Improving Substance Abuse Counseling Adherence Using Web-based Videoconferencing
This research is being done to compare the effectiveness of standard on-site, in-person counseling with Internet web-based videoconferencing (e-therapy) in drug-dependent patients in opioid-agonist treatment programs. The study is looking to see if there are any differences in satisfaction or in treatment outcome if counseling sessions are given by e-therapy compared to standard, in-person counseling given in the clinic. The e-therapy happens in real time- it works very much like standard therapy in the clinic except that the patient is in his or her own home (or other convenient location outside the clinic) and talks to and sees the therapist through an Internet connection on the computer (the therapist will usually be at the clinic).
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
|Official Title:||Improving Substance Abuse Counseling Adherence Using Web-based Videoconferencing|
- Counseling efficacy [ Time Frame: Weekly for 12 weeks ] [ Designated as safety issue: No ]Attendance to individual counseling sessions, both online and on-site will be tracked weekly for the duration of the study.
- Reinforcement value (eGetgoing) [ Time Frame: Monthly for 3 months ] [ Designated as safety issue: No ]Subjects will complete monthly surveys to evaluate the reinforcement value of eGetgoing using a multiple choice design that will compare its perceived value to other aspects of routine treatment (e.g., take-home medications).
- Reinforcement value (on-site) [ Time Frame: Baseline ] [ Designated as safety issue: No ]Subjects will complete a survey to evaluate the reinforcement value of eGetgoing using a multiple choice design that will compare its perceived value to other aspects of routine treatment (e.g., take-home medications).
- Program Satisfaction [ Time Frame: Baseline and monthly for 3 months ] [ Designated as safety issue: No ]Subjects will complete a survey to assess their overall program satisfaction
- Treatment cost [ Time Frame: Baseline and Month 3 ] [ Designated as safety issue: No ]Subjects will complete surveys to measure treatment related time and monetary travel costs.
- Therapeutic relationship [ Time Frame: Baseline and monthly for 3 months ] [ Designated as safety issue: No ]Subjects and their therapists will complete surveys to assess qualities of the therapeutic relationship.
|Study Start Date:||December 2009|
|Study Completion Date:||August 2012|
|Primary Completion Date:||August 2012 (Final data collection date for primary outcome measure)|
Experimental: Internet (eGetgoing)
Subjects will assigned to use an accredited web-based platform (eGetgoingTM, CRC Health Group, Inc.) to deliver routine substance abuse counseling.
eGet individual counseling sessions from home will be scheduled weekly for 12 weeks.
No Intervention: Routine on-site
Subjects will attend routine face-to-face individual counseling sessions.
This study will be the first to evaluate the efficacy of an accredited and currently available, Internet web-based videoconferencing platform to deliver routine schedules of counseling in an opioid agonist treatment program. It has outstanding potential to help determine transportability of this technology to other treatment programs by demonstrating the benefits of integration of web-based therapy with on-site services to expand the continuum of care.
|United States, Maryland|
|Addiction Treatment Services|
|Baltimore, Maryland, United States, 21224|
|Principal Investigator:||Van King, M.D.||Johns Hopkins University|