A Randomized Clinical Trial of a Novel Drug Education and Diversion Program (iDECIDE) for Middle and High School Students

Last updated: November 5, 2024
Sponsor: Massachusetts General Hospital
Overall Status: Active - Recruiting

Phase

N/A

Condition

Stimulant Use Disorder

Opioid Use Disorder

Treatment

iDECIDE

Clinical Study ID

NCT06115746
2023P000808
INTF2400H78500224455
  • Ages 9-22
  • All Genders

Study Summary

The primary goal of this study is to test the effectiveness of the iDECIDE (Drug Education Curriculum: Intervention, Diversion, and Empowerment) curriculum, a novel drug education and diversion program, in approximately 300 middle and high school students, who have violated their school substance use policies in the past month, as an alternative to punitive school responses for school-based substance use infractions. This randomized controlled trial will test the hypothesis that adolescents randomized to the iDECIDE curriculum will have improved substance use outcomes (i.e., knowledge, attitudes, and behavior) compared to adolescents in a waitlist control group. The outcomes of this study will measure knowledge of drug effects and brain development, perceptions of harm from substance use, willingness to quit or reduce use, and substance use behavior.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Currently enrolled in middle or high school;

  2. Violated school substance use policy within approximately the past month at the timeof screening;

  3. Have a parent or legal guardian who is able and willing to provide written informedconsent (if under the age of 18);

  4. Competent and willing to provide written informed assent (if under the age of 18) orwritten informed consent (if age 18 or older);

  5. Able to commit to 9 study visits over approximately one year;

  6. Able to safely participate in the protocol and appropriate for outpatient level ofcare, in the opinion of the investigator;

  7. Has access to a reliable internet connection and a device that can run Zoom;

  8. Able to read and write comfortably in one of the languages spoken by study staff.

Exclusion

Exclusion Criteria:

  1. Ever received substance use treatment in an inpatient or specialty care setting;

  2. Gross cognitive impairment, for example due to florid psychosis, intellectualdisability, developmental delay, or neurodegenerative disease;

  3. Ever engaged in intravenous (IV) drug use;

  4. Current daily use of alcohol, non-medical benzodiazepines, and/or opioid use.

Study Design

Total Participants: 300
Treatment Group(s): 1
Primary Treatment: iDECIDE
Phase:
Study Start date:
November 17, 2023
Estimated Completion Date:
July 31, 2026

Study Description

This study will be a two-arm, assessor-blind, randomized controlled trial enrolling approximately 300 middle and high school students who have recently violated a school substance use policy. Participants will be followed over a one-year period. Participants will be randomly assigned to either four-weeks of iDECIDE or a waitlist control group. Participants assigned to receive iDECIDE will receive a drug education curriculum developed to provide behavioral support and psychoeducation via videoconference or in-person visits. The purpose of iDECIDE is to provide students with the knowledge and skills they need to make healthy decisions regarding substance use. Participants in the waitlist control group will undergo symptom and substance use monitoring only, until completion of the one-month follow-up visit at which point they will be offered the opportunity to enroll in the iDECIDE curriculum, if desired. Data collection will occur during nine visits over the span of approximately one year, including one randomization baseline visit, four weekly visits during the intervention phase of the study during which time participants will participate in either iDECIDE or monitoring, and then four follow-up visits. The follow-up visits will occur at approximately one week, one month, six months, and one year following the end-of-intervention. Participants in both arms will complete questionnaires and assessments conducted by raters blinded to study arm assignment. Primary outcomes (knowledge of drug effects, knowledge of brain development and neurobiology of addiction, readiness to quit, perceptions of harm, and frequency of substance use) will be assessed at visit 1 (baseline), visit 5 (end-of-intervention), visit 6 (one week follow-up), and visit 7 (one month follow-up). Participants will be compensated for session attendance and provision of urine samples.

Connect with a study center

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Active - Recruiting

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