NCT04127604

Brief Summary

This trial aims to evaluate the effectiveness of a novel intervention for Veterans with co-occurring bipolar and substance use disorders following a psychiatric hospitalization. Half of the participants will receive a specialized psychosocial intervention program, while the other half will receive an enhanced safety monitoring program, both provided in addition to their routine care.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
138

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Nov 2020

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

First Submitted

Initial submission to the registry

October 14, 2019

Completed
1 day until next milestone

First Posted

Study publicly available on registry

October 15, 2019

Completed
1.1 years until next milestone

Study Start

First participant enrolled

November 2, 2020

Completed
4.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2025

Completed
Last Updated

October 22, 2025

Status Verified

October 1, 2025

Enrollment Period

4.9 years

First QC Date

October 14, 2019

Last Update Submit

October 20, 2025

Conditions

Keywords

Bipolar DisorderSubstance Use DisordersTreatment AdherenceVeteransPsychosocial intervention

Outcome Measures

Primary Outcomes (1)

  • Brief Adherence Rating Scale (BARS)

    The Brief Adherence Rating Scale (BARS) assesses the percentage of missed medication doses over the past month. The total adherence score ranges from 0% to 100% and higher scores indicate greater adherence.

    1 month

Study Arms (2)

Integrated Treatment Adherence Program for Veterans (ITAP-VA)

EXPERIMENTAL

A combination of in-person and phone sessions along with significant other involvement over 6 months post-hospitalization.

Behavioral: Integrated Treatment Adherence Program for Veterans (ITAP-VA)

Safety Assessment and Follow-up Evaluation (SAFE)

ACTIVE COMPARATOR

Enhanced symptom monitoring and safety evaluation over 6 months post-hospitalization.

Behavioral: Safety Assessment and Follow-up Evaluation (SAFE)

Interventions

Psychosocial support and treatment to improve treatment adherence, symptoms, and functioning.

Integrated Treatment Adherence Program for Veterans (ITAP-VA)

Measurement-based care assessment and evaluation.

Safety Assessment and Follow-up Evaluation (SAFE)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of a mood disorder
  • Diagnosis of a substance use disorder (drug and/or alcohol)
  • Taking at least one psychiatric medication

You may not qualify if:

  • Unable to speak and read English
  • Younger than age 18

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Providence VA Medical Center, Providence, RI

Providence, Rhode Island, 02908-4734, United States

Location

MeSH Terms

Conditions

Bipolar DisorderSubstance-Related DisordersTreatment Adherence and Compliance

Condition Hierarchy (Ancestors)

Bipolar and Related DisordersMood DisordersMental DisordersChemically-Induced DisordersHealth BehaviorBehavior

Study Officials

  • Jane Metrik, PhD

    Providence VA Medical Center, Providence, RI

    PRINCIPAL INVESTIGATOR
  • Brandon A Gaudiano, PhD

    Providence VA Medical Center, Providence, RI

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 14, 2019

First Posted

October 15, 2019

Study Start

November 2, 2020

Primary Completion

September 30, 2025

Study Completion

September 30, 2025

Last Updated

October 22, 2025

Record last verified: 2025-10

Data Sharing

IPD Sharing
Will share

After all data have been collected and the results of the studies published, de-identified data will be made available to other qualified researchers on request. The request will be evaluated by the PI and the Co-Investigators to ensure that it meets reasonable standards of scientific integrity.

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
After all data have been collected and the results of the studies published, de-identified data will be made available to other qualified researchers on request.
Access Criteria
The request will be evaluated by the PI and the Co-Investigators to ensure that it meets reasonable standards of scientific integrity.

Locations