Multimedia Toolkits to Implement 12-Step Recovery Concepts in Group Counseling

NCT02333357 | Completed

• 2 other identifiers: 0905R01AA017867
• Study Type: interventional
• Target: 3,483
• Locations: 1 country
• Sites: 11

Brief Summary

This study is developing and testing a 12-step toolkit with five modules, training counselors to use them, and studying their frequency of use, desirability, effectiveness and patient outcomes. The toolkit includes counselor written guides, posters, client worksheets, engagement activities, and videos designed to be shown during substance abuse treatment group sessions to explain and encourage 12-step participation.

Conditions

Alcohol Abuse; Drug Abuse

Outcome Measures

Primary Outcomes (2)

• Change in counselor content adherence from baseline, as measured by the Group Observation Rating System

  Counselor adherence to 12-step concepts covered in group sessions assessed using the Group Observation Rating System which consists of items designed to assess general counseling competency skills and 12-step facilitation items

  0, 1, 6 months

• Change in counselor therapeutic skillfulness from baseline, as measured by the Group Observation Rating System

  Counselor therapeutic skillfulness when delivering 12-step content in group sessions assessed using the Group Observation Rating System which consists of items designed to assess general counseling competency skills and 12-step facilitation items

  0, 1, 6 months

Secondary Outcomes (6)

• Change in counselor satisfaction from baseline, as measured by the Counselor Satisfaction Form

  0, 1, 6 months

• Change in counselor 12-step attitudes and beliefs from baseline, as measured by the Counselor 12-Step Attitudes and Beliefs Scale

  0, 1, 6 months

• Change in counselor 12-step knowledge from baseline, as measured by the Counselor Core Elements of 12-step Knowledge Inventory

  0, 1, 6 months

• Change in counselor feasibility and sustainability of the toolkit from baseline, as measured by a bi-weekly web-based calendar

  0, 1, 6 months

• Change in client involvement in 12-step activities from baseline, as measured by the Patient AA Attendance and Involvement Scale

  0, 2, 4, 12, 24 weeks

Study Arms (2)

Toolkit

EXPERIMENTAL

Counselors randomized to the toolkit (TK) condition will receive a one to three hour standardized toolkit orientation that will include a description of the overall goal of the toolkit curriculum comprised of five modules, the purpose of each individual element of the toolkit, and an introduction to the toolkit teaching aids such as counselor guides, posters, and patient materials (hand-outs, sampling menus, worksheets, etc). TK counselor participants then conduct group treatment sessions using the toolkit materials with their patient participants.

Behavioral: Multimedia 12-Step Toolkit

Treatment as Usual

ACTIVE COMPARATOR

Counselors assigned to the Treatment as Usual (TAU) attention control condition complete a training that reviews the same five 12-step topics that are included in the toolkit, but they do not receive any toolkit materials. TAU counselor participants then conduct group treatment sessions on the 12-step topics without using toolkit materials.

Behavioral: Treatment as Usual

Interventions

Multimedia 12-Step Toolkit BEHAVIORAL

The Multimedia 12-Step Toolkit includes counselor written guides, posters, client worksheets, engagement activities, and videos designed to be shown during group treatment sessions to explain and encourage 12-step participation.

Toolkit

Treatment as Usual BEHAVIORAL

Treatment as Usual is defined as five standard 12-step facilitation group sessions as counselors would normally conduct with their clients.

Treatment as Usual

Eligibility Criteria

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

You may qualify if:

• Over 18 years of age
• Employed at a participating substance abuse treatment facility
• Provide treatment in a group format

You may not qualify if:

• At the time of the project they do not have primary responsibility for conducting at least three substance abuse group sessions per week
• Their therapy group is normally scheduled to run less than 50 minutes, or more than 150 minutes
• Unable to provide valid informed consent
• Over 18 years of age
• Attending an observed group of a participating counselor
• (For participation in the Follow-Up Study/Aim 3 only) patients must endorse heavy drinking, alcohol-related difficulties, or poor prior 12-step participation
• \- Unable to provide valid informed consent

Sponsors & Collaborators

• Treatment Research Institute: lead
• National Institute on Alcohol Abuse and Alcoholism (NIAAA): collaborator

Study Sites (11)

Genesis Counseling Centers

Camden, New Jersey, 08108, United States

Location

Phoenix House

Brooklyn, New York, 11201, United States

Location

Eagleville Hospital

Eagleville, Pennsylvania, 19408, United States

Location

Livengrin Foundation

Levittown, Pennsylvania, 19020, United States

Location

Rehab After Work

Philadelphia, Pennsylvania, 19102, United States

Location

Penn Presbyterian

Philadelphia, Pennsylvania, 19104, United States

Location

Self-Help Movement

Philadelphia, Pennsylvania, 19116, United States

Location

Sobreity Through Outpatient

Philadelphia, Pennsylvania, 19132, United States

Location

The Kirkbride Center

Philadelphia, Pennsylvania, 19139, United States

Location

The Wedge Recovery Centers

Philadelphia, Pennsylvania, 19148, United States

Location

Gaudenzia Inc.

Philadelphia, Pennsylvania, 19382, United States

Location

MeSH Terms

Conditions

Alcoholism; Substance-Related Disorders

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Alcohol-Related Disorders; Chemically-Induced Disorders; Mental Disorders

Study Officials

• Kimberly C Kirby, PhD

  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: December 15, 2014
• First Posted: January 7, 2015
• Study Start: March 1, 2011
• Primary Completion: April 1, 2015
• Study Completion: April 1, 2015
• Last Updated: March 28, 2023

Record last verified: 2023-03

Locations

US (11)