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The main objective of this study is to pilot test the Positive Peer Journaling (PPJ) [later renamed "Positive Recovery Journaling" (PRJ)] intervention and its feasibility and acceptability. A second objective is to compare individuals assigned to PPJ to individuals in a treatment as usual control group.
Many spiritual and religious traditions involve the practice of personal inventory and self-examination. These practices involve conducting a review of the day, spirituality, gratitude, and striving for self-knowledge and self-improvement. The 10th step of Alcoholics Anonymous (AA) recommends that members conduct such a daily inventory. While this practice may benefit AA members, not everyone seeking addiction recovery joins AA. Even for those who do, it can take time to reach step 10 and begin deriving benefits from it. The study PI, Dr. Amy Krentzman, developed Positive Recovery Journaling (PRJ, formerly "positive peer journaling") as a simple 10-minute daily practice which reviews the past 24 hours on the left side of a journal page and plans the upcoming 24 hours on the right side of a journal page. The prompts for the left and right sides of the PRJ page are based on principles from positive psychology and behavioral activation.
The main objective of this study is to pilot test the PRJ intervention and to examine the feasibility, acceptability, and logistics of treatment delivery.
A second objective is to observe whether PRJ is associated with improvement in satisfaction with life, happiness with recovery, and commitment to sobriety
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Group | Experimental | Participants in this group will complete the intervention, Positive Peer Journaling (PPJ), while also continuing to attend intensive outpatient treatment for addiction. |
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| Control Group | No Intervention | There will be no intervention for those randomized to the control group. However, they will complete assessment instruments throughout the study period while also continuing to attend intensive outpatient treatment for addiction. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Positive Peer Journaling (PPJ) | Behavioral | PPJ is a journaling practice to support addiction recovery. PPJ encourages past 24 hour review and upcoming 24 hour planning to improve subjective wellbeing in recovery and reduce relapse. PPJ uses journals with column headings under which individuals make bullet-pointed lists. On the left hand page, past 24 hours is recalled, itemizing "good" and "bad" things that happened and things for which one is grateful. Good wishes for others are also expressed on this page. On the right hand page, values-based activities for the upcoming 24 hours are planned via headings representing valued life domains such as "recovery," "work/school," "spirituality," "home and household," and "health." |
| Measure | Description | Time Frame |
|---|---|---|
| Satisfaction With Life at Baseline | Score on the "Satisfaction with Life" scale. This scale has 5 items assessed on a 7 point Likert-type response format. Scores range from 5 to 35 with higher scores representing higher satisfaction with life. | Baseline |
| Satisfaction With Life at 2 Weeks | Score on the "Satisfaction with Life" scale. This scale has 5 items assessed on a 7 point Likert-type response format. Scores range from 5 to 35 with higher scores representing higher satisfaction with life. | 2 weeks (after Phase 1, the group phase) |
| Satisfaction With Life at 4 Weeks | Score on the "Satisfaction with Life" scale. This scale has 5 items assessed on a 7 point Likert-type response format. Scores range from 5 to 35 with higher scores representing higher satisfaction with life. | 4 weeks (after Phase 2, the independent practice phase) |
| Satisfaction With Life at 8 Weeks | Score on the "Satisfaction with Life" scale. This scale has 5 items assessed on a 7 point Likert-type response format. Scores range from 5 to 35 with higher scores representing higher satisfaction with life. | 8 weeks (the 1-month post-intervention) |
| Happiness With Recovery at Baseline | Score on a single item, "In general, I am happy with my recovery." This item uses an 11 point scale ranging from 0 to 10. Higher scores represent higher happiness with recovery. | Baseline |
| Happiness With Recovery at 2 Weeks | Score on a single item, "In general, I am happy with my recovery." This item uses an 11 point scale ranging from 0 to 10. Higher scores represent higher happiness with recovery. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Amy Krentzman, MSW, PhD | University of Minenesota | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NUWAY | Minneapolis | Minnesota | 55413 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Treatment Group | Participants in this group will complete the intervention, Positive Peer Journaling (PPJ), while also continuing to attend intensive outpatient treatment for addiction. Positive Peer Journaling (PPJ): PPJ is a journaling practice to support addiction recovery. PPJ encourages past 24 hour review and upcoming 24 hour planning to improve subjective wellbeing in recovery and reduce relapse. PPJ uses journals with column headings under which individuals make bullet-pointed lists. On the left hand page, past 24 hours is recalled, itemizing "good" and "bad" things that happened and things for which one is grateful. Good wishes for others are also expressed on this page. On the right hand page, values-based activities for the upcoming 24 hours are planned via headings representing valued life domains such as "recovery," "work/school," "spirituality," "home and household," and "health." |
| FG001 | Control Group | There will be no intervention for those randomized to the control group. However, they will complete assessment instruments throughout the study period while also continuing to attend intensive outpatient treatment for addiction. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Treatment Group | Participants in this group will complete the intervention, Positive Peer Journaling (PPJ), while also continuing to attend intensive outpatient treatment for addiction. Positive Peer Journaling (PPJ): PPJ is a journaling practice to support addiction recovery. PPJ encourages past 24 hour review and upcoming 24 hour planning to improve subjective wellbeing in recovery and reduce relapse. PPJ uses journals with column headings under which individuals make bullet-pointed lists. On the left hand page, past 24 hours is recalled, itemizing "good" and "bad" things that happened and things for which one is grateful. Good wishes for others are also expressed on this page. On the right hand page, values-based activities for the upcoming 24 hours are planned via headings representing valued life domains such as "recovery," "work/school," "spirituality," "home and household," and "health." |
| Units | Counts |
|---|---|
| Participants |
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| 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 | Satisfaction With Life at Baseline | Score on the "Satisfaction with Life" scale. This scale has 5 items assessed on a 7 point Likert-type response format. Scores range from 5 to 35 with higher scores representing higher satisfaction with life. | Posted | Mean | Standard Deviation | units on a scale | Baseline |
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From baseline screening through 8 week assessment (approximately 8 weeks).
