Four Models of Telephone Support for Stimulant Recovery

Drug Addiction Clinical Trial

Official title:

Four Models of Telephone Support for Stimulant Recovery

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00744068
• Other study ID #: R01DA018208-01A1
• Secondary ID: R01DA018208
• Status: Completed
• Phase: N/A
• First received: August 28, 2008
• Last updated: November 23, 2016
• Start date: April 2006
• Est. completion date: September 2011

Study information

• Verified date: November 2016
• Source: University of California, Los Angeles
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Federal Government
• Study type: Interventional

Clinical Trial Summary

The overall objective of this research is to develop and refine empirically supported continuing care interventions that promote healthy behavior and sustained abstinence from illicit drug use.

Description:

For treatment interventions to provide the desired result of long term abstinence, it is important to develop strategies to enhance the effectiveness of continued care approaches. We plan to conduct a prospective, randomized comparison of four models of counselor-provided telephone support as strategies to promote patient aftercare attendance and sustained abstinence from stimulant use. To this end, we will develop and compare the efficacy of four low-cost telephone support protocols for patients who have completed the intensive phase of a structured, outpatient stimulant abuse treatment program. Some 500 participants completing a 4-month Matrix Outpatient Model of stimulant abuse treatment will be randomly assigned to one of four counseling groups (n=100 per group): (1) unstructured/non-directive, (2) structured/non-directive, (3) unstructured/directive, or (4) structured/directive telephone counseling, or (5) a control group consisting of standard referral to Matrix aftercare, for a total sample size of 500. The two structured conditions will be based on the behavioral "prompts" identified by Farabee et al. (2002)* as being associated with drug avoidance. In the non-directive conditions, subjects will be allowed to state their own goals and how they intend to achieve them. In the directive conditions, the counselor will provide specific recommendations to help the subject adopt as many of the drug-avoidance activities as possible. Outcomes will be tracked for 12 months following completion of primary treatment (a total of 16 months after treatment admission) and will include measurement of participation in drug-avoidance activities (including aftercare participation) as well as self-reported and objective measures of substance use and related behavior change.

*Farabee, D., Rawson, R.A., & McCann, M. (2002). Adoption of drug avoidance activities among patients in contingency management and cognitive-behavioral treatments. Journal of Substance Abuse Treatment, 23, 343-350.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 302
• Est. completion date: September 2011
• Est. primary completion date: September 2010
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Males or females, 18-65 years of age.

• Meet DSM-IV criteria (at the time of treatment admission) for cocaine or methamphetamine abuse/dependence.

• Have completed the primary phase of treatment at a Matrix outpatient clinic.

• Have telephone access throughout the study procedures.

• Be able to understand and complete rating scales and to follow instructions.

• Be willing to sign an informed consent form.

Exclusion Criteria:

• Have participated in a treatment-related study conducted by the PI and colleagues during the previous 3 years and/or is currently enrolled in a treatment-related study.

• Have any medical, legal, housing or transportation problem which would preclude either safe or consistent participation.

• Have dropped out of the primary phase of treatment prior to completion.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Drug Addiction
• Substance-Related Disorders

Intervention

Behavioral:
• Continuing Care Telephone Support
Counselor-provided telephone support as strategies to promote patient aftercare attendance and sustained abstinence from stimulant use. To this end, we will develop and compare the efficacy of four low-cost telephone support protocols for patients who have completed the intensive phase of a structured, outpatient stimulant abuse treatment program.

Locations

Country	Name	City	State
United States	Twin Town Treatment Center	Los Alamitos	California
United States	Matrix Institute on Addictions	Los Angeles	California
United States	UCLA Integrated Substance Abuse Programs	Los Angeles	California
United States	Matrix Institute on Addictions	Rancho Cucamonga	California
United States	Twin Town Treatment Center	West Hollywood	California
United States	Matrix Institute on Addicitions	Woodland Hills	California

Sponsors (2)

Lead Sponsor	Collaborator
University of California, Los Angeles	National Institute on Drug Abuse (NIDA)

Country where clinical trial is conducted

United States, 

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* Note: There are 48 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Urinalyses		At 3 months and 12 months	No
Primary	Breathalyzer tests		At 3 months and 12 months	No
Primary	Self-report of drug or alcohol use		At 3 months and 12 months	No
Primary	Amount of Treatment Activities		At 3 months and 12 months	No
Primary	Length of Treatment Episode		At 3 months and 12 months	No
Secondary	Addiction Severity Index (ASI)		At 3 months and 12 months	No
Secondary	HIV Risk-taking Behavior Scale		At 3 months and 12 months	No
Secondary	Concurrent Psychosocial Treatments		At 3 months and 12 months	No
Secondary	Drug Avoidance Activities (DAA) Survey		At 3 months and 12 months	No

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