The purpose of this study is to test the effects of a computerized, self-directed Motivational Enhancement Therapy program for adolescent substance use (iMET), in comparison to clinician-delivered MET and Treatment As Usual (TAU), on treatment engagement and substance use. The investigators hypothesize that both iMET and MET will be more effective than TAU in engaging/retaining patients in treatment and in reducing substance use during a 12-month follow-up period. The investigators also hypothesize that Self-directed iMET will be as effective as the clinician-guided MET in increasing treatment engagement and abstinence during the 12-months follow-up period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Boston Children's Hospital
Boston, Massachusetts, United States
Treatment engagement
We will compare the number of individual visits in the program, the number of group sessions completed, and the number of urine screens completed during a 12 month follow-up period by each participant in the three study arms.
Time frame: 12 months
Days abstinent
We will calculate the past-90-days number of days abstinent from any substance use and from the primary substance and the number of weeks abstinent from any substance use.
Time frame: past-90-days
Driving/Riding Risk
We will compare group trends in prevalence and frequency of past-90-days Driving while impaired or Riding with an impaired driver.
Time frame: past-90-days
HIV Risk Behavior
We will compare group trends in prevalence and frequency of past-90-days HIV Risk Behaviors.
Time frame: past-90-days
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