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Improving Substance Abuse Treatment Aftercare Adherence and Outcome

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ClinicalTrials.gov Identifier: NCT00057187
Recruitment Status : Completed
First Posted : March 31, 2003
Last Update Posted : April 7, 2015
Sponsor:
Collaborators:
Virginia Polytechnic Institute and State University
Duke University
Information provided by (Responsible Party):
VA Office of Research and Development

Brief Summary:
Although substance abuse treatment continuing care participation is strongly related to positive treatment outcomes, participation rates are low and few interventions have been developed that improve continuing care adherence and outcome.

Condition or disease Intervention/treatment Phase
Substance Dependence Compliance Treatment Outcome Behavioral: Contracting, Prompting and Reinforcing Not Applicable

Detailed Description:

Background:

Although substance abuse treatment continuing care participation is strongly related to positive treatment outcomes, participation rates are low and few interventions have been developed that improve continuing care adherence and outcome.

Objectives:

The objectives of the study were: 1) to compare the effectiveness of an aftercare intervention consisting of a participation contract, attendance prompts, and attendance reinforcers (CPR) to a standard treatment (STX) on adherence to therapy; and 2) to assess the effects of this intervention on treatment outcome

Methods:

We recruited 150 veterans from the Salem VAMC�s SARRTP who could participate in aftercare. Our population is similar to those in other VA�s (97% male, 54% Caucasian, 46% minority, 49 years mean age, 44% alcohol dependent only, 56% drug dependent, and 44% with a dual diagnosis). In this randomized clinical trial, treatment adherence and outcome were measured at baseline and 3-, 6- and 12-months after participants entered treatment using interviews, questionnaires, alcohol and drug screens, VA medical records, and therapist ratings. The study design is a repeated measures nested cohort design, with an intervention and a standard care group. The primary outcome, abstinence rate, will be analyzed using a logistic regression model in which the parameters of interest are estimated using Generalized Estimating Equations (GEE).

Status:

Participant recruitment and follow-up interviews were completed in June 2003 and August 2004, respectively. The HSR&D final report was submitted in April 2005. The main results paper and additional papers will be submitted for publication in 2005.


Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 157 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Improving Substance Abuse Treatment Aftercare Adherence and Outcome
Actual Study Completion Date : January 2005

Arm Intervention/treatment
Arm 1 Behavioral: Contracting, Prompting and Reinforcing




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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

All graduates of the Salem VA's SARRTP who: live within a 60 minute drive of the Salem VAMC, or 1 of our 5 SARRTP outreach clinics; have transportation and a job schedule that allows them to attend outpatient aftercare therapy.

Exclusion Criteria:


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00057187


Locations
United States, Virginia
Salem VA Medical Center, Salem, VA
Salem, Virginia, United States, 24153
Sponsors and Collaborators
VA Office of Research and Development
Virginia Polytechnic Institute and State University
Duke University
Investigators
Principal Investigator: Steven J Lash, PhD Salem VA Medical Center, Salem, VA

Publications of Results:
Responsible Party: VA Office of Research and Development
ClinicalTrials.gov Identifier: NCT00057187     History of Changes
Other Study ID Numbers: IIR 99-282
First Posted: March 31, 2003    Key Record Dates
Last Update Posted: April 7, 2015
Last Verified: February 2007

Additional relevant MeSH terms:
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders