{"doi":"10.1037/adb0001025","title":"Designing and piloting a sequential multiple assignment randomized trial for opioid prevention among youth in the legal system.","abstract":"OBJECTIVE: Youth in the legal system are vulnerable to initiation and escalation of opioid use. The transition period during which a young person is released from the institutional setting to the community is a critical window of opportunity for preventive intervention targeting the uptake and intensification of opioid and other drug use. Adaptive preventive interventions are a promising approach to systematically varying the timing and intensity of substance use preventive interventions for these youth. METHOD: = 1.84) examined the feasibility and acceptability of adaptive and nonadaptive preventive interventions that incorporate components of the Adolescent Community Reinforcement Approach with Assertive Continuing Care, Trauma Affect Regulation: Guide for Education and Treatment, and Motivational Interviewing using the Sequential Multiple Assignment Randomized Trial study design. Participants completed assessments at baseline, 1-month postrelease, and 2-months postrelease. RESULTS: Enrollment rate was 65%. Nearly three-quarters (73%) of enrolled youth had substance use disorder at intake. Moreover, 60% of enrolled participants completed the 2-month postrelease follow-up assessment. Participants reported high satisfaction with the interventionist interactions, and 95% indicated they would recommend the program to other youth. The pilot study revealed the need for several adaptations to study and intervention protocols. CONCLUSIONS: This pilot study provides evidence of the feasibility of a research-practice partnership with state juvenile rehabilitation facilities, successful recruitment of youth involved in the legal system, and feasibility and acceptability of adaptive preventive interventions spanning pre- and post-release for legal system-involved youth. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","journal":"Psychology of Addictive Behaviors","year":2024,"id":474012,"datarank":0.10397207708399181,"base_score":0.6931471805599453,"endowment":0.6931471805599453,"self_citation_contribution":0.10397207708399181,"citation_network_contribution":0.0,"self_endowment_contribution":0.10397207708399181,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9574,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT04901312"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":914599,"name":"Ahnalee M. Brincks","orcid":"0000-0002-5049-1229","position":1,"is_corresponding":false},{"id":432054,"name":"Kevin P. Haggerty","orcid":"0000-0002-6210-6156","position":2,"is_corresponding":false},{"id":1310616,"name":"Cari McCarty","orcid":null,"position":3,"is_corresponding":false},{"id":1310617,"name":"Shemonta Dean","orcid":null,"position":4,"is_corresponding":false},{"id":972894,"name":"Katie Albertson","orcid":"0000-0001-7388-9101","position":5,"is_corresponding":false},{"id":1133716,"name":"Stephanie R Cross","orcid":null,"position":6,"is_corresponding":false},{"id":1131397,"name":"Ted Ryle","orcid":null,"position":7,"is_corresponding":false},{"id":1310618,"name":"Alicia Wun","orcid":null,"position":8,"is_corresponding":false},{"id":839050,"name":"Kym Ahrens","orcid":"0000-0002-8011-5566","position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-19T02:06:09.108857Z","pmid":"39250243","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}