NCT05169385

Parent SMART (Substance Misuse in Adolescents in Residential Treatment)

Recruiting now NA Last updated 3 April 2025

What this trial tests

NA trial testing Parent SMART in Substance Use in 220 participants. Currently enrolling.

Timeline

1 March 2022

Primary endpoint
2 February 2027

2 February 2027

Quick facts

Lead sponsor	Brown University
Phase	NA
Status	Recruiting now
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	single
Primary purpose	treatment
Enrollment	220
Start date	1 March 2022
Primary completion	2 February 2027
Estimated completion	2 February 2027
Sites	3 locations across United States

Drugs / interventions tested

• Parent SMART
• Treatment as Usual

Conditions studied

• Substance Use — all drugs for Substance Use →
• Adolescent Behavior — all drugs for Adolescent Behavior →

Sponsor

Brown University

Who can join

Adults 12 to 18, any sex, with Substance Use or Adolescent Behavior. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Adolescents in residential substance use treatment have serious substance-related problems and poor outcomes following discharge: follow-up studies indicate that 60% of adolescents treated in residential treatment will relapse within the first 90 days. Parenting practices have been established as a critical predictor of adolescents' substance use outcomes and likelihood of relapse following treatments, but parents are notoriously difficult to engage in adolescent substance use treatment. Findings such as these provide strong justification for targeting parents of adolescents in residential substance use treatment via easily accessible interventions.

This study tests the effectiveness of a technology-assisted parenting intervention called Parent SMART (Substance Misuse among Adolescents in Residential Treatment). The intervention combines an off-the-shelf computer program that teaches parenting skills called Parenting Wisely, four telehealth coaching sessions, and a networking forum that allows parents to connect with a clinical expert and with other parents. The investigators will compare adolescents who receive standard residential substance use treatment to adolescents who receive the same treatment plus whose parents receive Parent SMART. Investigators will test the comparative effectiveness of Parent SMART versus residential treatment as usual on parental monitoring and communication, adolescent substance use (i.e., days of substance use and substance-related problems), and substance-related high-risk behaviors (i.e., school-related problems, criminal involvement, externalizing behavior). The investigators will also test whether improvements in parenting partially mediate any observed changes in adolescent substance use and other high-risk behaviors.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

1. Parent SMART (Substance Misuse in Adolescents in Residential Treatment): Protocol of a Randomized Effectiveness Trial of a Technology-Assisted Parenting Intervention.
   Becker SJ, Helseth SA, Kelly LM, Janssen T, et al · · 2022 · cited 5× · PMID 35225821 · DOI 10.2196/35934
2. The effects of neighborhood perceptions on response to a technology-assisted parenting intervention for adolescent substance use: protocol of a diversity supplement to parent SMART (Substance Misuse in Adolescents in Residential Treatment).
   Patel-Syed Z, Helseth SA, Rosales R, Janssen T, et al · · 2024 · PMID 39425208 · DOI 10.1186/s13722-024-00509-y