Educational Support for Substance Waste Behavior

(TECW Trial)

Not currently recruiting at 1 trial location

Overseen By Elisa Tong, MD, MA

Age: 18 - 65

Sex: Any

Trial Phase: Academic

Sponsor: California State University, San Marcos

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Approved in 1 Jurisdiction This treatment is already approved in other countries

Compensation: Varies

Number of Visits: Unknown

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to assess how education and support regarding tobacco, e-cigarette, and cannabis waste can alter college students' knowledge, beliefs, and behaviors. Participants will either watch brief educational videos or receive additional motivational support to enhance learning. Ideal participants are students at UC Davis or CSU San Marcos with at least six months until graduation who can attend remote sessions. As an unphased trial, this study provides a unique opportunity to contribute to important educational research and potentially influence future health programs.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that short educational sessions are generally safe and manageable. Studies have found that these sessions can help reduce risky substance use, especially in young people. Since the treatment involves providing information and motivation, there is no physical risk. Participants receive guidance and support to help manage substance use. While there are no specific side effects, the main challenge might be adapting to new information and behaviors. Overall, this type of session is considered very safe. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores innovative ways to tackle substance waste behavior through educational support. Traditional treatments often involve counseling and medication, but this trial uses engaging educational videos paired with motivational enhancement techniques. By combining education with motivational support, the approach aims to create a more engaging and potentially more effective way to change behavior. This unique blend could provide a fresh alternative to existing methods, making a real difference in how individuals manage substance waste issues.

What evidence suggests that this trial's educational interventions could be effective for substance waste behavior?

Research has shown that short educational programs can help reduce risky substance use. In this trial, participants may join the "Education Only" arm, which includes treatment as usual with brief videos and a weblink. These programs are particularly beneficial for individuals with moderately risky habits, as they can lead to a decrease or even cessation of substance use. Alternatively, participants may join the "TECW+" arm, which combines education with motivational enhancement. In similar situations, educational support has improved understanding and altered views about substance use. This method merges learning with motivational support, effectively changing behaviors. These programs guide individuals toward healthier choices by raising awareness and providing motivation. ^{1 2 3 6 7}

Are You a Good Fit for This Trial?

This trial is for students aged 18-25 at UC Davis or California State University San Marcos, who are not graduating within six months. Participants must have a smartphone with location services and regular access to WiFi and a private space for remote visits.

Inclusion Criteria

Have a smart phone with location services enabled for apps

Student at University of California, Davis or California State University San Marcos

Taking at least one class on the main campus

Exclusion Criteria

Not applicable.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Education and Support

Participants receive brief education and support about tobacco, e-cigarette, and cannabis waste (TECW) through videos and weblinks

6 weeks

Follow-up

Participants are monitored for changes in knowledge, beliefs, and behavior regarding TECW

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

• Education plus Support

Trial Overview The study examines the impact of brief education and support on students' knowledge, attitudes, behaviors regarding tobacco, e-cigarette, and cannabis waste on two college campuses.

How Is the Trial Designed?

Group I: TECW+ Experimental Treatment 1 Intervention

Education plus motivational enhancement

Group II: Education Only Active Control 1 Intervention

Treatment as usual with brief videos and weblink

Education plus Support is already approved in United States for the following indications:

Approved in United States as Brief Education and Support for:

• Tobacco, e-cigarette, and cannabis waste education

Who Is Running the Clinical Trial?

California State University, San Marcos

Lead Sponsor

Trials

11

Recruited

2,200+

University of California, Davis

Collaborator

Trials

958

Recruited

4,816,000+

Published Research Related to This Trial

A content analysis of 263 accredited Master of Social Work (MSW) programs in the U.S. revealed a significant lack of formal substance use education, highlighting a critical gap in training for future social workers.

Many MSW programs do not have enough qualified faculty to teach substance use interventions, which is essential for social workers to effectively support clients with substance use issues.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The state of substance use education in Master of Social Work programs: A content analysis of course listings and faculty profiles. Minnick, D.[2020]

Healthcare professionals currently receive insufficient education on substance use disorders, which is critical for effective treatment.

