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The present study, in an out-patient setting for substance use treatment in adolescents, examines the effect on treatment retention of a mobile telephone follow-up technique (interactive voice response), with or without personal feedback. Subjects in treatment for substance use disorders will be followed by automated mobile telephone contact with questions about psychiatric symptoms and substance use, and the investigators hypothesize that this technique, including a personal feedback reporting back to the client whether his or her status is changing in one way or another, may increase the treatment retention, possibly by means of an intensified treatment contact.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interactive voice response with personal feedback | Experimental | Interactive voice response follows the client twice weekly for 3 months with respect to symptoms and substance use, in both arms. This intervention group also receives a personalized and automated feedback describing whether the symptom status of the patient is better, worse or equal, compared to the preceding follow-up. |
|
| Interactive voice response without personal feedback | Active Comparator | This control group is also followed with identical interactive voice response follow-up, addressing symptoms and substance use, but without the personal feedback. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interactive voice response with personal feedback | Behavioral | Personal feedback is given at the end of each automated telephone follow-up call, and reports back to the patient whether his och her symptom status is better, worse or equal, compared to the previous telephone call. |
| Measure | Description | Time Frame |
|---|---|---|
| Retention in substance use disorder treatment | Duration of retention in treatment and whether the client remains in treatment at 3 months or not. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in substance use | Do patients in the intervention group improve more than in the control group, with respect to substance use (alcohol/drug use), during the duration of the interactive voice response intervention? | 3 months |
| Improvements in psychiatric symptoms |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical course with respect to emergency visits | 12 months | |
| Clinical course with respect to hospitalizations | 12 months | |
| Clinical course with respect to repeated treatment episodes |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maria Malmö, Dept of Psychiatry Skane and City of Malmö, Sweden | Malmö | Skåne County | 205 02 | Sweden |
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| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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|
| Interactive voice response without personal feedback | Behavioral | Control condition. Identical follow-up but without personal feedback. |
|
Do patients in the intervention group improve more than in the control group, with respect to psychiatric symptoms, during the duration of the interactive voice response intervention? |
| 3 months |
| 12 months |