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Substance Abuse Self-Help Group Referral: Outcomes and Services Use

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT00105729
First received: March 16, 2005
Last updated: January 24, 2013
Last verified: September 2006

March 16, 2005
January 24, 2013
January 2003
Not Provided
DRUG USE AND ALCOHOL USE AT 6 MONTHS AND 1 YEAR [ Designated as safety issue: No ]
Not Provided
Complete list of historical versions of study NCT00105729 on ClinicalTrials.gov Archive Site
SUBSTANCE ABUSE AND PSYCHIATRIC SERVICES USE AT 6 MONTHS AND 1 YEAR [ Designated as safety issue: No ]
Not Provided
Not Provided
Not Provided
 
Substance Abuse Self-Help Group Referral: Outcomes and Services Use
Substance Abuse Self-Help Group Referral: Outcome and Services Use

Self-help groups (SHGs) have become an important component of the system of care for patients with substance use disorders (SUDs). SUD patients' participation in SHGs has been linked to lower relapse rates and less use of additional treatment services.

Background:

Self-help groups (SHGs) have become an important component of the system of care for patients with substance use disorders (SUDs). SUD patients' participation in SHGs has been linked to lower relapse rates and less use of additional treatment services.

Objectives:

The first objective was to implement and validate procedures to help counselors make effective referrals to SHGs for SUD patients. This project randomly assigned SUD outpatients to a standard referral or an intensive referral condition. We are determining the extent to which intensive referral increased patients' SHG attendance and involvement in comparison to standard referral. The second objective is to determine whether patients who received intensive referral to SHGs have better substance use and functioning outcomes over the 1-year follow-up period, and less use of formal treatment services, thereby reducing costs for VA, than those who received standard referral. The long-term goal is to develop and implement guidelines to facilitate SUD patients' participation in SHGs and thereby improve their quality of life and decrease their use of VA's specialized SUD treatment services.

Methods:

This project used a randomized design in which 345 patients entering VA outpatient SUD treatment were randomly assigned to either standard or intensive referral to SHGs. Standard referral consisted of the counselor recommending SHG participation. The keys to intensive referral included the counselor facilitating direct contact between the patient and a member of the SHG, and counselor follow-up on the recommendation for self-help. Patients were followed at 6 months and 1 year to determine whether intensive referral resulted in more self-help attendance and involvement; in better substance use and functioning outcomes (using the Addiction Severity Index); and in less use of VA services and lower treatment costs (using methods of the VA Health Economics Resource Center). To make these determinations, we are conducting analyses at each follow-up, and then will use hierarchical linear modeling to examine the benefits of intensive referral over time.

Status:

Project work is ongoing.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Substance Use Disorders
Behavioral: Intensive referral to 12-step self-help groups
Arm 1
Intervention: Behavioral: Intensive referral to 12-step self-help groups

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
345
April 2005
Not Provided

Inclusion Criteria:

Consecutive substance use disorder outpatients at VA PA HCS and is not cognitively impaired.

Exclusion Criteria:

Cognitive impairment

Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Not Provided
 
NCT00105729
IIR 20-067
No
Department of Veterans Affairs
Department of Veterans Affairs
Not Provided
Principal Investigator: Christine Timko, PhD VA Palo Alto Health Care System
Department of Veterans Affairs
September 2006

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP