Substance Abuse Clinical Trial
Official title:
Effectiveness of Advisor - Teller Money Manager (ATM)
VA investigators have described greater substance use at the beginning of the month when disability and other monthly checks are received. The proposed research addresses an important VA priority�seeing that veterans� funds are spent to improve veterans� quality of life and are not misspent on substances of abuse.
Background:
VA investigators have described greater substance use at the beginning of the month when
disability and other monthly checks are received. The proposed research addresses an
important VA priority�seeing that veterans� funds are spent to improve veterans� quality of
life and are not misspent on substances of abuse.
Objectives:
The objective was to determine the effectiveness of a money management-based therapy called
ATM for veterans who abuse cocaine or alcohol compared to a financial advice control
condition.
Methods:
Veterans were randomly assigned to 36-weeks of ATM or to the control condition, financial
advice. ATM (Adviser-Teller Money Manager) involves meeting with a money manager at least
weekly. The money manager performs three functions�limiting patients� access to funds by
storing checkbooks and ATM cards, training patients to budget their funds, and linking
spending to treatment goals. The control condition involved listing income and expenses in a
workbook. Veterans were enrolled from each of two sites if they had spent at least $100 in
the preceding 90 days on alcohol or cocaine, and had at least $300 per month income.
Measures of treatment fidelity and participation included number of visits attended, whether
funds were stored, monthly income and expenses and Likert-scaled ratings from 1-4 of money
management-related outcomes. Outcome measures collected included urine toxicology tests and
breathalyzers, self-reported substance use as assessed by the ASI follow-up, and secondary
measures including quality of life and psychiatric symptomatology.
Status:
Data analysis is ongoing. Attempts are being made to (a) disseminate ATM and assess its
effect among homeless women veterans (b) determine the reliability and validity of money
management-based assessments used to determine which veterans are capable of managing their
funds (c) optimize funds management by disabled veterans.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind, Primary Purpose: Treatment
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