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Impact of Online Patient Feedback (OQ) to Therapist

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified June 2013 by Oslo University Hospital.
Recruitment status was:  Recruiting
University of Oslo
Information provided by (Responsible Party):
Oslo University Hospital Identifier:
First received: July 6, 2012
Last updated: June 27, 2013
Last verified: June 2013

Dropout represents one of the largest problems in substance abuse treatment. International and Nordic research show that only 20 - 40 % of substance abusers complete treatment as intended. At the same time, one of the most consistent factors of favourable post-treatment outcome is treatment completion. In spite of the serious and continuous challenge dropout represents the phenomena is not well understood and there is a need to explore more of the factors that influence dropout and how it can be counteracted. As also stated: "…effective methods for reducing the problem of dropouts from treatment is one more area in need of further research" (NOU 2003:4, s 77).

For the general field of mental health one of the most important innovations involves providing therapists with patient feedback about their progress. The most well-established and widely researched feedback system is the Outcome Questionnaire (OQ-45.2). The system has been shown to improve treatment outcomes, including reduced treatment dropout and length of treatment, but the system is yet to be utilized with a substance abusing patient group. The aim of the present study is to examine the usefulness of OQ-45.2 with substance abusing patients.

Condition Intervention Phase
Drug Addiction
Drug Abuse
Behavioral: OQ-45.2 no feedback
Behavioral: OQ-45.2
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: Addiction Treatment Dropout Prevention - Impact of Online Patient Feedback (OQ-45.2) to Therapist

Further study details as provided by Oslo University Hospital:

Primary Outcome Measures:
  • Drop-out [ Time Frame: Four years ] [ Designated as safety issue: No ]
    The main goal of the present study is to examine the usefulness of OQ-45.2 with regard to reducing dropout from substance abuse treatment.

Estimated Enrollment: 160
Study Start Date: July 2011
Estimated Study Completion Date: July 2015
Estimated Primary Completion Date: November 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Control
Patients merely monitored on background variables to function as a baseline of comparison
Active Comparator: Prediction
Patients randomized to this condition completes the OQ-45.2 weekly, but the reports are withheld from therapists and patients.
Behavioral: OQ-45.2 no feedback
Completion of the OQ-45.2 before each session, but no feedback to therapists or patients
Experimental: Intervention
Patients and therapists uses the feedback-system as intended, with real-time feedback to the therapist and full use of the suggested interventions
Behavioral: OQ-45.2
Completion of the OQ-45.2 with real-time feedback to the therapist and full use of the suggested interventions every week of the treatment program

Detailed Description:

Hypotheses and research questions

1. The OQ-45.2 feedback will be effective in identifying patients at risk of dropout of substance abuse treatment.

1a. The condition were feedback is withheld from the therapist, will correctly identify patients who will dropout.

Research Question: Is there variation in the accuracy of dropout prediction as a function of age, gender differences or type of substance abuse?

2. The OQ-45.2 feedback will be effective in reducing dropout in outpatient substance abuse treatment.

2a. The feedback condition will result in less dropout than the no-feedback condition.

Research Question: Is there a variation in the OQ-45.2 preventive dropout effect due to age, gender or type of substance abuse?

3. The OQ-45.2 feedback will shorten length of inpatient substance abuse treatment.

3a. The feedback condition will identify patients who are ready to terminate therapy.

Research Question: Is there variation in identification of patients ready to terminate as a function of age, gender differences or type of substance abuse?


Ages Eligible for Study:   16 Years to 26 Years   (Child, Adult)
Genders Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Primary diagnosis of addiction, F10-19, using the International Classification of Diseases, admitted in 2011-2014 for treatment at the department of addiction treatment - youth, Oslo University Hospital

Exclusion Criteria:

  • Ongoing psychoses, severe language difficulties
  Contacts and Locations
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Please refer to this study by its identifier: NCT01891045

Department of addiction treatment- youth
Oslo, Norway, 0514
Oslo University Hospital - Department of addiction treatment youth
Oslo, Norway, 0514
Sponsors and Collaborators
Oslo University Hospital
University of Oslo
  More Information

Responsible Party: Oslo University Hospital Identifier: NCT01891045     History of Changes
Other Study ID Numbers: OQ45-11-1 
Study First Received: July 6, 2012
Last Updated: June 27, 2013
Health Authority: Norway: Regional Ethics Commitee
Norway: Data Protection Authority

Keywords provided by Oslo University Hospital:
Drug addiction
Clinical trial
Randomized Controlled Trail

Additional relevant MeSH terms:
Behavior, Addictive
Substance-Related Disorders
Compulsive Behavior
Impulsive Behavior
Chemically-Induced Disorders
Mental Disorders processed this record on January 17, 2017