Home-based Continuing Care for Young Adults Leaving Residential Substance Abuse Treatment

NCT02152033 | Completed

• 1 other identifier: R21DA036818
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this project is to develop and test a Home-based Continuing Care intervention that will help parents support the recovery of their Young Adult (YA) child who is leaving residential substance abuse treatment. The two phase pilot study will 1) interview 50 parents and 50 YAs recruited from residential treatment programs and from parent groups to inform the development of the intervention and 2) conduct a two-arm pilot study that will recruit a maximum of 20 parents and their young adult children into one of two conditions (Home-based Continuing Care \[HCC\] intervention group or Services as Usual \[SAU\] comparison group) with the main goal of determining whether conducting such an intervention is acceptable and sustainable, and to collect preliminary efficacy data. We hypothesize that pilot testing will indicate that: (a) HCC is acceptable and potentially sustainable; (b) conducting a randomized clinical trial is feasible, and (c) the magnitude of outcomes from HCC will be clinically meaningful.

Conditions

Substance Use Disorders

Keywords

Substance Abuse; Continuing Care; Recovery; Substance Abuse Treatment; Parent; Family; Young Adult

Outcome Measures

Primary Outcomes (1)

• Change in Young Adult Drug Use from Baseline to 16 week and 32 week follow-ups

  Young Adult participants will complete a Timeline Follow Back (Baseline, 16 week and 32 week follow-ups) and provide a urine sample to be tested for drug and alcohol use (Baseline, Weekly, 16 week and 32 week follow-ups).

  Baseline, Weekly, 16 week and 32 week follow-ups

Secondary Outcomes (8)

• Change in Parent and Young Adult Relationship Satisfaction from Baseline to 16 week and 32 week follow-ups

  Baseline, 16 week and 32 week follow-ups

• Parent and Young Adult Treatment Retention

  32 weeks post baseline

• Parent and Young Adult Recruitment Rate by percent approached

  10 month recruitment period

• Parent and Young Adult Engagement in HCC by urine sample collected

  32 week intervention period

• Parent and Young Adult Treatment Acceptability

  16 week and 32 week follow-ups

Study Arms (2)

Home-based Continuing Care

EXPERIMENTAL

The components of Home-based Continuing Care (HCC) include brief parent training, brief Young Adult (YA) orientation and recovery planning, telephone-based continuing care (TCC) and home-based contingency management. Both parent and YA participants will attend sessions with a family specialist.

Behavioral: Home-based Continuing Care

Services as Usual

OTHER

YAs completing residential care usually are referred to continuing outpatient services and/or self-help groups.

Behavioral: Services as Usual

Interventions

Home-based Continuing Care BEHAVIORAL

All sessions will occur over the phone or Cisco WebEx meetings. Parents will participate in 5 individual sessions and 1 joint session with their child (45-50 min. each). Young Adults (YAs) will participate in 1-3 individual meetings (30- 45 min. each) and 1 joint session (45-50 min.). In addition, YAs will be contacted weekly for the first 8 weeks of HCC, then every other week for the remaining 24 weeks (20 calls total). He or she will be asked questions addressing risk and protective factors for relapse. Finally, parents will be trained to collect and test their child's urine sample and deliver incentives to the YA contingent upon biologically-verified abstinence and verified engagement in continuing service plan activities. Urine samples will be collected regularly over a 32 week period.

Home-based Continuing Care

Services as Usual BEHAVIORAL

Young Adults (YAs) will be told to follow the continuing service plan recommended by the residential treatment program. Parents will be told to support this and be sent information on continuing care developed by the Treatment Research Institute and the Partnership @ Drugfree.org (http://continuingcare.drugfree.org). We will provide no supplemental services during the study. We will train parents; however, on how to collect urine samples for research purposes only. They will not be trained on how to test the urine sample, only how to collect it and mail the sample to our staff for testing. We will offer separate 4 hour-workshops to parents and YAs after they have completed participation as an added study participation incentive for this group.

Services as Usual

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Parent is 21 years of age or older
• Young Adult (YA) is 18-25 years of age
• YA's primary drug of abuse is prescription or other opiates
• Parent must be the custodial parent or former guardian or other caretaker of the YA
• YA is in residential treatment
• Parent and YA plan to live in the same residence during the intervention (32 weeks)
• Both Parent and YA provide written informed consent and pass the consent quiz testing knowledge of basic elements of informed consent and study requirements (including home urine testing).

You may not qualify if:

• Parent currently has a substance use disorder (SUD) as determined via DSM-IV-TR criteria or a history of SUD and in recovery for less than 2 years
• Parent or YA has been diagnosed as having, or behaves in, a manner consistent with having significant cognitive impairment (e.g., an unrelieved psychosis or other serious mental illness)
• YA reports suicidal ideation with a plan, or engaged in suicidal behavior during residential treatment
• YA has a recent history of severe violence toward the parent (e.g., involving weapons or hospitalization)
• YA's residential program provides comprehensive continuing services
• YA does not consent to participation within 2 weeks of discharge

Sponsors & Collaborators

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

Study Sites (1)

Family Training Program

Philadelphia, Pennsylvania, 19103, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Study Officials

• Kimberly C Kirby, Ph.D.

  Treatment Research Institute

  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: SPONSOR

Study Record Dates

• First Submitted: May 20, 2014
• First Posted: June 2, 2014
• Study Start: July 1, 2014
• Primary Completion: September 1, 2016
• Study Completion: September 1, 2016
• Last Updated: March 28, 2023

Record last verified: 2023-03

Locations

US (1)