CRP and S&A for Inpatient Veterans

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorVA Office of Research and Development

About this trial

The purpose of this study is to evaluate how well three types of treatments work to improve the outcomes for people with substance use problems. Veterans admitted to the Charleston VA Psychiatric inpatient unit may be invited to participate. The three types of treatments that will be evaluated are:

1. Combined Recovery Program (CRP), a six-session treatment group delivered on the inpatient unit. 2. A Home Telehealth program, called Stable and Able (S\&A), provided just prior to discharge and provides additional support for up to 3 months 3. Treatment-as-usual (TAU), which is the treatment currently provided on the unit, consisting of various mental health topics and sessions designed to help with recovery.

Participation begins on the inpatient unit, beginning with CRP and/or TAU, and may continue with S\&A post discharge. Participants will be followed up at 1 and 3- months post treatment.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Meeting DSM-V criteria for current SUD diagnosis of alcohol and/or illicit drug use disorder

Use of substances in past 30 days prior to date of index inpatient admission

Able to comprehend English

Able to provide informed consent

Disqualifiers

Auditory or visual impairment that would interfere with study procedures

Inability to speak or understand English

Acutely psychotic patients

Trial design

Design model

Parallel

Treatments tested in this trial

  • Combined Recovery Program

    Behavioral

    A six-session treatment group designed to explore goals, values, and personal strengths about making a change for overall quality of life, health and well-being combined with skill building designed for helping to live a more stable life in their own home that will include money management for financial success and home maintenance.

  • Stable & Able (S&A)

    Behavioral

    A 90-day Home Telehealth program designed to help maintain skills to stay sober.

Treatment groups

195 Participants
are divided into 3 treatment groups
Group A: Combined Recovery Program (CRP)+Treatment-as-usual (TAU)Experimental treatment 1 intervention
Group B: CRP+ Stable & Able (S&A)+TAUActive comparator 2 interventions
Group C: Treatment-as-usual only (TAU):No intervention 0 interventions

Trial outcomes

Primary outcomes

1

Standard Ethanol Content Units (SECs) Baseline

The Timeline Follow-Back (TLFB) calendar was used to assess retrospective self-report of alcohol at Baseline (e.g., the past 30 days is defined as 'Baseline'). Amount of alcohol consumption was converted to standard ethanol content units (SECs; or standard drinks) equivalent to 0.5 oz. of ethanol. This measure represents ALL standard drinks consumed within the stated time period.

Time frame
Baseline
2

Standard Ethanol Content Units (SECs) at 1 month

The Timeline Follow-Back (TLFB) calendar was used to assess retrospective self-report of alcohol in the 30 days after the first day of treatment. Amount of alcohol consumption was converted to standard ethanol content units (SECs; or standard drinks) equivalent to 0.5 oz. of ethanol. This measure represents ALL standard drinks consumed within the stated time period.

Time frame
1 month
3

Standard Ethanol Content Units (SECs) at 3 month

The Timeline Follow-Back (TLFB) calendar was used to assess retrospective self-report of alcohol in the 60 days after the 1-month follow-up. Amount of alcohol consumption was converted to standard ethanol content units (SECs; or standard drinks) equivalent to 0.5 oz. of ethanol. This measure represents ALL standard drinks consumed within the stated time period.

Time frame
3 Month
4

Peak SEC at Baseline

The Timeline Follow-Back (TLFB) calendar was used to assess retrospective self-report of alcohol in the 30 days prior to baseline. Amount of alcohol consumption was converted to standard ethanol content units (SECs; or standard drinks) equivalent to 0.5 oz. of ethanol. This measure represents the most standard drinks consumed in a single day within the stated time period.

Time frame
Baseline

Secondary outcomes

1

Addiction Severity Index-Lite (ASI-Lite) at Baseline for Alcohol Use

The ASI-Lite will be used to measure addiction severity Min value:0 Max value: 1 Higher score indicates greater problem severity

Time frame
Baseline
2

Addiction Severity Index-Lite (ASI-Lite) at 1 month for Alcohol Use

The ASI-Lite will be used to measure addiction severity Min value:0 Max value: 1 Higher score indicates greater problem severity

Time frame
30 days
3

Addiction Severity Index-Lite (ASI-Lite) at 3 month for Alcohol Use

The ASI-Lite will be used to measure addiction severity Min value:0 Max value: 1 Higher score indicates greater problem severity

Time frame
3 Month
4

Addiction Severity Index-Lite (ASI-Lite) at Baseline for Psychiatric Status

The ASI-Lite will be used to measure addiction severity Min value:0 Max value: 1 Higher score indicates greater problem severity

Time frame
Baseline

Other outcomes

Sponsors and contacts

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