The timing of substance use education in medical training is poorly aligned with when it is most needed, leading to gaps in knowledge and negative attitudes towards these disorders.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Towards a framework for implementing physician education in substance use disorders. Klimas, J., McCracken, R., Robertson, R., et al.[2023]

The Choizitaconso therapeutic patient education (TPE) program significantly helped individuals with alcohol use disorder (AUD) by increasing their empowerment and reducing self-stigma, which are crucial for engaging in care.

Participants reported improved knowledge about alcohol use and positive changes in self-image and weight, although they faced challenges in applying what they learned after completing the program.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Community-Based Therapeutic Education Programme for People with Alcohol Use Disorder in France: A Qualitative Study (ETHER). Costa, M., Barré, T., Antwerpes, S., et al.[2022]

In a study of 51 dual-diagnosis patients, those receiving up to 16 hours of educational interventions per week showed significant improvements in their knowledge of substance abuse, as measured by pretest and posttest scores.

Conversely, patients on forensic units who only received 2 hours of intervention per week did not demonstrate any improvement, highlighting the importance of intensive education programs for effective learning.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The efficacy of substance abuse education among dual-diagnosis patients. Crump, MT., Milling, RN.[2019]

An educational intervention for nurses significantly increased their confidence in recognizing and responding to patients with substance misuse, suggesting that training can enhance clinical skills in acute and primary care settings.

While changes in attitudes towards substance misuse were less pronounced, the increase in treatment optimism among nurses indicates a potential for improved patient care and outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improving nurses' responses toward substance-misusing patients: a clinical evaluation project. Gerace, LM., Hughes, TL., Spunt, J.[2019]

In a study of 1510 emergency department patients, only 10% of medication errors (ME) could be identified using medication data alone, highlighting the need for more comprehensive data sources for accurate detection.

Over half of the identified adverse drug events (ADE) and medication errors required additional clinical information, such as symptoms and lab results, indicating that relying solely on coded medication data may lead to significant under-detection of these issues.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Data Requirements for the Correct Identification of Medication Errors and Adverse Drug Events in Patients Presenting at an Emergency Department. Plank-Kiegele, B., Bürkle, T., Müller, F., et al.[2018]

The Chief Resident Immersion Training (CRIT) program significantly improved substance use knowledge, confidence, and preparedness among 64 chief residents, compared to a control group of 22 who did not receive the training.

After 6 months, those who participated in the CRIT program reported enhanced clinical practices and teaching abilities related to substance use disorders, demonstrating the program's effectiveness in training future medical educators.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Promoting substance use education among generalist physicians: an evaluation of the Chief Resident Immersion Training (CRIT) program. Alford, DP., Bridden, C., Jackson, AH., et al.[2018]

Both medical and social model programs include client education in substance abuse recovery, but they approach it differently, focusing on knowledge acquisition and life skills development.

Observational data from one medical and two social model programs revealed that while all sites used didactic methods to teach about addiction, only the social model programs employed experiential methods to enhance recovery skills and life skills development.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Didactic and experiential education in substance abuse programs. Kaskutas, LA., Marsh, D., Kohn, A.[2019]

A study involving 39 college students revealed that they prefer educational videos about substance use disorders (SUDs) to feature relatable animated characters and conversational narration with humor, making the content more engaging.

Students expressed a desire for information on the impacts of SUDs on various aspects of life, such as academics and relationships, while opposing fear-based messaging and requesting more details on the effectiveness of medication-assisted treatments.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

College Student Preferences for Substance Use Disorder Educational Videos: A Qualitative Study. Andraka-Christou, B., Alex, B., Lyneé Madeira, J.[2020]

A systematic review of 130 studies on muscle strengthening training (MST) in youth revealed that only 33.8% reported on adverse events (AEs), highlighting a significant gap in safety monitoring during these interventions.

