- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02124980
Automated Recovery Line for Medication Assisted Treatment
June 28, 2017 updated by: Yale University
If shown to be effective, the Recovery Line would provide an inexpensive, transportable, and easy to use treatment to improve substance abuse outcomes for medication assisted treatment.
Given the high costs of relapse and continued drug use, improvement of treatment outcomes would provide substantial health, economic, and societal benefits.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Dependence on heroin and prescription pain relievers has almost tripled since 2000, resulting in dramatic increases in opioid dependence treatment admissions.
However, among agonist-maintained patients continued drug use is common and associated with high rates of relapse and treatment drop-out.
Although counseling has been shown to be effective, it is costly and some patients dislike counseling, others have responsibilities that make attendance difficult, and patients in rural settings often have limited access to psychotherapy.
Thus, there is a clear need to develop additional acceptable and cost-effective treatments.
Interactive Voice Response (IVR) systems, which have been shown to effectively augment brief interventions for substance abuse, are automated, computer-based systems delivered via phone and use voice or keys to access different menus.
IVR systems can be accessed from any phone rather than only specified technology (e.g., smartphones), and offer advantages of low cost, consistent delivery, expanded access, and 24-hour availability of immediate therapeutic intervention.
The Recovery Line is a Cognitive Behavioral Therapy (CBT)-based IVR system to reduce substance use in patients receiving opioid agonist maintenance.
We recently completed a pilot randomized 4-week trial which showed significant reduction in cocaine use and increased coping skill efficacy, but patients called less time than expected, suggesting methods to improve patient use may further improve efficacy.
This Stage Ib application proposes three phases to develop system functions to increase patient system use and to test those functions.
The initial two phases will develop customized recommendations and reminders to be used in Phase 3 pilot clinical trial.
The Phase 3 trial is a 12-week pilot randomized (N=60), clinical trial with a 3 month post-treatment follow-up to obtain data regarding the feasibility, acceptability and efficacy of the developed Recovery Line (compared to TAU).
Efficacy will be evaluated for the two primary outcome domains of the proportion of urine screens negative for illicit drugs and monthly days of illicit drug abstinence.
Secondary outcome measures will be retention in treatment and coping skills efficacy.
Study Type
Interventional
Enrollment (Anticipated)
60
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Connecticut
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New Haven, Connecticut, United States, 06519
- MRU, APT Foundation, Inc
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- are at least 18 years old
- currently receiving methadone maintenance treatment
- illicit drug use in the past 14 days or a positive urine screen for any tested illicit drug.
Exclusion Criteria:
- Current suicide or homicide risk
- meet criteria for Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV current psychotic disorder, or bipolar disorder
- Unable to read or understand English
- Unable to complete the study because of anticipated incarceration or move
- Life-threatening or unstable medical problems.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Recovery Line plus Treatment-as-Usual (RL+TAU)
The Recovery Line is an automated computer-based IVR system that provides CBT-based modules.
The RL+TAU condition will include the customized therapeutic recommendations developed in Phase 1, and the contact reminders messages and time frame that maximized system use in Phase 2. Patients will receive an orientation, 24-hour access, encouragement to use the system from clinic staff reminder, and technical assistance line for system problems.
Patients will receive 12 weeks of system access.
|
Other Names:
|
No Intervention: Treatment-as-Usual
Treatment-as Usual involves daily methadone and associated psychosocial services.
Patients are required to attend 1 group session per month and are encouraged to attend open drop-in groups available daily covering a range of topics.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
urine screens
Time Frame: 6 months
|
bi-weekly urine screens negative for illicit drugs
|
6 months
|
self reported drug use
Time Frame: 6 months
|
monthly days of self reported illicit drug abstinence
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
treatment retention
Time Frame: 6 months
|
days retained in methadone treatment
|
6 months
|
coping behaviors
Time Frame: 6 months
|
coping behaviors as measured by the Effectiveness of Coping Behavior Inventory and the Drug Risk Response Test
|
6 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
patient satisfaction
Time Frame: 6 months
|
a semi-structured interview will be used to assess overall satisfaction with methadone services and satisfaction ratings of specific components of treatment
|
6 months
|
type and amount of health and psychosocial services
Time Frame: 6 months
|
the Treatment Services Review is a semistructured used to collect detailed information on receipt of health and psychosocial services outside of the study
|
6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
November 1, 2015
Primary Completion (Actual)
April 1, 2017
Study Completion (Actual)
April 1, 2017
Study Registration Dates
First Submitted
April 24, 2014
First Submitted That Met QC Criteria
April 25, 2014
First Posted (Estimate)
April 28, 2014
Study Record Updates
Last Update Posted (Actual)
July 2, 2017
Last Update Submitted That Met QC Criteria
June 28, 2017
Last Verified
June 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1208010744
- R01DA034678 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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