Viewing Study NCT01153594



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Last Modification Date: 2024-10-26 @ 10:21 AM
Study NCT ID: NCT01153594
Status: COMPLETED
Last Update Posted: 2010-06-30
First Post: 2010-06-29

Brief Title: Early Re-Intervention Experiment 2
Sponsor: Chestnut Health Systems
Organization: Chestnut Health Systems

Study Overview

Official Title: Early Re-Intervention ERI Experiment 2
Status: COMPLETED
Status Verified Date: 2010-06
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: ERI2
Brief Summary: The objective of this study was to evaluate the relative effectiveness of quarterly Recovery Management Checkups RMC on long-term outcomes of adult chronic substance users over 4 years
Detailed Description: CONTEXT While drug abuse is the 10th leading cause of mortality in the US the disorder remains an orphan of the public health care system Unlike cancer diabetes and other chronic diseases the detection re-emergence and progression of which we have learned to respond with aggressively timed monitoring and interventions drug abuse remains isolated from adoption into the chronic condition model of care

OBJECTIVES AND HYPOTHESES The objective of this study was to evaluate the relative effectiveness of quarterly checkups on long-term outcomes of adult chronic substance users over 4 years Relative to participants randomly assigned to the control group we predicted that RMC participants would H1 return to treatment sooner H2 receive more treatment H3 decrease substance use and H4 increase days of abstinence

METHOD Participants were recruited from sequential intakes at the largest addiction treatment agency in Illinois between February and April of 2004 Inclusion criteria were any substance use in the past 90 days and any past-year symptoms of substance use disorders For logistical reasons participants were excluded if they were under 18 lived or planned to move outside Chicago within 12 months sentenced to a confined environment most of the next 12 months mandated to treatment because of a driving under the influence offense were not fluent in English or Spanish or were cognitively unable to provide informed consent To evaluate efficacy of quarterly Recovery Management Checkups RMC on treatment reentry and substance use 446 adults 88 with dependence criteria were randomly assigned quarterly RMCs or an outcome monitoring only control group and followed quarterly for 4 years 94 completion

INTERVENTION After interviewers completed the quarterly research interview and determined participants eligibility and need for early re-intervention they transferred RMC participants who were eligible and in need to a Linkage Manager Using motivational interviewing the Linkage Manager a provided feedback to participants regarding their current substance use and related problems b discussed implications of managing addiction as a chronic condition c discussed treatment barriers and solutions d assessed and discussed level of motivation for treatment e scheduled treatment appointments f accompanied participants to treatment intake and stayed through the process and g implemented Engagement and Retention Protocol during the 14 days of treatment Detailed procedures and forms are available in the RMC manualScott Dennis 2003 httpwwwchestnutorgLIdownloadsScott__Dennis_2003_RMC_Manual-2_25_03pdf

OUTCOME MEASURES Days to first treatment days of treatment successive quarters of needing treatment number of substance problem months days of abstinence

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
5R37DA011323 NIH None httpsreporternihgovquickSearch5R37DA011323