Actively Recruiting
Adaptation and Evaluation of Bright Horizons: An Evidence Based Intervention for Prevention of Binge Drinking and Drug Use
Led by Johns Hopkins Bloomberg School of Public Health · Updated on 2026-01-13
100
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
Sponsors
J
Johns Hopkins Bloomberg School of Public Health
Lead Sponsor
N
Native American Research Center for Health
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating the Bright Horizons program to see if it can reduce binge substance use among adolescents aged 12 to 17 who have recently engaged in binge drinking. This culturally adapted intervention was developed through a partnership between The White Mountain Apache Tribe and Johns Hopkins University. Bright Horizons focuses on teaching emotion regulation, coping skills, problem solving, and goal setting to help reduce alcohol and other substance use and connect youth with treatment resources. Participants are randomly assigned to either the Bright Horizons intervention group or a control group. Those in the intervention group receive one 2-4 hour session with a Research Program Assistant, while the control group receives standard case management through the White Mountain Apache suicide and self-harm surveillance system. After all intervention participants have been enrolled, control participants will also receive the Bright Horizons program. Throughout the study, participants complete assessments at enrollment, 4 weeks later, and again 4 weeks after that. These evaluations measure changes in alcohol use, coping with stress, impulsivity, family functioning, peer relationships, other substance use, and cultural identity. The primary outcome is change in alcohol use as recorded by the Timeline Followback method. The study aims to understand how Bright Horizons affects these areas over an 8-week period.
CONDITIONS
Brief Title
Adaptation and Evaluation of Bright Horizons
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Aged 12 to 17 years
- Confirmed binge alcohol use event reported within 90 days
- Self-identify as Native American
- Reside on or near the Fort Apache Indian Reservation
- Have parental or legal guardian consent and provide youth assent
You will not qualify if you...
- Unstable and severe medical, psychiatric, or drug use problems requiring inpatient treatment
- Acute suicidal or homicidal ideation needing immediate intervention
- Recent severe stressful life events needing high-intensity interventions or out-of-home placement
- Does not speak English
- Severe visual impairment
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit (in-person)
Duration - 1 day
Participants receive one 2-4 hour session of the Bright Horizons behavioral intervention delivered by a Research Program Assistant or standard case management via the White Mountain Apache suicide and self-harm surveillance system.
1 treatment visit (in-person)
Duration - 8 weeks
Participants answer evaluation questions about substance use, family and peer relationships, and other emotions and behaviors at scheduled visits.
2 follow-up visits at 4 weeks and 8 weeks post-intervention (in-person or remote)
Trial Site Locations
Total: 1 location
1
Johns Hopkins Center for Indigenous Health - Whiteriver Site
Whiteriver, Arizona, United States, 85941
Actively Recruiting
Research Team
M
Mary Cwik, PhD
N
Novalene Goklish, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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