Effect of Psychoeducation on Motivation to Change in Traumatized Alcoholics

This study has been completed.
Sponsor:
Information provided by:
University of Konstanz
ClinicalTrials.gov Identifier:
NCT01323738
First received: December 22, 2009
Last updated: March 30, 2011
Last verified: March 2011
  Purpose

Many people suffering from alcohol dependence have a history of exposure to stressful life situations, such as childhood physical or emotional misuse. Often, there's a functional relationship between drinking and emotional problems related to past traumatic experiences, i.e. drinking to forget. However, alcohol treatment often does not include interventions to support patients to cope better with past life experiences. On the other hand, most alcoholics are poorly motivated to participate in long-term rehabilitative treatments after detoxification. In the proposed study, the investigators will study the effects of a brief psycho-educational group intervention during detoxification treatment on motivation to change and the willingness to accept further treatment.

The investigators will use a group comparison design (intervention versus "TAS" control group). In month 1, patients take part in Treatment as Usual (TAS), including a unspecific information group. In month 2, the information group is replaced by the psychoeducational group (intervention). Ward staff selects patients for the groups, irrespective of intervention or TAS. Selection criteria are: absence of severe withdrawal and cognitive impairment. Absence of severe co-morbid psychiatric disorder (e.g. schizophrenia or suicidal crisis). The group sessions will take place in groups of up to 15 patients and will include 4 structured sessions (45 min each). Main content if the intervention group is to highlight and discuss the association between stress, Posttraumatic Stress Disorder and drinking. Patients will also be informed about the different treatment options available in the region.

At entry, patients are asked to fill in the German versions of the University of Rhode Island Change Assessment (URICA; McConnaughy, Prochaska, & Velicer, 1983; German: Heidenreich, Hoyer & Fecht; 2001) and the Trauma History Questionnaire (THQ; Green, 1996; German: Maercker, 2002). At discharge, patients are asked to fill in the URICA.

The investigators expect that specific information on the association between stress and drinking will increase the patients' motivation to participate in further treatment.


Condition Intervention
Alcoholic Intoxication, Chronic
Behavioral: Psychoeducation

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Factorial Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Effect of Psychoeducation on Motivation to Change in Traumatized Alcoholics

Further study details as provided by University of Konstanz:

Primary Outcome Measures:
  • University of Rhode Island Change Assessment (URICA) [ Time Frame: Pre and Post (day 1, day 15 (average)) ] [ Designated as safety issue: No ]
    Pre-assessment is at entry in in-patient alcohol detoxification treatment, post-assessment is at day of discharge. On average, the two measurements are 15 days apart.

  • Detoxification treatment completion [ Time Frame: 15 days (average treatment duration) ] [ Designated as safety issue: No ]
    It was evaluated how many subjects in both treatment arms and among traumatized and non-traumatized in each arm ended the detoxification treatment prematurely, i.e. discharge against medical advice or disciplinary discharge.

  • number of days in detoxification treatment [ Time Frame: 15 days (average treatment duration) ] [ Designated as safety issue: No ]
    The number of days in detoxification treatment is a simple count of days of treatment between day of detoxification treatment entry and day of discharge


Secondary Outcome Measures:
  • adverse events [ Time Frame: between admission and discharge ] [ Designated as safety issue: Yes ]
    Adverse events were assessed during the detoxification treatment for patients taking part in the information group (TAU) or TARGET group (intervention), i.e. suicide attempts, psychiatric decompensation, aggressive behaviors, relapse of alcohol use. These events were recorded by the social worker who participated routinely in the three daily team meetings during which the situation of each patient was briefly discussed.


Enrollment: 50
Study Start Date: January 2010
Study Completion Date: March 2010
Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Treatment as Ususal
Patients participate in the Treatment as Usual including a non-specific information group.
Experimental: Psychoeducation
Intervention group
Behavioral: Psychoeducation
Psychoeducation group on stress and how it relates to alcohol use, 4 sessions a 45 minutes
Other Names:
  • The manualized group intervention we developed for this study recently was named TARGET,
  • which reads as "Trauma- and Alcohol-Related Group Education and motivation Therapy"

  Eligibility

Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Alcohol Dependence
  • Regular admission to detoxification unit

Exclusion Criteria:

  • Severe withdrawal
  • Severe cognitive impairment
  • Severe comorbid psychiatric conditions (schizophrenia, suicidal crisis)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01323738

Locations
Germany
Center for Psychiatry Reichenau
Reichenau, Germany, 78479
Sponsors and Collaborators
University of Konstanz
Investigators
Principal Investigator: Michael Odenwald, PhD University of Konstanz
  More Information

No publications provided

Responsible Party: Dr. Michael Odenwald, University of Konstanz
ClinicalTrials.gov Identifier: NCT01323738     History of Changes
Other Study ID Numbers: UKonstanzMOdenwald2009-1
Study First Received: December 22, 2009
Last Updated: March 30, 2011
Health Authority: Germany: Institutional Review Board

Keywords provided by University of Konstanz:
Psychoeducation
Group Control

Additional relevant MeSH terms:
Alcoholic Intoxication
Alcoholism
Alcohol-Related Disorders
Substance-Related Disorders
Mental Disorders

ClinicalTrials.gov processed this record on April 15, 2014