Enhancing Housing First Programs With a Social Network Substance Use Intervention

NCT02140359 | Completed

• 1 other identifier: R34DA034855
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 2

Brief Summary

Housing First programs are promising approaches to transitioning substance using chronically homeless adults to affordable housing. However, Housing First programs need to provide support to residents to adjust to their changing social environments. The proposed project fulfills a critical gap by developing an electronic tool for a social network intervention using motivational interviewing techniques as well as results of a pilot test of the tool. The hypothesis to be tested is that Housing First residents who are given the intervention will be significantly more motivated to change their drinking, drug use, sexual risk behaviors, and social networks compared to controls receiving usual care.

Conditions

Alcohol Drinking; Drug Abuse; HIV

Keywords

homelessness; housing first; social networks; drug abuse; alcohol use; HIV

Outcome Measures

Primary Outcomes (6)

• Readiness to change alcohol and other drug use

  Measured with 12 item Readiness to Change Questionnaire (RTCQ) and a one item Contemplation Ladder

  Baseline and 13-14 weeks (post intervention)

• Readiness to change risky sexual behavior

  11 item Readiness to Change Risky Sexual Behavior (RTCQ-SB) scale a one item Contemplation Ladder

  Baseline and 13-14 weeks (post intervention)

• Self efficacy to change alcohol and other drug use

  Measured with two questionnaire items that assess the participant's importance and self-efficacy to stop alcohol and other drug use and 4 items from the Alcohol Abstinence Self-Efficacy Scale (AASE) which measure how confident participants feel in their ability to abstain from alcohol use when depressed, relaxed, craving substances, and offered alcohol.

  Baseline and 13-14 weeks (post intervention)

• Self efficacy to change risky sexual behavior

  Measured with 4 item Self-Efficacy to Use Condoms scale

  Baseline and 13-14 weeks (post intervention)

• Self-efficacy to change social networks

  Two item ladder scale item measuring importance and self-efficacy to change social networks.

  Baseline and 13-14 weeks (post intervention)

• Perceived Social Network support and approval/disapproval of alcohol, drug use, and risky sex.

  Measures of Perceived Social Support and ratings of network members on emotional closeness, drinking, drug use, safe-sex behavior, and approval/disapproval of high-risk behavior of social network members based on the Important People Drug and Alcohol Interview. Raw network data to provide measures will result from a personal network interview in which participants will name 20 network member and answer questions about each of them and their relationships with each other.

  Baseline and 13-14 weeks (after intervention)

Secondary Outcomes (3)

• Drug and Alcohol use

  Baseline and 13-14 weeks (after intervention is completed)

• HIV risk behavior

  baseline and 13-14 weeks (after intervention completion)

• Change in social network composition and structure

  baseline and 13-14 weeks (after intervention completion)

Other Outcomes (1)

• Satisfaction with Intervention

  13-14 weeks (after intervention)

Study Arms (2)

Control Group: Usual Care

NO INTERVENTION

Residents of a housing first permanent supporting housing program will be randomly assigned to this arm after screening and baseline assessments. They will meet with case managers according to the usual procedures for new residents and will be given a standard case manager interaction.

Motivational Network Interview Recipients

EXPERIMENTAL

Residents of a housing first permanent supporting housing program will be randomly assigned to this arm after screening and baseline assessments. They will meet roughly every two weeks with a case manager and answer questions about their social network, will be shown visual feedback about their networks, and will participate in a motivational interview conducted by the case managers. The questions and visualizations will be facilitated by an electronic tool for presenting screens with questions, capturing responses, processing and visualizing social network data.

Behavioral: Motivational Network Interview

Interventions

Motivational Network Interview BEHAVIORAL

Residents of a housing first permanent supporting housing program will be randomly assigned to this arm after screening and baseline assessments. They will meet roughly every two weeks with a case manager and answer questions about their social network, will be shown visual feedback about their networks, and will participate in a motivational interview conducted by the case managers. The questions and visualizations will be facilitated by an electronic tool for presenting screens with questions, capturing responses, processing and visualizing social network data.

Motivational Network Interview Recipients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• New residents of Skid Row Housing Trust receiving permanent supportive housing

You may not qualify if:

• Age younger than 18
• Does not speak English
• Cognitively impaired either by identifying those having a diagnosis of dementia in the new resident intake interview or using the Short Blessed Scale Exam)
• Does not screen positive for past -year harmful AOD use using the AUDIT-C (a score \> 4 for men and \> 3 for women) and DAST (a score greater than 2).

Sponsors & Collaborators

• RAND: lead

Study Sites (2)

Skid Row Housing Trust

Los Angeles, California, 90021, United States

Location

RAND Corporation

Santa Monica, California, 90407, United States

Location

Related Publications (3)

• Kennedy DP, Osilla KC, Hunter SB, Golinelli D, Maksabedian Hernandez E, Tucker JS. Restructuring personal networks with a Motivational Interviewing social network intervention to assist the transition out of homelessness: A randomized control pilot study. PLoS One. 2022 Jan 21;17(1):e0262210. doi: 10.1371/journal.pone.0262210. eCollection 2022.

  PMID: 35061795 DERIVED

• Osilla KC, Kennedy DP, Hunter SB, Maksabedian E. Feasibility of a computer-assisted social network motivational interviewing intervention for substance use and HIV risk behaviors for housing first residents. Addict Sci Clin Pract. 2016 Sep 7;11(1):14. doi: 10.1186/s13722-016-0061-x.

  PMID: 27604543 DERIVED

• Kennedy DP, Hunter SB, Chan Osilla K, Maksabedian E, Golinelli D, Tucker JS. A computer-assisted motivational social network intervention to reduce alcohol, drug and HIV risk behaviors among Housing First residents. Addict Sci Clin Pract. 2016 Mar 15;11(1):4. doi: 10.1186/s13722-016-0052-y.

  PMID: 26979982 DERIVED

MeSH Terms

Conditions

Alcohol Drinking; Substance-Related Disorders

Condition Hierarchy (Ancestors)

Drinking Behavior; Behavior; Chemically-Induced Disorders; Mental Disorders

Study Officials

• David P Kennedy, PhD

  RAND

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Behavioral / Social Scientist

Study Record Dates

• First Submitted: May 14, 2014
• First Posted: May 16, 2014
• Study Start: June 1, 2015
• Primary Completion: October 1, 2016
• Study Completion: July 1, 2017
• Last Updated: November 24, 2017

Record last verified: 2017-11

Locations

US (2)