The study team monitored all participant communication including but not limited to Zoom screenings and group sessions, as well as written communication in the PRJ journals, for information of concern to health or wellbeing.
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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 | Treatment Group | Participants in this group will complete the intervention, Positive Peer Journaling (PPJ), while also continuing to attend intensive outpatient treatment for addiction. Positive Peer Journaling (PPJ): PPJ is a journaling practice to support addiction recovery. PPJ encourages past 24 hour review and upcoming 24 hour planning to improve subjective wellbeing in recovery and reduce relapse. PPJ uses journals with column headings under which individuals make bullet-pointed lists. On the left hand page, past 24 hours is recalled, itemizing "good" and "bad" things that happened and things for which one is grateful. Good wishes for others are also expressed on this page. On the right hand page, values-based activities for the upcoming 24 hours are planned via headings representing valued life domains such as "recovery," "work/school," "spirituality," "home and household," and "health." |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Amy R. Krentzman | University of Minnesota | 612-625-2312 | akrentzm@umn.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Apr 13, 2021 | Dec 21, 2022 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Nov 3, 2020 | Dec 21, 2022 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D016739 | Behavior, Addictive |
| ID | Term |
|---|---|
| D003192 | Compulsive Behavior |
| D007175 | Impulsive Behavior |
| D001519 | Behavior |
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|
| 2 weeks (after Phase 1, the group phase) |
| Happiness With Recovery at 4 Weeks | Score on a single item, "In general, I am happy with my recovery." This item uses an 11 point scale ranging from 0 to 10. Higher scores represent higher happiness with recovery. | 4 weeks (after Phase 2, the independent practice phase) |
| Happiness With Recovery at 8 Weeks | Score on a single item, "In general, I am happy with my recovery." This item uses an 11 point scale ranging from 0 to 10. Higher scores represent higher happiness with recovery. | 8 weeks (the 1-month post intervention) |
| Commitment to Sobriety at Baseline | Score on a single item, "I am willing to do whatever it takes to recover from my addiction." This item uses an 11 point scale ranging from 0-10. Higher scores represent greater commitment to sobriety. | Baseline |
| Commitment to Sobriety at 2 Weeks | Score on a single item, "I am willing to do whatever it takes to recover from my addiction." This item uses an 11 point scale ranging from 0-10. Higher scores represent greater commitment to sobriety. | 2 weeks (after Phase 1, the group phase) |
| Commitment to Sobriety at 4 Weeks | Score on a single item, "I am willing to do whatever it takes to recover from my addiction." This item uses an 11 point scale ranging from 0-10. Higher scores represent greater commitment to sobriety. | 4 weeks (after Phase 2, the independent practice phase) |
| Commitment to Sobriety at 8 Weeks | Score on a single item, "I am willing to do whatever it takes to recover from my addiction." This item uses an 11 point scale ranging from 0-10. Higher scores represent greater commitment to sobriety. | 8 weeks (the 1-month post intervention) |
| BG001 | Control Group | There will be no intervention for those randomized to the control group. However, they will complete assessment instruments throughout the study period while also continuing to attend intensive outpatient treatment for addiction. |
| BG002 | Total | Total of all reporting groups |
| years |
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| Sex/Gender, Customized | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| OG001 | Control Group | There will be no intervention for those randomized to the control group. However, they will complete assessment instruments throughout the study period while also continuing to attend intensive outpatient treatment for addiction. |
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| Primary | Satisfaction With Life at 2 Weeks | Score on the "Satisfaction with Life" scale. This scale has 5 items assessed on a 7 point Likert-type response format. Scores range from 5 to 35 with higher scores representing higher satisfaction with life. | The "Overall Number of Participants Analyzed" reported here represents the study census for this outcome at 2 weeks. In the study flow section of this report, the values reported under "completed" represent the study census at 8 weeks. That is why the values reported here and the values reported in the study flow under "completed" do not match. | Posted | Mean | Standard Deviation | units on a scale | 2 weeks (after Phase 1, the group phase) |
