Substance Use Clinical Trial
Official title:
Using Values to Enhance Inmates' Response to Substance Use and HIV Risk Feedback
A key component of effective offender treatment is an initial assessment of risk factors
followed by feedback to facilitate problem awareness and engagement in appropriate treatment
and/or behavior change. Feedback regarding areas of high risk, however, can be experienced as
threatening.
The investigators propose to develop, fine-tune, and pilot-test a computerized system for
risk assessment and feedback, including evaluation of a brief pre-feedback prosocial values
affirmation exercise (Cohen & Sherman, 2014) aimed at decreasing defensiveness and increasing
inmates' willingness to access and process risk-relevant information and to utilize
post-release treatment resources, thereby reducing post-release substance misuse, HIV risk
behavior, and criminal recidivism. Participants will be 170 jail inmates nearing release into
the community - 20 pilot participants and 150 study participants randomly assigned to one of
three conditions: (1) Values Affirmation + Personalized Risk Feedback; (2) Personalized Risk
Feedback only; (3) Control. The baseline and risk assessment, values affirmation
manipulation, and personalized risk feedback will be presented via touch-screen computers,
requiring minimal training to administer. Analyses will assess:
1. The feasibility of utilizing a computerized system to assess and share risk information
with jail inmates, including a brief values affirmation exercise to reduce
defensiveness;
2. The acceptability of this approach from the perspectives of jail staff and inmates
themselves;
3. The impact of the intervention on observed proximal outcomes (mechanisms of action),
such as time spent viewing feedback, electing to print a copy of informational and
treatment resources, and consequent changes in perceptions of risk, treatability, etc.;
4. The impact of the intervention on key post-release outcomes including engagement in
relevant treatment services, substance misuse, HIV risk behaviors, re-offense and
re-arrest;
5. The links between proximal outcomes (MOAs) and key post-release outcomes;
6. Potential moderators of treatment effectiveness.
n/a
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