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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00497302
Other study ID # R01DA014979
Secondary ID R01DA014979DPMCD
Status Completed
Phase Phase 2/Phase 3
First received July 5, 2007
Last updated March 1, 2013
Start date November 2004
Est. completion date August 2009

Study information

Verified date March 2013
Source Johns Hopkins University
Contact n/a
Is FDA regulated No
Health authority United States: Federal Government
Study type Interventional

Clinical Trial Summary

For the past several years our research program has developed and tested an intensive outpatient intervention that is based in social learning theory and employs abstinence contingent access to recovery housing as a routine aspect of an intensive day treatment counseling program. The present project proposes to extend this treatment intervention to the special population of pregnant drug using women enrolled at the Center for Addiction and Pregnancy (CAP). We will compare an enhanced treatment that includes abstinence contingent recovery house living plus intensive individual therapy, to standard care at the CAP program. Specific aims of the project are derived from testing a two-group design are described below:

1. To determine whether financially supported abstinence-contingent recovery house placement plus individual counseling in pregnant drug-dependent women improves prenatal outpatient treatment retention.

2. To determine whether financially supported abstinence-contingent recovery house placement plus individual counseling in pregnant drug-dependent women reduces prenatal drug use.

3. To determine whether financially supported abstinence-contingent recovery house placement plus individual counseling results in better maternal and infant clinical birth outcomes (e.g., birth weight, estimated gestational age (EGA) at delivery, medical complications).


Recruitment information / eligibility

Status Completed
Enrollment 128
Est. completion date August 2009
Est. primary completion date June 2008
Accepts healthy volunteers No
Gender Female
Age group 18 Years to 50 Years
Eligibility Inclusion Criteria:

- CAP enrolled

- Age 18 or older

- Evidence of use of opiate and/or cocaine use in the past 30 days

- Assigned to pharmacotherapy free modality

- CAP admission at an estimated gestational age (EGA) <34 weeks

Exclusion criteria:

- Endorses current suicidal ideation

- Any medical disorders requiring extended or future hospitalization

- Meet diagnostic criteria for current DSM-IV alcohol dependence

- Meet diagnostic criteria for a current DSM-IV Axis I thought disorder (i.e. schizophrenia)

- Demonstrate significant cognitive impairment that precludes them from completing the initial assessment battery

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Behavioral:
RBT
Contingency management and behavioral counseling including motivational interviewing
usual care
receives usual comprehensive care at Center for Addiction and Pregnancy

Locations

Country Name City State
United States Center for Addiction and Pregnancy Jhons Hopkins Bayview Medical Center Baltimore Maryland

Sponsors (2)

Lead Sponsor Collaborator
Johns Hopkins University National Institute on Drug Abuse (NIDA)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Treatment retention, drug free urine samples at follow-up and delivery treatment entry until 12 months post treatment entry No
Secondary prenatal care compliance, neonatal and birth outcomes treatment entry until 12 months post treatment entry No
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