This application is in response to PA-03-126, """"""""Behavioral Therapies Development Program."""""""" Research efforts to affect adolescent smoking cessation have not focused on detained teens. This is an opportune time to enhance interest in smoking cessation and subsequent quit rates. In addition, little is known about mechanisms of smoking cessation in adolescents, generally. The long-term objective of this research is to increase our understanding of effective smoking interventions for understudied adolescents at high risk for continued smoking into adulthood. This randomized clinical trial will use a 2 x 2 between groups design to investigate Motivational Interviewing (Ml) vs Relaxation Training (RT), and Cognitive Behavior Therapy (CBT) vs Self-Help Programming (SHP). Treatments are provided during brief stay in detention and adolescents are followed after release. We seek to increase quit rates post-release, and we will examine the moderating and mediating effects of motivation, anger, and self-efficacy. We will study main effects for treatment as well as whether the combination of MI/CBT is more effective than other treatments in enhancing quit rates. Frequently, treatment for smoking cessation is unavailable to youths in the juvenile justice system, and when treatment is available, it may be provided using untested therapies. This study extends previous research by rigorously evaluating smoking cessation interventions specifically for teens at highest risk for continued smoking in adulthood. We will examine processes contributing to the efficacy of treatments. The development of effective smoking interventions for juvenile detainees has the potential to reduce a significant public health concern in this underserved and high-risk population.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Research Project (R01)
Project #
Application #
Study Section
Special Emphasis Panel (ZDA1-GXM-A (16))
Program Officer
Chambers, Jessica Campbell
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of Rhode Island
Internal Medicine/Medicine
Schools of Arts and Sciences
United States
Zip Code
Bernstein, Michael H; Stein, L A R (2015) Do bisexual girls report higher rates of substance use than heterosexual girls? A failure to replicate with incarcerated and detained youth. J Bisex 15:498-508
Soenksen, Shayna; Stein, L A R; Brown, Joanna D et al. (2015) Cannabis Withdrawal Among Detained Adolescents: Exploring the Impact of Nicotine and Race. J Child Adolesc Subst Abuse 24:119-124
Stein, L A R; Clair, Mary; Soenksen, Shayna et al. (2015) Studying Process and Proximal Outcomes of Supervision for Motivational Interviewing. Train Educ Prof Psychol 9:175-182
Stein, L A R; Clair, M; Lebeau, R et al. (2012) Facilitating grant proposal writing in health behaviors for university faculty: a descriptive study. Health Promot Pract 13:71-80
Stein, L A R; Lebeau, Rebecca; Clair, Mary et al. (2010) Validation of a measure to assess alcohol- and marijuana-related risks and consequences among incarcerated adolescents. Drug Alcohol Depend 109:104-13