N/A
N=184
Group Motivational Interviewing (GMI) For Homeless Veterans In VA Services
Alcoholism · Substance-related Disorders · Dual Diagnosis
Bottom Line
View on ClinicalTrials.gov: NCT02233738 ↗Enrolled (actual)
184
Serious AEs
0.0%
Results posted
Dec 2019
Primary outcome: Primary: Standard Ethanol Content Units (SECs) Baseline — 179.9; 190.1 Standard Ethanol Content Unit
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Group Motivational Interviewing (GMI) (Behavioral); Control Treatment Condition (CT) (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Jul 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Standard Ethanol Content Units (SECs) Baseline |
179.9; 190.1 | — |
| PRIMARY Standard Ethanol Content Units (SECs) at 1 Month |
44.9; 36.9 | — |
| PRIMARY Standard Ethanol Content Units (SECs) at 3 Months |
50.1; 37.7 | — |
| PRIMARY Standard Ethanol Content Units (SECs) at 6 Months |
96.5; 66.9 | — |
| PRIMARY Peak SEC at Baseline |
21.0; 19.1 | — |
| PRIMARY Peak SEC at 1 Month |
4.8; 4.5 | — |
| PRIMARY Peak SEC at 3 Months |
9.8; 5.9 | — |
| PRIMARY Peak SEC at 6 Months |
10.3; 7.2 | — |
| PRIMARY Alcohol Drink Days at Baseline |
13.3; 14.8 | — |
| PRIMARY Alcohol Drink Days at 1 Month |
4.6; 5.5 | — |
| PRIMARY Alcohol Drink Days at 3 Months |
6.2; 6.6 | — |
| PRIMARY Alcohol Drink Days at 6 Months |
8.3; 8.3 | — |
| PRIMARY Binge Drink Days at Baseline |
11.0; 12.0 | — |
| PRIMARY Binge Drink Days at 1 Month |
3.0; 3.0 | — |
| PRIMARY Binge Drink Days at 3 Months |
5.1; 4.0 | — |
| PRIMARY Binge Drink Days at 6 Months |
6.2; 5.7 | — |
| PRIMARY Illicit Drug Use Days at Baseline |
6.2; 7.7 | — |
| PRIMARY Illicit Drug Use Days at 1 Month |
2.2; 1.7 | — |
| PRIMARY Illicit Drug Use Days at 3 Months |
2.0; 2.5 | — |
| PRIMARY Illicit Drug Use Days at 6 Months |
3.4; 3.3 | — |
| PRIMARY Substance Use Disorder Treatment Sessions at Baseline |
3.7; 4.7 | — |
| PRIMARY Substance Use Disorder Treatment Sessions at 1 Month |
20.9; 22.2 | — |
| PRIMARY Substance Use Disorder Treatment Sessions at 3 Months |
8.1; 6.3 | — |
| PRIMARY Substance Use Disorder Treatment Sessions at 6 Months |
3.2; 1.8 | — |
| PRIMARY Twelve-Step Sessions Attended at Baseline |
5.2; 3.8 | — |
| PRIMARY Twelve-Step Sessions Attended at 1 Month |
10.7; 10.8 | — |
| PRIMARY Twelve-Step Sessions Attended at 3 Months |
9.8; 7.5 | — |
| PRIMARY Twelve-Step Sessions Attended at 6 Months |
6.7; 3.8 | — |
| PRIMARY Times Involved in Community Participation Activities at Baseline |
10.4; 14 | — |
| PRIMARY Times Involved in Community Participation Activities at 1 Month |
18.4; 25.2 | — |
| PRIMARY Times Involved in Community Participation Activities at 3 Months |
16.7; 19.4 | — |
| PRIMARY Times Involved in Community Participation Activities at 6 Months |
16.7; 14.5 | — |
| PRIMARY Days Involved in Productive Work Activities at Baseline |
2.2; 3.0 | — |
| PRIMARY Days Involved in Productive Work Activities at 1 Month |
3.6; 3.5 | — |
| PRIMARY Days Involved in Productive Work Activities at 3 Months |
7.0; 7.0 | — |
| PRIMARY Days Involved in Productive Work Activities at 6 Months |
8.0; 9.8 | — |
| SECONDARY Mental Health Treatment Sessions at Baseline |
0.36; 0.20 | — |
