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| ID | Type | Description | Link |
|---|---|---|---|
| 1K01DA027754-01A1 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Drug Abuse (NIDA) | NIH |
| University of California, Los Angeles | OTHER |
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The primary purpose of this study is to test the effectiveness of a pilot mobile based continuing care program (monitoring/feedback texting) relative to standard continuing care as usual in reducing relapse and improving psychosocial functioning outcomes in a youth population (under 24) with substance abuse problems.
This study will include approximately 80 participants randomized to either 12 weeks of mobile continuing care (intervention) or standard continuing care as usual (control). Participants will be recruited from the treatment programs in Los Angeles County, including Matrix Institute on Addictions, Tarzana Treatment, Twin Town, Phoenix House, and Cri-Help. During the 12-week active program, participants will be monitored monthly via telephone data collection. Both groups will be followed for 10-months using repeated assessments (self-report and urine specimens) at baseline (month 0) and at follow-up points (months 3, 6, and 9).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mobile Continuing Care | Experimental | Behavioral: 12-week Structured Texting intervention focused on recovery monitoring, feedback for self-management, social support and education |
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| Standard Continuing Care as Usual | No Intervention | Continuing care as usual to 12-step facilitation (Anonymous group) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mobile Continuing Care | Behavioral | Behavioral: Mobile Texting 12-week intervention. Delivers daily Recovering monitoring, self-management feedback, and education/social support |
| Measure | Description | Time Frame |
|---|---|---|
| Primary Substance Use (Defined as Substance Received Treatment for) | Primary substance use relapse was measured by urine tests (0 = negative, 1 = positive). | Baseline, discahrge, 3 month follow-up, 6 month follow-up, 9 month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Participation in Recovery Behaviors Over Time | Recovery behaviors defined as mean number of days doing extracurricular/recovery-goal directed activities using repeated measures over time. | baseline, discharge, 3-, 6- and 9-month follow-ups |
| Recovery Confidence (Self-efficacy) Over Time |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rachel Gonzales-Castaneda, MPH, PhD | Azusa Pacific University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Azusa Pacific University Psychology Department | Azusa | California | 91702 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Mobile Continuing Care | Behavioral: 12-week Structured Texting intervention focused on recovery monitoring, feedback for self-management, social support and education Mobile Continuing Care: Behavioral: Mobile Texting 12-week intervention. Delivers daily recovering monitoring, self-management feedback, and education/social support |
| FG001 | Standard Continuing Care as Usual | Continuing care as usual (12-step facilitation) group |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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This study included 80 substance abusing youth who completed treatment and participated in a pilot aftercare project called Project ESQYIR (Educating & Supporting inquisitive Youth in Recovery). Youth were randomized to the mobile aftercare intervention (n=40) or aftercare as usual control (n=40).
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| ID | Title | Description |
|---|---|---|
| BG000 | Mobile Continuing Care | Behavioral: 12-week Structured Texting intervention focused on recovery monitoring, feedback for self-management, social support and education Mobile Continuing Care: Behavioral: Mobile Texting 12-week intervention. Delivers daily recovering monitoring, self-management feedback, and education/social support |
| BG001 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Primary Substance Use (Defined as Substance Received Treatment for) | Primary substance use relapse was measured by urine tests (0 = negative, 1 = positive). | An intent to treat model was used. The primary outcome measure is primary substance use measured by urine drug test at baseline, discharge as well as at 3-, 6-, and 9-month follow-ups. Study retention at discharge was 95%, 92.5% at 3 months, 86.2% at 6 months, and 82.5% at 9 months. | Posted | Number | percentage of positive urines | Baseline, discahrge, 3 month follow-up, 6 month follow-up, 9 month follow-up |
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During the 9-month study period.
Serious and non-serious adverse events were not observed during the study period.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Mobile Continuing Care | Behavioral: 12-week Structured Texting intervention focused on recovery monitoring, feedback for self-management, social support and education Mobile Continuing Care: Behavioral: Mobile Texting 12-week intervention. Delivers daily recovering monitoring, self-management feedback, and education/social support |
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Pilot study limiting number of participants recruited.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Rachel Gonzales Castaneda | Azusa Pacific University | 6268156000 | 2744 | rcastaneda@apu.edu |
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| ID | Term |
|---|---|
| D016739 | Behavior, Addictive |
| ID | Term |
|---|---|
| D003192 | Compulsive Behavior |
| D007175 | Impulsive Behavior |
| D001519 | Behavior |
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Change/improvements in mean recovery confidence score over time (measured by question "How confident are you in your ability to be completely abstinent (clean) from alcohol and drugs in the next 30 days?" (units on scale included 0=not at all, 1=slightly, 2=moderately, 3=considerably, 4-extremely). |
| baseline, discharge, 3-, 6-, and 9-month follow-ups |
| Social Support Utilization | Self-help utilization was measured by the question: "In the past 30 days, how many days did you attend self-help meetings like AA or NA to support your recovery?" | Baseline, discahrge, 3 month follow-up, 6 month follow-up, 9 month follow-up |
| Standard Continuing Care as Usual |
Continuing care as usual (12-step facilitation) group |
| BG002 | Total | Total of all reporting groups |
| years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| education | Mean | Standard Deviation | years |
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| OG001 | Standard Continuing Care as Usual | Continuing care as usual (12-step facilitation) group |
|
|
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| Secondary | Participation in Recovery Behaviors Over Time | Recovery behaviors defined as mean number of days doing extracurricular/recovery-goal directed activities using repeated measures over time. | Intent to treatment model was used. Mixed modeling used to examine differences in recovery behaviors (measured by mean days doing extracurricular/recovery-goal directed activities) over time between study conditions. | Posted | Mean | Standard Deviation | days per month | baseline, discharge, 3-, 6- and 9-month follow-ups |
|
|
|
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| Secondary | Recovery Confidence (Self-efficacy) Over Time | Change/improvements in mean recovery confidence score over time (measured by question "How confident are you in your ability to be completely abstinent (clean) from alcohol and drugs in the next 30 days?" (units on scale included 0=not at all, 1=slightly, 2=moderately, 3=considerably, 4-extremely). | Used an intent to treat design. Examined the effects of the intervention (mobile continuing care) compared to aftercare as usual on change in recovery self-confidence over time. | Posted | Mean | Standard Deviation | units on a scale | baseline, discharge, 3-, 6-, and 9-month follow-ups |
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|
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| Secondary | Social Support Utilization | Self-help utilization was measured by the question: "In the past 30 days, how many days did you attend self-help meetings like AA or NA to support your recovery?" | Intent to treat model was used to assess the effects of the intervention (mobile continuing care) compared to aftercare as usual in terms of improvements in social support service utilization over time (baseline, discharge and follow-ups: 3-, 6- and 9-months post-discharge). | Posted | Mean | Standard Deviation | days per month | Baseline, discahrge, 3 month follow-up, 6 month follow-up, 9 month follow-up |
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|
|
| 0 |
| 40 |
| 0 |
| 40 |
| EG001 | Standard Continuing Care as Usual | Continuing care as usual (12-step facilitation) group | 0 | 40 | 0 | 40 |
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| 3-month recovery behaviors |
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| 6-month recovery behaviors |
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| 9-month recovery behaviors |
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| 3-month follow-up confidence rating |
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| 6-month follow-up confidence rating |
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| 9-month follow-up confidence rating |
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| 3-month follow-up social support utilization |
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| 6-month upport utilization |
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| 9-month upport utilization |
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