Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT01003496 |
Other study ID # |
NIDA/NIH 1RC1DA028467-01 |
Secondary ID |
1RC1DA028467-01 |
Status |
Completed |
Phase |
Phase 3
|
First received |
|
Last updated |
|
Start date |
November 5, 2009 |
Est. completion date |
July 27, 2011 |
Study information
Verified date |
February 2022 |
Source |
Wright State University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
The purpose of this 2 year study is to conduct a fully powered effectiveness trial comparing
recovery trajectories of 200 drug dependent adults (the subjects) who will be randomly
assigned to Treatment as Usual (TAU) or TAU + Long-Term Recovery Management (LTRM).
Description:
Drug addiction is a chronic illness characterized by problematic drug use, followed by
periods of abstinence, reductions in use, or return to problematic drug use. Despite this,
substance abuse treatment has traditionally been based on an acute care model. The field
needs an addiction management model for drug-dependent patients, which, like disease
management for other chronic conditions, provides: 1) initial stabilization; 2) ongoing
treatment to maintain clinical gains; 3) monitoring of patient symptoms; and 4) adjustments
to the treatment based on the patient's response.
In response to these needs we have developed the Long Term Recovery Management (LTRM) model.
LTRM is predicated on initiating long-term addiction management at the onset of substance
abuse treatment, extending the length of treatment, expediting the transitions between
intensive treatment and maintenance of behavioral change, adapting treatment intensity to
patient's response to treatment, and actively facilitating the therapeutic alliance. LTRM
combines 3 established treatment techniques (Community Reinforcement Approach, Contingency
Management, and Facilitated Therapeutic Alliance), each with demonstrated efficacy, into a
chronic disease model. In addition, patient cases are kept open, thereby removing potential
obstacles to re-engagement with stepped-up care, when indicated. The LTRM model emphasizes:
engagement in continuous long-term treatment and recovery support, therapeutic alliance, and
early re-intervention as the main mechanisms for maintenance of behavioral change.