| SECONDARY Mental Health Treatment Sessions at 1 Month |
0.79; 0.39 | — |
| SECONDARY Mental Health Treatment Sessions at 3 Months |
1.0; 0.25 | — |
| SECONDARY Mental Health Treatment Sessions at 6 Months |
0.78; 0.27 | — |
| SECONDARY Substance Use Disorder and Mental Health Treatment Sessions at Baseline |
4.0; 4.9 | — |
| SECONDARY Substance Use Disorder and Mental Health Treatment Sessions at 1 Month |
21.7; 22.6 | — |
| SECONDARY Substance Use Disorder and Mental Health Treatment Sessions at 3 Months |
9.1; 6.5 | — |
| SECONDARY Substance Use Disorder and Mental Health Treatment Sessions at 6 Months |
4.0; 2.0 | — |
| SECONDARY Addiction Severity Index-Lite (ASI-Lite) at Baseline for Alcohol Use |
0.50; 0.50 | — |
| SECONDARY Addiction Severity Index-Lite (ASI-Lite) at 1 Month for Alcohol Use |
0.18; 0.19 | — |
| SECONDARY Addiction Severity Index-Lite (ASI-Lite) at 3 Months for Alcohol Use |
0.31; 0.27 | — |
| SECONDARY Addiction Severity Index-Lite (ASI-Lite) at 6 Months for Alcohol Use |
0.49; 0.41 | — |
| SECONDARY Addiction Severity Index-Lite (ASI-Lite) at Baseline for Psychiatric Status |
0.47; 0.40 | — |
| SECONDARY Addiction Severity Index-Lite (ASI-Lite) at 1 Month for Psychiatric Status |
0.28; 0.26 | — |
| SECONDARY Addiction Severity Index-Lite (ASI-Lite) at 3 Month for Psychiatric Status |
0.30; 0.26 | — |
| SECONDARY Addiction Severity Index-Lite (ASI-Lite) at 6 Months for Psychiatric Status |
0.38; 0.30 | — |
| SECONDARY Short Inventory of Problems (SIP) at Baseline |
27.0; 26.1 | — |
| SECONDARY Short Inventory of Problems at 1 Month |
6.5; 6.9 | — |
| SECONDARY Short Inventory of Problems at 3 Months |
9.8; 7.6 | — |
| SECONDARY Short Inventory of Problems at 6 Months |
11.1; 10.8 | — |
| SECONDARY Social Support Survey Total Score at Baseline |
61.1; 60.3 | — |
| SECONDARY Social Support Survey Total Score at 1 Month |
63.3; 68.2 | — |
| SECONDARY Social Support Survey Total Score at 3 Months |
63.1; 66.8 | — |
| SECONDARY Social Support Survey Total Score at 6 Months |
61.2; 65.7 | — |
| SECONDARY Quality of Life Survey (QOLS) at Baseline |
61.6; 68.8 | — |
| SECONDARY Quality of Life Survey (QOLS) at 1 Month |
71.2; 73.5 | — |
| SECONDARY Quality of Life Survey (QOLS) at 3 Months |
72.4; 75.1 | — |
| SECONDARY Quality of Life Survey (QOLS) at 6 Months |
71.3; 72.6 | — |
| SECONDARY Brief Symptom Inventory (BSI-18) at Baseline |
21.4; 19.3 | — |
| SECONDARY Brief Symptom Inventory(BSI-18) at 1 Month |
15.9; 14.2 | — |
| SECONDARY Brief Symptom Inventory (BSI-18) at 3 Months |
16.1; 13.1 | — |
| SECONDARY Brief Symptom Inventory (BSI-18) at 6 Months |
17.2; 15.9 | — |
| SECONDARY SF-12 Health Survey Physical Summary Score at Baseline |
41.6; 41.6 | — |
| SECONDARY SF-12 Health Survey Physical Summary Score at 1 Month |
40.2; 43.6 | — |
| SECONDARY SF-12 Health Survey Physical Summary Score at 3 Months |
41.0; 42.2 | — |
| SECONDARY SF-12 Health Survey Physical Summary Score at 6 Months |
40.4; 40.8 | — |
| SECONDARY SF-12 Health Survey Mental Summary Score at Baseline |
35.9; 39.0 | — |
| SECONDARY SF-12 Health Survey Mental Summary Score at 1 Month |
43.9; 44.5 | — |
| SECONDARY SF-12 Health Survey Mental Summary Score at 3 Months |
43.0; 44.7 | — |
