N/A
N=180
Impact of Group Motivational Interviewing and In-Home-Messaging-Devices for Dually Diagnosed Veterans
Alcohol Dependence · Dual Diagnosis · Drug Dependence
Bottom Line
View on ClinicalTrials.gov: NCT00706901 ↗Enrolled (actual)
180
Serious AEs
1.1%
Results posted
Feb 2015
Primary outcome: Primary: Number of Alcohol Drinking Days in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days — 5.1; 6.5; 6.7; 8.8 Days Using Alcohol — p=<0.01
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Arm 1 GMI (Behavioral); Arm 2 IHMD (Behavioral); Arm 3 TCC (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Jun 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Alcohol Drinking Days in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days |
5.1; 6.5; 6.7; 8.8; 10.9; 9.9 | <0.01 sig |
| PRIMARY Number of Alcohol Binge Drinking Days in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days |
3.1; 2.7; 6.1; 5.1; 4.0; 7.9 | <0.01 sig |
| PRIMARY Standard Number of Alcohol Drinks in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days |
45.1; 45.8; 70.0; 66.5; 64.6; 112.3 | 0.04 sig |
| PRIMARY Treatment Utilization in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days |
8.7; 7.0; 8.8; 11.3; 6.4; 8.3 | <0.01 sig |
| PRIMARY Treatment Attendance at 12-step or Mutual Self-help Sessions in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days |
8.0; 5.1; 7.1; 16.2; 10.6; 16.2 | <.0001 sig |
| SECONDARY Number of Illicit Drug Use Days in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days |
0.74; 0.62; 0.7; 0.9; 0.51; 0.7 | 0.17 |
Summary
Two approaches for providing evidence-based substance abuse treatment (EBT), group motivational interviewing (GMI) and the In-Home-Messaging-Device (IHMD), are interventions that have the characteristic ability for increasing accessibility to evidence-based treatment among patients with substance use problems and are proposed for investigation. GMI is based on motivational interviewing, an intervention that has shown consistent significant effects in promoting treatment retention and reduced substance use among individuals with substance use disorders, and is delivered in a group format. IHMD is a user-friendly computerized Tele-mental Health communication tool that allows interaction through the telephone line between a Veteran and the health care provider in an individual's home or residential placement. The current proposal aims to determine whether GMI and IHMD lead to a significantly greater increase in treatment engagement and reduction in alcohol use compared to a treatment control condition (TCC) among Veterans with a substance use problem and a co-existing psychiatric disorder.
Eligibility Criteria
Inclusion Criteria
- ability to provide informed consent
- reading level at least at the 5th grade level
- ability to identify at least one collateral contact
- ability to be contacted by telephone at follow-up
- access to a working telephone line in the home or residential placement
- alcohol use or alcohol and drug use in the 28 days prior to hospitalization and current alcohol dependence (or abuse) or alcohol and drug abuse
Exclusion Criteria
- auditory or visual impairment that would interfere with study procedures
- scheduled for discharge within 72 hours of initial screening
- diagnosis of dementia
- inability to speak or understand English
- unable to access a landline telephone for the IHMD treatment group
Data sourced from ClinicalTrials.gov (NCT00706901). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.