NCT01277939

Brief Summary

This study will evaluate the comparative effectiveness of Therapeutic Education System (TES), a computer-based, psychosocial treatment program, relative to standard care when offered to individuals with substance use disorders in prison settings. The study will assess the comparative effectiveness of these interventions primarily by examining changes in: (1) substance use (e.g., weeks of abstinence), (2) HIV risk behavior (evaluated as both sex-related and drug-related HIV risk behavior) and (3) reincarceration rates. The study will also examine the extent to which these interventions improve psychosocial functioning (e.g., employment, health, and psychological status) and quality of life, and promote relevant skills acquisition (e.g., improve communication skills, reduce "criminal thinking"). The investigators predict significantly better outcomes for E vs. C due to TES' research-based content and use of proven informational technologies.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
376

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2009

Typical duration for not_applicable

Geographic Reach
1 country

10 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2009

Completed
1.4 years until next milestone

First Submitted

Initial submission to the registry

January 12, 2011

Completed
5 days until next milestone

First Posted

Study publicly available on registry

January 17, 2011

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2011

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2012

Completed
Last Updated

September 2, 2013

Status Verified

August 1, 2013

Enrollment Period

1.9 years

First QC Date

January 12, 2011

Last Update Submit

August 29, 2013

Conditions

Outcome Measures

Primary Outcomes (4)

  • Time Line Follow Back for Drug and Alcohol Use (Sobell et al., 1996)

    Measure for substance use.

    6 months post-prison release

  • Urinalysis

    To detect any change in illicit drug use.

    6 months post-prison release

  • Risk Behavior Survey (Booth et al., 1993)

    To assess both drug-related and sex-related HIV risk behavior.

    6 months post-prison release

  • DOC record systems

    To provide the reincarceration status of each participant.

    At an average of 11 months post-prison release

Secondary Outcomes (5)

  • Coping Strategies Scale

    6 months post-prison release

  • Addiction Severity Index-Lite

    6 months post-prison release

  • The Treatment Services Review instrument (McLellan et al., www.tresearch.org)

    6 months post-prison release

  • Brief Drug Abuse Treatment Cost Analysis Program (BriefDATCAP)

    6 months post-prison release

  • EuroQol EQ5D (QOL) (the EuroQol Group, 1990)

    6 months post-prison release

Study Arms (2)

Therapeutic Education System (TES)

EXPERIMENTAL

Experimental (E) condition, the Therapeutic Education System (TES) delivered via effective informational technologies and multimedia learning tools.

Behavioral: Therapeutic Education System (TES)

Standard Care

ACTIVE COMPARATOR

The Control (C) condition, Standard Care, consisting of psycho-educational and psycho-social approaches to substance use disorders (commonly offered in prison settings) delivered by counselors in group formats.

Behavioral: Standard Care

Interventions

Therapeutic Education System (TES) is an interactive, computer-based, psychosocial treatment program. TES is theoretically grounded in evidence-based psychosocial treatments (Community Reinforcement Approach and Cognitive Behavioral Therapy).

Therapeutic Education System (TES)
Standard CareBEHAVIORAL

Psycho-educational and psycho-social approaches to substance use disorders (commonly offered in prison settings) delivered by counselors in group formats.

Standard Care

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • individual's parole eligibility date or mandatory release date must be scheduled to occur within a minimum of 4 months (to allow intake an treatment to be completed) and a maximum of 6 months (to ensure that their release follows completion of their treatment such that sufficient time remains for post-prison follow-up interviews to occur within the two-year project timeframe)
  • the state criminal justice system must have identified the individual to have a substance use disorder that requires a substance abuse intervention
  • the individual must give their informed consent

You may not qualify if:

  • the individual must not already be participating in substance abuse treatment
  • the individual must speak English, as TES is now only available in English

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (10)

Colorado Territorial Correctional Facility

Cañon City, Colorado, 81215, United States

Location

Four Mile Correctional Center

Cañon City, Colorado, 81215, United States

Location

Fremont Correctional Facility

Cañon City, Colorado, 81215, United States

Location

Denver Women's Correctional Facility

Denver, Colorado, 80239, United States

Location

Trinidad Correctional Facility

Model, Colorado, 81509, United States

Location

La Vista Correctional Facility

Pueblo, Colorado, 81002, United States

Location

Sterling Correctional Facility

Sterling, Colorado, 80751, United States

Location

Blackburn Correctional Complex

Lexington, Kentucky, 40511, United States

Location

SCI Cambridge Springs

Cambridge Springs, Pennsylvania, 16403, United States

Location

Airway Heights Corrections Center

Airway Heights, Washington, 99001, United States

Location

MeSH Terms

Interventions

Standard of Care

Intervention Hierarchy (Ancestors)

Quality Indicators, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and Evaluation

Study Officials

  • Stan Sacks, PhD

    National Development & Research Institutes

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 12, 2011

First Posted

January 17, 2011

Study Start

September 1, 2009

Primary Completion

August 1, 2011

Study Completion

August 1, 2012

Last Updated

September 2, 2013

Record last verified: 2013-08

Locations