| SECONDARY SF-12 Health Survey Mental Summary Score at 6 Months |
42.7; 44.6 | — |
| SECONDARY Treatment Motivation Questionnaire (TMQ) at Baseline |
2.4; 2.6; 6.1; 6.0 | — |
| SECONDARY Treatment Motivation Questionnaire (TMQ) at 1-month |
2.2; 2.6; 5.8; 5.8 | — |
| SECONDARY Treatment Motivation Questionnaire (TMQ) at 3-month |
2; 2.5; 5.4; 5.6 | — |
| SECONDARY Treatment Motivation Questionnaire (TMQ) at 6-months |
2.2; 2.5; 5.5; 5.3 | — |
| SECONDARY Fagerstrom Test for Nicotine Dependence at Baseline |
4.5; 4.0 | — |
| SECONDARY Psychiatric Outpatient Satisfaction Scale - Total Score |
61.1; 60.1 | — |
| SECONDARY Helping Alliance Questionnaire - Total Score |
100.1; 101.6 | — |
Summary
Homeless Veterans with substance use disorders (SUDs) are a major group served by VA and are heavily represented in VA housing. VA recently adopted a 'Housing First' approach emphasizing rapid housing placement to initiate recovery without requiring sobriety and will necessitate SUD interventions that are efficient and easily layered onto existing services. The proposed study will investigate the effectiveness, implementation process, and cost estimate of Group Motivational Interviewing (GMI) for Veterans with SUDs in VA housing (Housing Urban Development-VA Support Housing [HUD-VASH] and Grant and per Diem [GPD]). Outcomes will be assessed at multiple time points using a multi-modal approach. The ultimate goal of this research is to establish the basis of a GMI dissemination and implementation course of action for highly vulnerable homeless Veterans in VA housing for achieving their greatest success in attaining housing stability.
Eligibility Criteria
Inclusion Criteria
- Men and women Veterans currently in Housing Urban Development-VA Support Housing [HUD-VASH] and Grant and per Diem [GPD]), newly entering the program but not yet housed, or Veterans on the HUD-VASH interest (wait) list.
- Able to comprehend English.
- Meets DSM-V criteria for a current substance use disorder and have used substances in the 30 days prior to treatment entry. Participants on medications targeting their substance use must be stabilized on medications for at least 2 weeks before therapy initiation.
- May meet criteria a mood, anxiety or other psychiatric disorder. Participants on maintenance medications for a mood or anxiety disorder must be stabilized on medications for at least 2 weeks before therapy initiation.
- Able to adequately provide informed consent and function at an intellectual level sufficient to allow accurate completion of all assessment instruments.
- Willing to commit to 4 group therapy sessions, baseline, 1, 3, and 6 month follow-up assessments.
Exclusion Criteria
- Active suicidal or homicidal ideation with a plan as this is likely to require hospitalization or other interventions that could interfere with study participation.
- Unstable psychiatric condition that is likely to require hospitalization or other interventions that would interfere with study participation.
- Unstable medical condition or one that may require hospitalization during the course of the study.
Data sourced from ClinicalTrials.gov (NCT02233738). 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.