Evaluation of Web-Based Recovery Monitoring With Clinical Alerts
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Purpose
The specific aims of the project are to conduct a three-phase study to develop a data-driven Clinical Alert feature to the RecoveryTrack™ Concurrent Recovery Monitoring (CRM) system and test its efficacy, as follows:
Phase I - Analyze RecoveryTrack and outcomes data to create a clinical algorithm that predicts early treatment attrition; adapt elements of a cognitive behavioral intervention (CBI) for use in addressing Clinical Alerts, as well as adapting training and adherence measures; reprogram RecoveryTrack with a Clinical Alert feature for each of the first three monitoring assessments to inform counselors when a client is at High Risk to leave treatment.
Phase II -Conduct a feasibility trial to refine Clinical Alerts + CBI intervention and the study measures/procedures.
Phase III - Conduct a pilot randomized clinical trial comparing outcomes of clients whose counselors were randomized to Clinical Alerts + CBI to those of clients whose counselors were assigned to TAU (control condition). The primary hypothesis is that clients who evidence a High Risk for attrition will have longer lengths of stay in the Clinical Alerts + CBI condition than High Risk clients in the control condition. Secondary client hypotheses are that High Risk clients in the Clinical Alert + CBI condition will attend more treatment sessions, have more drug-free urine results, and receive more ancillary services than High Risk clients in the control condition.
| Condition | Intervention | Phase |
|---|---|---|
|
Substance Abuse |
Behavioral: Cognitive Behavioral Intervention |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Evaluation of Web-Based Recovery Monitoring With Clinical Alerts |
- Length of stay [ Time Frame: 3 months post consent ] [ Designated as safety issue: No ]Client admission and discharge dates will be obtained from the treatment program clinical record and used to calculate length of stay.
- Number of treatment sessions [ Time Frame: 3 months after consent ] [ Designated as safety issue: No ]The number of treatment sessions the client attended will be obtained from the treatment program clinical record.
- Urine drug screen results [ Time Frame: 3 months post consent ] [ Designated as safety issue: No ]The urine drug screen results for each client will be obtained from the treatment program clinical record.
- Number of treatment services [ Time Frame: 3 months post consent ] [ Designated as safety issue: No ]Number of treatment services will be obtained from the client as self report at the 1, 2, and 3 Month follow-up.
| Estimated Enrollment: | 663 |
| Study Start Date: | January 2010 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Clinical Alert
Counselors in this condition will work with the modified RecoveryTrack tested in the pilot study which has been altered to provide automated Clinical Alerts at either the intake, Month 1, or Month 2 CRM interview for High Risk patients. In addition, High Risk patients will be flagged in the counselor's caseload for discussion with clinical supervisors. Counselors in this condition will receive the Clinical Alert + Cognitive Behavioral Intervention (CBI) training, as well as monthly feedback from the Principal Investigator on their delivery of the CBI Months 1-3, with a booster session at Month 6.
|
Behavioral: Cognitive Behavioral Intervention
Counselors in this condition will work with the modified RecoveryTrack tested in the pilot study which has been altered to provide automated Clinical Alerts at either the intake, Month 1, or Month 2 CRM interview for High Risk patients. In addition, High Risk patients will be flagged in the counselor's caseload for discussion with clinical supervisors. Counselors in this condition will receive the Clinical Alert + Cognitive Behavioral Intervention (CBI) training, as well as monthly feedback from the Principal Investigator on their delivery of the CBI Months 1-3, with a booster session at Month 6.
|
|
No Intervention: Treatment As Usual
Counselors in this condition will work with the original RecoveryTrack which has not been altered to provide automated Clinical Alerts for High Risk patients. Supervisors will receive no automated help in identifying these clients in the counselors' caseloads. The Clinical Alert feature will not be discussed in the training these counselors receive. Rather, the counselors will receive an attention-control training, a one-day training on assessment and treatment planning, with monthly tips and reminders for six months.
|
Show Detailed Description Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Client enrolled in outpatient treatment at participating facility and assigned to participating counselor.
- Counselor employed at participating facility.
Exclusion Criteria:
- Client unable to speak English
- Client too cognitively impaired to give informed consent
Contacts and Locations| Contact: Graham T DiGuiseppi, B.S. | 215-399-0980 ext 133 | gdiguiseppi@tresearch.org |
| United States, Delaware | |
| Kent Sussex Counseling Services | Completed |
| Dover, Delaware, United States, 19904 | |
| Brandywine Counseling & Community Services | Completed |
| Wilmington, Delaware, United States, 19805 | |
| United States, New Jersey | |
| Genesis Counseling Centers | Recruiting |
| Collingswood, New Jersey, United States, 08108 | |
| Contact: Kevin Gregan, M.Ed. 856-858-9314 kgregan@genesiscenters.org | |
| United States, Pennsylvania | |
| Sobriety Through Outpatient | Recruiting |
| Philadelphia, Pennsylvania, United States, 19132 | |
| Contact: Ellen Jones, M.H.S. 215-227-7867 | |
| Principal Investigator: | Adam C Brooks, Ph.D. | Treatment Research Institute |
More Information
No publications provided
| Responsible Party: | Treatment Research Institute |
| ClinicalTrials.gov Identifier: | NCT01465555 History of Changes |
| Other Study ID Numbers: | R01DA026469, R01DA026469 |
| Study First Received: | November 1, 2011 |
| Last Updated: | March 14, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Treatment Research Institute:
|
Clinical Alert Cognitive Behavioral Intervention Web-based Substance Abuse Treatment |
Additional relevant MeSH terms:
|
Substance-Related Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 16, 2013