Three-Principles Approach for Incarcerated Adults

NCT04747704 | Completed

• 1 other identifier: 1206211-5
• Study Type: interventional
• Target: 73
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to examine the feasibility, acceptability and preliminary efficacy of an acceptance-based, insight-oriented treatment approach for US incarcerated adults. Feasibility and acceptability will be assessed through attendance and retention throughout the intervention period. Primary outcomes include negative affect, psychological flexibility, emotion regulation, purpose in life, impulsivity, and trauma. Changes will be assessed from baseline to post-course, post-course to 6-month follow up, and baseline to 6-month follow up for all primary outcomes. Researchers hypothesize that, 1) retention rates will be similar to previous trials with 70% retention from pre- to post-course; 2) there will be significant baseline-to-post-course reductions in psychological symptoms, impulsivity, and trauma, and an increase in psychological flexibility, purpose in life, and emotion regulation; and 3) there will be significant baseline-to-6-month reductions in psychological symptoms, impulsivity, and trauma, and an increase in psychological flexibility, purpose in life, and emotion regulation.

Conditions

Psychological Distress; Recidivism

Outcome Measures

Primary Outcomes (10)

• Change in Psychological Flexibility and Experiential Avoidance across 6 months

  The Acceptance and Action Questionnaire-II (Bond et al., 2011) is a self-report measure of experiential avoidance and psychological inflexibility.

  Pre-intervention, Post-intervention (10 weeks after Pre-intervention), 3 months and 6 months following Post-intervention

• Change in Wellbeing across 6 months

  Short Form 36 (SF-36) is a self-report measure assessing health-related quality of living.

  Pre-intervention, Post-intervention (10 weeks after Pre-intervention), 3 months and 6 months following Post-intervention

• Change in Emotion Regulation across 6 months

  The DERS-18 is a brief, 18-item self-report questionnaire designed to assess multiple aspects of emotional dysregulation (Victor \& Klonsky, 2016).

  Pre-intervention, Post-intervention (10 weeks after Pre-intervention), 3 months and 6 months following Post-intervention

• Change in Purpose in Life across 6 months

  The PILT is a 20-item self-report attitude scale, which measures the extent to which people perceive their lives to be purposeful and meaningful.

  Pre-intervention, Post-intervention (10 weeks after Pre-intervention), 3 months and 6 months following Post-intervention

• Change in Trauma symptoms across 6 months

  The PTSD Checklist - Civilian version (PCL-C; Weathers et al., 1994) is a 17-item self-report, diagnostic screening instrument assessing criteria for PTSD.

  Pre-intervention, Post-intervention (10 weeks after Pre-intervention), 3 months and 6 months following Post-intervention

• Change in Impulsivity across 6 months

  The Urgency, Premeditation (lack of), Perseverance (lack of), Sensation Seeking scale (UPPS; Whiteside \& Lynam, 2001) is a self-report, 45-item inventory to measure four distinct personality pathways to impulsive behavior.

  Pre-intervention, Post-intervention (10 weeks after Pre-intervention), 3 months and 6 months following Post-intervention

• Change in Depression across 6 months

  PROMIS Depression-Short Form (PR-Dep; PROMIS Health Organization) is an 8-item self-report measure assessing depression based on DSM-5 symptomatology. Respondents report the degree to which they have been bothered by each symptom during the past 7 days.

  Pre-intervention, Post-intervention (10 weeks after Pre-intervention), 3 months and 6 months following Post-intervention

• Change in Anxiety across 6 months

  The PROMIS Anxiety-Short Form (PR-Anx; PROMIS Health Organization) is a 7-item self-report measure assessing anxiety based on DSM-5 symptomatology. Respondents report the degree to which they have been bothered by each symptom during the past 7 days.

  Pre-intervention, Post-intervention (10 weeks after Pre-intervention), 3 months and 6 months following Post-intervention

• Change in Anger across 6 months

  The PROMIS Anger-Short Form (PR-Ang; PROMIS Health Organization) is a 5-item self-report scale measuring anger based on DSM-5 symptomatology. Respondents reported the degree to which they have been bothered by each symptom during the past 7 days.

  Pre-intervention, Post-intervention (10 weeks after Pre-intervention), 3 months and 6 months following Post-intervention

• Change in Prosocial and Non-Prosocial Behavior across 6 months

  Prison records regarding participants' behavioral violations and rewards for pro-social behavior will provide data on prosocial and Non-Prosocial behaviors.

  Pre-intervention, and 6 months following Post-intervention

Secondary Outcomes (1)

• Acceptability

  Post-intervention (10 weeks after Pre-intervention)

Study Arms (1)

Intervention

EXPERIMENTAL

Participants receiving Three-Principles Counseling

Behavioral: Three Principles Counseling

Interventions

Three Principles Counseling BEHAVIORAL

A 10-week insight-based program offered in prisons in a group setting for 2 hours each week. Approximately 15 - 20 adults or youth in custody participate at a time, led by two trained teachers. The curriculum is designed to teach an understanding of the mind and human experience for the purpose of reducing risk factors, uncovering resiliency and to promote emotional and psychological well-being for adults and youth in the criminal justice system. This is taught through a compilation of sessions that speak to the potential, ability and resilience inherent in every individual. Sessions include a mix of lessons, experiential learning, and group conversations.

Intervention

Eligibility Criteria

• Age: 21 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• at least 9 months left in their sentence
• agree to complete assessments at baseline, post-course, and 3 and 6 months following completion of the 3PCC course
• are able to read and write in English.

You may not qualify if:

• DOC staff deems it inappropriate for them to participate in the study for clinical or administrative reasons

Sponsors & Collaborators

• Pacific University: lead

Study Sites (1)

Pcific University

Hillsboro, Oregon, 97123, United States

Location

MeSH Terms

Conditions

Recidivism

Condition Hierarchy (Ancestors)

Criminal Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: February 1, 2021
• First Posted: February 10, 2021
• Study Start: October 18, 2018
• Primary Completion: June 30, 2022
• Study Completion: June 30, 2022
• Last Updated: September 29, 2022

Record last verified: 2022-09

Locations

US (1)