Exercise: Addressing Stress in Relapse Prevention for Substance Use Disorders
2 other identifiers
interventional
147
1 country
1
Brief Summary
Relapse contributes significantly to the chronicity of substance use disorders, one of the most costly medical/mental health problems facing our nation. The incorporation of exercise into relapse prevention efforts will address stress, a critical factor in relapse, provide other health benefits, and improve overall quality of life. Combined, these changes will reduce the risk of relapse to substance use while also lessening the burden of this psychiatric disorder upon society
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2013
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2013
CompletedFirst Submitted
Initial submission to the registry
April 3, 2013
CompletedFirst Posted
Study publicly available on registry
April 10, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2019
CompletedApril 4, 2019
April 1, 2019
5.9 years
April 3, 2013
April 2, 2019
Conditions
Outcome Measures
Primary Outcomes (2)
Change in substance use (relapse)
Relapse is assessed during the duration of the study and is a time to event variable so it will be assess over time. Relapse is defined as drinking alcohol in excess of the National Institute on Alcohol Abuse and Alcohol (NIAAA) at-risk guidelines.
At baseline and every three months for one year.
Change in moderate to vigorous physical activity
Moderate to vigorous physical activity frequency, duration and intensity will be assessed over time to examine changes in response to the intervention. Frequency is defined as how often and individual engages in moderate to vigorous physical activity. Duration is the amount of time (minutes) per episode that individual engages in moderate to vigorous physical activity. Intensity is defined two ways: (1) self-report rating of intensity and (2) metabolic equivalent of the moderate to vigorous physical activity.
At baseline and every three months for one year.
Secondary Outcomes (1)
Change in stress reactivity over time.
At baseline and two additional times over one year.
Study Arms (2)
Standard Aftercare Treatment
ACTIVE COMPARATORStandard aftercare treatment consists of once per week group counseling for six months. Aftercare includes the following topics: substance use, high-risk situations, coping and life skills training, focus groups for depression and anxiety, and AIDS education.
Standard Aftercare Treatment + Exercise Intervention
EXPERIMENTALIn addition to attending standard aftercare treatment, participants will receive three 50-minute motivational enhancement therapy sessions focused on exercise, plus 24 weekly contingency management sessions for exercise.
Interventions
MET is a client-centered, directive method of enhancing intrinsic motivation for change by exploring and resolving ambivalence. In this intervention MET will focus on exercise.
Contingency management is a behavioral treatment that utilizes extrinsic motivation by offering individuals tangible rewards such as prizes for completion of specific target behaviors. The target behavior in this study is exercise.
Aftercare includes the following topics: substance use, high-risk situations, coping and life skills training, focus groups for depression and anxiety, and AIDS education.
Eligibility Criteria
You may qualify if:
- Undergoing residential substance use disorders treatment at VA St. Louis Healthcare System
- Age 18 or older
- English speaking;
- Substance dependence
- Recent substance use
- Does not have high blood pressure
- Documented physician clearance to undergo exercise testing \& exercise
- Plans to begin Aftercare at the clinic within the next two weeks
You may not qualify if:
- Severely disruptive behavior
- Serious uncontrolled psychiatric disorder
- Medical history in the past 6 months that contraindicates exercise
- Pregnancy, plans to get pregnant in the next six months.
- Currently breastfeeding
- Obese - class II
- Currently taking corticosteroids or hormonal contraceptives
- In recovery for pathological gambling
- Opiate dependence.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- St. Louis Universitylead
- VA St. Louis Health Care Systemcollaborator
Study Sites (1)
VA St. Louis Health Care System - Jefferson Barracks Division
St Louis, Missouri, 63125-4101, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jeremiah Weinstock, PhD
St. Louis University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
April 3, 2013
First Posted
April 10, 2013
Study Start
April 1, 2013
Primary Completion
March 1, 2019
Study Completion
March 1, 2019
Last Updated
April 4, 2019
Record last verified: 2019-04