Continuing Care Following Drug Abuse Treatment: Linkage With Primary Care

Substance Abuse Clinical Trial

— Linkage  

Official title:

Continuing Care Following Drug Abuse Treatment: Linkage With Primary Care

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT01621711
• Other study ID #: 10-01606
• Status: Active, not recruiting
• Phase: N/A
• Start date: March 2011
• Est. completion date: December 31, 2025

Study information

• Verified date: April 2023
• Source: Kaiser Permanente
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This component of a larger Center of Research Excellence Grant improves treatment for drug abuse by developing effective linkages between specialty drug treatment and primary health care.

Description:

This is a longitudinal two-arm quasi-experimental 3-month alternating off/on design over a 30 month period in which, after a random start, the Linkage condition alternately is added to Usual Care in the Chemical Dependency (CD) clinic and then removed. We compare Usual Care to Usual Care plus Linkage. Follow-up interviews will be conducted at 6, 12 and 24 months. The Linkage intervention includes Usual Care plus 1) sessions on activation regarding overall health behaviors and on selecting a Primary Care physician and communicating with him/her, and 2) a linkage phone call (and/or a facilitated email) with the patient, clinician, and Primary Care physician. The intervention aims to place drug abuse problems in the context of overall health and health care and to activate patients to increase involvement in their own health care.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 504
• Est. completion date: December 31, 2025
• Est. primary completion date: December 31, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Research participants will be adult patients at the Kaiser Permanente San Francisco Chemical Dependency Recovery Program, who have completed 2 weeks of treatment.

Exclusion Criteria:

• Patients with a diagnosis of dementia, mental retardation, or who are actively psychotic or suicidal will be excluded by their clinician.

Related Conditions & MeSH terms

• Alcohol Abuse
• Alcoholism
• Behavior, Addictive
• Substance Abuse
• Substance Dependence
• Substance, Addiction
• Substance-Related Disorders

Intervention

Behavioral:
• Linkage patient activation intervention
Usual Care plus Linkage encompassed Usual Care with the exception that the six 45-min Linkage patient activation education groups replaced the six 45-min Usual Care medical education groups, plus a linkage phone call (and/or a facilitated email) with the patient, clinician, and Primary Care physician. The patient activation intervention components -- 1) six 45-min Linkage sessions on activation regarding overall health behaviors and 2) a linkage phone call (and/or a facilitated email) with the patient, clinician, and PC physician -- were delivered by a clinical psychologist.

Locations

Country	Name	City	State
United States	Kaiser Permanente, Chemical Dependency Recovery Program	San Francisco	California

Sponsors (2)

Lead Sponsor	Collaborator
Kaiser Permanente	Kaiser Foundation Research Institute

Country where clinical trial is conducted

United States, 

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* Note: There are 111 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	patient activation measure	Measured by Patient Activation Measure (PAM) from interview data	6 months post baseline
Primary	patient engagement in health care (including patient portal use, familiarity and satisfaction with Primary Care physician, and CD treatment length of stay)	Measured by data from interviews and Electronic Health Record (EHR)	6 months post baseline
Primary	Substance use and mental health outcomes	Measures include past 30-day alcohol, drug and total abstinence; Patient Health Questionnaire (PHQ-9) and Addiction Severity Index using interview data	6 months post baseline
Secondary	patient activation measure at 12 and 24 months	Measured by Patient Activation Measure (PAM) from interview data	12 and 24 months post baseline
Secondary	patient engagement in health care at 12 and 24 months	Measured by data from interviews and Electronic Health Record (EHR)	12 and 24 months post baseline
Secondary	Substance use and mental health outcomes at 12 and 24 months	Measures include past 30-day alcohol, drug and total abstinence; Patient Health Questionnaire (PHQ-9) and Addiction Severity Index using interview data	12 and 24 months post baseline
Secondary	Health care utilization and cost	Measured by data from interviews and adminstrative data	12 and 24 months post baseline