Clinical Monitoring to Facilitate Continuous Care for Substance Abusing Clients

NCT01831999 | Completed

• 1 other identifier: 1R01DA030480-01A1
• Study Type: interventional
• Target: 139
• Locations: 1 country
• Sites: 4

Brief Summary

Building on the recent advances in telephone supported care, clinical monitoring, and outreach work, the specific aims of the study are to:

1. 1.Develop RecoveryTrack™- ExtendedCare (RT-E), a modified/new version of RecoveryTrack™. The investigators will adapt and finalize the original Web-based RT system, manual, and training to accommodate use by counselors for clients who are no longer attending Outpatient (OP) treatment.
2. 2.Conduct a pilot study to determine the preliminary efficacy of RT-E compared to treatment as usual (TAU) for clients entering Intensive Outpatient (IOP) substance abuse treatment (SAT). In this randomized clinical trial, it is hypothesized that RT-E will positively impact treatment attendance and substance use outcomes. In exploratory analyses, the investigators will also evaluate the comparative impact of RT-E versus TAU on HIV related client behaviors.
3. 3.Evaluate feasibility and counselor and client acceptability of RT-E.
4. 4.Conduct preliminary cost and cost effectiveness analyses comparing RT-E to TAU.

Conditions

Substance-Related Disorders; Mental Disorders

Keywords

Web-based; HIV Assessment; Outreach; Retention; Substance Abuse Treatment

Outcome Measures

Primary Outcomes (1)

• Length of Stay

  Client admission and discharge dates will be obtained from the treatment program clinical record and used to calculate length of stay.

  9 months post-consent

Secondary Outcomes (4)

• HIV Risk Scores

  9 months post-consent

• Multidimensional Outcomes

  3, 6, and 9 months post-consent

• Rates of Abstinence

  Months 3, 6, and 9 post-consent

• Use of HIV specialist services

  9 months post-consent

Study Arms (2)

RecoveryTrack - Extended Care (RT-E)

EXPERIMENTAL

Counselors will conduct monitoring and feedback sessions using the RecoveryTrack-Extended Care (RT-E) web-based monitoring system for clients newly admitted to Intensive Outpatient (IOP) treatment. Counselors will be instructed to document their reminders, contact attempts, and scheduling of RT-E appointments within a Contact Log incorporated into RT-E. All RT-E sessions will be audio recorded.

Behavioral: RecoveryTrack - Extended Care (RT-E)

Treatment as Usual (TAU)

NO INTERVENTION

Counselors will conduct standard treatment during IOP/OP in this condition. Exceptions to this condition are that counselors will: audio record their first 3 biweekly and subsequent 7 monthly individual in-person sessions; document on a Contact Log outreach attempts; and complete a Counselor Activity Log for client participants. There are several steps that counselors typically take when a client misses a session. Clients are called to reschedule for the same week, if the client doesn't return for their next scheduled session, the counselor sends a letter asking the client to return, etc.

Interventions

RecoveryTrack - Extended Care (RT-E) BEHAVIORAL

Counselors in this condition will be trained on the RecoveryTrack-Extended Care (RT-E) web-based monitoring system so that they are able to navigate the computer application, and implement the clinical content and procedures of the intervention. Counselors will conduct monitoring and feedback sessions using RT-E for clients newly admitted to IOP over a course of eight months. If the client is not attending treatment, counselors will attempt contact over the phone and via other methods. When contacted, the counselor will conduct the RT-E assessment and, as the situation warrants, provide support to reengage the client in treatment or support recovery in other ways mentioned. HIV risk will be assessed as well, with encouragement of testing and referral to HIV specialists as needed.

RecoveryTrack - Extended Care (RT-E)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Client enrolled in outpatient treatment at participating facility and assigned to participating counselor.
• Counselor employed at participating facility.

You may not qualify if:

• Client unable to speak English.
• Client too cognitively impaired to give informed consent.
• Clients who do not wish to be audio-recorded during individual sessions.

Sponsors & Collaborators

• Treatment Research Institute: lead
• National Institute on Drug Abuse (NIDA): collaborator

Study Sites (4)

Genesis Counseling Centers, Inc.

Collingswood, New Jersey, 08108, United States

Location

Genesis Counseling Centers, Inc.

Marlton, New Jersey, 08053, United States

Location

New Journeys In Recovery

Philadelphia, Pennsylvania, 19133, United States

Location

Thomas Jefferson University IOP

Philadelphia, Pennsylvania, 19146, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders; Mental Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders

Study Officials

• John S. Cacciola, Ph.D.

  Treatment Research Institute

  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: March 29, 2013
• First Posted: April 15, 2013
• Study Start: June 1, 2012
• Primary Completion: February 1, 2016
• Study Completion: May 1, 2016
• Last Updated: March 28, 2023

Record last verified: 2023-03

Locations

US (4)