Among the studies that did report AEs, 40.1% documented at least one adverse event, with over half of the reported events (59.1%) linked directly to the training or testing, indicating a need for better definitions and reporting practices in future research.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Reporting of Adverse Events in Muscle Strengthening Interventions in Youth: A Systematic Review. Mack, DE., Anzovino, D., Sanderson, M., et al.[2023]

In a study involving 1618 first-time mothers, a new classification system for adverse events (AEs) was developed, distinguishing between Medical and Social AEs, with 1033 Medical and 257 Social events reported.

Poorer psycho-social status was a significant predictor for both types of AEs, with younger age and receiving benefits linked to Social AEs, while having a long-term illness and poorer mental health were associated with Medical AEs, highlighting the importance of considering social outcomes in safety monitoring.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Monitoring adverse social and medical events in public health trials: assessing predictors and interpretation against a proposed model of adverse event reporting. Moody, G., Addison, K., Cannings-John, R., et al.[2020]

Social support systems, particularly family involvement, can significantly enhance patient health behavior and outcomes.

Patient educators should continuously assess and adapt the role of social support in educational and treatment plans to ensure effective patient care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Enhancing patients' social support systems. Budlong-Springer, AS.[2007]

Adverse drug events (ADE) are common in hospitals and outpatient care, leading to increased patient suffering, higher costs, and longer hospital stays, highlighting the urgent need for effective reduction strategies.

Implementing electronic prescribing tools, clinical pharmacists, and advanced identification systems like bar-coding can significantly enhance patient safety, but these technologies must be integrated thoughtfully into existing workflows to be effective.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Practical aspects of medication safety]. Hug, B.[2013]

An educational program for nursing technicians significantly improved their understanding of how to recognize and record Adverse Events (AEs) in hemodialysis patients, with test scores increasing from an average of 3.7 to 4.2 out of 5 after the intervention.

The program effectively combined classroom and online learning, demonstrating that such training methods can enhance the knowledge and skills of healthcare professionals in managing patient safety.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Nursing educational intervention for the identification of Adverse Events in hemodialysis. Pássaro, PG., D'Ávila, R.[2019]

Citations

1. sam.gov sam.gov/fal/78e5c2bfd529486e8bbc805b3bc89c5c/view

Assistance Listings National Institutes of Health Intramural ... For initial three-year contract periods, loan repayment of 75 percent of education debt up to $150,000. For one-year renewal contracts, loan repayment of 50 ...

2. withpower.com withpower.com/trial/phase-marijuana-abuse-1-2023-2fe17

Educational Support for Substance Waste Behavior (TECW ... This study tests of effect of brief education and support about tobacco, e-cigarette, and cannabis waste (TECW) on knowledge, beliefs, behavior, and TECW on two ...

3. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC7119449/

Brief school‐based interventions and behavioural outcomes ... Brief interventions have been shown to reduce problematic substance use among adolescents and are especially useful for individuals who have moderately risky ...

4. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/24563456/

Brief school-based interventions and behavioural ... The primary outcomes were reduction or cessation of substance use. The secondary outcomes were engagement in criminal activity and engagement in ...

5. sam.gov sam.gov/fal/e099395cdf3d40ce8a12725dd6a5ad05/view

Assistance Listings Drug Data Research Center to Combat ... The SR-DDRC will serve as the central hub that links data, conducts analyses, and distributes results to departments of public health, law enforcement agencies, ...

6. nytimes.com nytimes.com/interactive/2025/01/28/upshot/federal-programs-funding-trump-omb.html

The 2600 Federal Programs Under Scrutiny by Trump's OMB The Trump administration ordered temporary freezes in funding for programs spanning virtually every part of the government.

7. sam.gov sam.gov/fal/6317e6dd114d4ad683bf3958ba5e3a3e/view

Assistance Listings Mental and Behavioral Health ... Behavioral Health Workforce Education and Training Programs for Professionals and Paraprofessionals program provides support for a 4-year project period.