Comparison of Two Counseling Induction Strategies
|ClinicalTrials.gov Identifier: NCT01141920|
Recruitment Status : Completed
First Posted : June 11, 2010
Last Update Posted : September 17, 2015
|Condition or disease||Intervention/treatment|
|Methadone Drug Use Disorders||Behavioral: low threshold care Behavioral: stepped-based care|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||120 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Comparison of Two Different Counseling Schedules on Treatment Response of New Admissions to Methadone Maintenance|
|Study Start Date :||September 2008|
|Primary Completion Date :||September 2009|
|Study Completion Date :||September 2009|
Active Comparator: 3-month counseling induction: routine care
Participants assigned to this condition will receive routine stepped-care treatment at ATS. Participants will begin in Step 2 (one counseling session per week), and be advanced to higher intensity care based on missed counseling sessions and drug-positive urine samples. Participants advanced to Step 3 will be scheduled to attend 2 group counseling sessions per week (in addition to individual counseling), and those advanced to Step 4 will be scheduled to attend 8 group counseling sessions per week (in addition to individual counseling). Time of methadone dosing will be based on step of care.
Behavioral: stepped-based care
Stepped-based care is routine treatment at ATS. Participants begin a low intensity care, and are advanced to more intensive levels of care (i.e., more intensive schedules of counseling) based on urine samples and counseling adherence.
Experimental: 3-month counseling induction: low threshold
Participants assigned to this treatment arm will receive low threshold counseling. These participants will be scheduled to attend one counseling session per month with their individual counselor for the first 3-months. Participants can attend more counseling sessions if they desire, and they can meet with program supervisors to address crisis situations. They can receive methadone dosing any time during the clinic hours (7:30 am-1:15 pm and 4:00 pm - 6:00 pm)
Behavioral: low threshold care
Low threshold care refers to a service delivery method that reduces the treatment demands for new admissions to substance abuse treatment. In the present study, participants will be scheduled to attend less counseling sessions, and will have greater access to methadone.
- treatment retention [ Time Frame: 120 days ]The number of days patients remained in treatment over the 120 day study.
- Drug use [ Time Frame: weekly observation for 120 days ]Urinalysis testing is administered weekly, using a random testing schedule. Samples are tested for the presence of opioids, cocaine, and benzodiazepines
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01141920
|United States, Maryland|
|Addiction Treatment Services -- Hopkins Bayview|
|Baltimore, Maryland, United States, 21224|
|Principal Investigator:||Michael S Kidorf, Ph.D.||Johns Hopkins University|