Improving Productive Community Integration in Homeless-experienced Veterans

NCT07388641 | Not Yet Recruiting

• 2 other identifiers: RRD4-008-25M1I01RD000643-01A1
• Study Type: interventional
• Target: 106
• Locations: 1 country
• Sites: 1

Brief Summary

The VA has been focused on reducing the number of homeless Veterans nationally. However, it has been very difficult to increase the level of productive activities--including work, school, and training--for homeless-experienced Veterans (HEVs), even when the VA provides substantial case management and support services in addition to housing. The overarching aim of this proposed treatment project is to validate an innovative psychosocial intervention (a combination of Motivational Interviewing and Cognitive Behavioral Therapy; MI-CBT) that is designed to enhance motivation and increase productive community integration in Veterans who have experienced homelessness. The efficacy of this new intervention will be evaluated in a randomized control trial that includes 24 weeks of active treatment, and a follow up assessment, compared with a control condition. The results of the proposed study will have clinical and functional impact for Veterans by helping HEVs to achieve fuller community integration.

Conditions

Homeless Persons

Keywords

motivation; motivational interviewing; psychosocial intervention; work; community integration

Outcome Measures

Primary Outcomes (2)

• Action subscale of the University of Rhode Island Change Assessment Scale

  Measure of attitudes and activities related to motivation for productive activities. The range is 8-40 in which higher scores indicate more willingness to change.

  baseline, midpoint at 12 weeks, post-treatment at 24 weeks, and follow-up at 36 weeks

• Service Use and Resource Form (SURF)

  average number of hours of productive activities per week for past month

  baseline, midpoint at 12 weeks, post-treatment at 24 weeks, and follow-up at 36 weeks

Secondary Outcomes (1)

• Measure of willingness to exert effort on a cognitive task (Deck choice task)

  baseline, midpoint at 12 weeks, post-treatment at 24 weeks, and follow-up at 36 weeks

Study Arms (2)

MI-CBT

EXPERIMENTAL

Combination of Motivational Interviewing and Cognitive Behavioral Therapy

Other: Motivational Interviewing and Cognitive Behavioral Therapy

Health Lifestyles

ACTIVE COMPARATOR

An educational program that instructs participants on important concepts in nutrition, exercise, and stress management.

Other: Healthy Behavior Training

Interventions

Motivational Interviewing and Cognitive Behavioral Therapy OTHER

Psychosocial intervention to increase motivation for work and productive activities

Also known as: MI-CBT

MI-CBT

Healthy Behavior Training OTHER

An educational program on nutrition, exercise, and stress management.

Also known as: Healthy Lifestyles

Health Lifestyles

Eligibility Criteria

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

You may qualify if:

• Veteran
• fluent in English
• history of homelessness and currently housed through VA HUD-VASH housing programs
• expressed willingness to work on a school, work, or training goals

You may not qualify if:

• no clinically significant medical, neurological, or physical condition that would interfere with providing informed consent or valid assessments
• no visible sign of intoxication on the laboratory assessment visits

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

VA Greater Los Angeles Healthcare System, West Los Angeles, CA

West Los Angeles, California, 90073-1003, United States

Location

MeSH Terms

Interventions

Motivational Interviewing; Cognitive Behavioral Therapy

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services; Behavior Therapy; Psychotherapy

Study Officials

• Michael F Green, PhD

  VA Greater Los Angeles Healthcare System, West Los Angeles, CA

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Peter C Hunt, PhD MPH BA

CONTACT

(562) 826-8000; Peter.Hunt3@va.gov

John J Fraser, DPT PhD

CONTACT

john.fraser@va.gov

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: The assessments will be done by staff members who are entirely unaware of the treatment condition.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Model Details: Random assignment to experimental psychosocial treatment of active control.

Study Record Dates

• First Submitted: January 28, 2026
• First Posted: February 5, 2026
• Study Start (Estimated): August 3, 2026
• Primary Completion (Estimated): August 3, 2030
• Study Completion (Estimated): August 3, 2031
• Last Updated: February 10, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)