study, (4) create a latent construct for conduct problems that will be used as the distal outcome, and (5) explore the utility of incorporating secondary tailoring variables (e.g., child and family risk characteristics) in the adaptive intervention model.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Youth ages 10-17
  • Juvenile diversion referral (to community partner agency)

Exclusion criteria

  • Pervasive developmental disabilities
  • Serious psychiatric disorders requiring specialized mental health treatment (e.g. psychosis, bipolar disorder, etc.)
  • Substance dependence

Treatment and study plan

Youth Behavioral Intervention

Behavioral

Teen Intervene is an early intervention program for 12-19 year olds.

Other names: Teen Intervene

Parent Education

Behavioral

Everyday Parenting is a parent training curriculum.

Other names: Everyday Parenting

Primary outcomes

  1. Peer Delinquency Scale

    Time frame: 9 months

    Youth Report

  2. Family Check-Up Youth Questionnaire - Adolescent

    Time frame: 9 months

    Youth Report

  3. Personal Experiences Screening Questionnaire-Adolescent

    Time frame: 9 months

    Youth Report

  4. Self-Reported Delinquency Scale-Adolescent (SRD)

    Time frame: 9 months

    Youth Report

  5. Inventory of Callous-Unemotional Traits-Youth (ICU)

    Time frame: 9 months

    Youth Report

  6. Delayed Discounting Task

    Time frame: 9 months

    Youth Computer Task

  7. Dimensional Change Card Sort Task (DCCS)

    Time frame: 9 months

    Youth Computer Task

  8. Flanker Task

    Time frame: 9 months

    Youth Computer Task

  9. Iowa Gambling Task

    Time frame: 9 months

    Youth Computer Task

  10. Family Check-Up Caregiver Questionnaire-Adolescent

    Time frame: 9 months

    Parent Report

  11. Behavior Assessment System for Children (BASC-2)

    Time frame: 9 months

    Parent Report

  12. Delis Rating of Executive Functions (D-REF)

    Time frame: 9 months

    Parent Report

  13. Family Check-Up Caregiver Questionnaire-Family

    Time frame: 9 months

    Parent Report

  14. Early Adolescent Temperament Questionnaire-Revised (EAT-Q)

    Time frame: 9 months

    Parent Report

  15. Disruptive Behavior Rating Scale (DBRS)

    Time frame: 9 months

    Parent Report

  16. Parenting Relationship Questionnaire (PRQ)

    Time frame: 9 months

    Parent Report

  17. Inventory of Callous-Unemotional Traits-Parent (ICU)

    Time frame: 9 months

    Parent Report

Sponsors and collaborators

Lead sponsor

University of Minnesota

Other

Collaborators

  • National Institute of Mental Health (NIMH)
  • St. Paul Youth Services

Registry information

Important dates

Study start
2013
Primary completion
2016
Study completion
2016
First posted
Apr 10, 2015
Registry last updated
Nov 1, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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