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| Primary | Satisfaction With Life at 4 Weeks | Score on the "Satisfaction with Life" scale. This scale has 5 items assessed on a 7 point Likert-type response format. Scores range from 5 to 35 with higher scores representing higher satisfaction with life. | The "Overall Number of Participants Analyzed" reported here represents the study census for this outcome at 4 weeks. In the study flow section of this report, the values reported under "completed" represent the study census at 8 weeks. That is why the values reported here and the values reported in the study flow under "completed" do not match. | Posted | Mean | Standard Deviation | units on a scale | 4 weeks (after Phase 2, the independent practice phase) |
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| Primary | Satisfaction With Life at 8 Weeks | Score on the "Satisfaction with Life" scale. This scale has 5 items assessed on a 7 point Likert-type response format. Scores range from 5 to 35 with higher scores representing higher satisfaction with life. | The "Overall Number of Participants Analyzed" reported here represents the study census for this outcome at 8 weeks. These values match the values reported as "completed" in the study flow section of this report. | Posted | Mean | Standard Deviation | units on a scale | 8 weeks (the 1-month post-intervention) |
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| Primary | Happiness With Recovery at Baseline | Score on a single item, "In general, I am happy with my recovery." This item uses an 11 point scale ranging from 0 to 10. Higher scores represent higher happiness with recovery. | Posted | Mean | Standard Deviation | units on a scale | Baseline |
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| Primary | Happiness With Recovery at 2 Weeks | Score on a single item, "In general, I am happy with my recovery." This item uses an 11 point scale ranging from 0 to 10. Higher scores represent higher happiness with recovery. | The "Overall Number of Participants Analyzed" reported here represents the study census for this outcome at 2 weeks. In the study flow section of this report, the values reported under "completed" represent the study census at 8 weeks. That is why the values reported here and the values reported in the study flow under "completed" do not match. | Posted | Mean | Standard Deviation | units on a scale | 2 weeks (after Phase 1, the group phase) |
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| Primary | Happiness With Recovery at 4 Weeks | Score on a single item, "In general, I am happy with my recovery." This item uses an 11 point scale ranging from 0 to 10. Higher scores represent higher happiness with recovery. | The "Overall Number of Participants Analyzed" reported here represents the study census for this outcome at 4 weeks. In the study flow section of this report, the values reported under "completed" represent the study census at 8 weeks. That is why the values reported here and the values reported in the study flow under "completed" do not match. | Posted | Mean | Standard Deviation | units on a scale | 4 weeks (after Phase 2, the independent practice phase) |
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| Primary | Happiness With Recovery at 8 Weeks | Score on a single item, "In general, I am happy with my recovery." This item uses an 11 point scale ranging from 0 to 10. Higher scores represent higher happiness with recovery. | The "Overall Number of Participants Analyzed" reported here represents the study census for this outcome at 8 weeks. These values match the values reported as "completed" in the study flow section of this report. | Posted | Mean | Standard Deviation | units on a scale | 8 weeks (the 1-month post intervention) |
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| Primary | Commitment to Sobriety at Baseline | Score on a single item, "I am willing to do whatever it takes to recover from my addiction." This item uses an 11 point scale ranging from 0-10. Higher scores represent greater commitment to sobriety. | Posted | Mean | Standard Deviation | units on a scale | Baseline |
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| Primary | Commitment to Sobriety at 2 Weeks | Score on a single item, "I am willing to do whatever it takes to recover from my addiction." This item uses an 11 point scale ranging from 0-10. Higher scores represent greater commitment to sobriety. | The "Overall Number of Participants Analyzed" reported here represents the study census for this outcome at 2 weeks. In the study flow section of this report, the values reported under "completed" represent the study census at 8 weeks. That is why the values reported here and the values reported in the study flow under "completed" do not match. | Posted | Mean | Standard Deviation | units on a scale | 2 weeks (after Phase 1, the group phase) |
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| Primary | Commitment to Sobriety at 4 Weeks | Score on a single item, "I am willing to do whatever it takes to recover from my addiction." This item uses an 11 point scale ranging from 0-10. Higher scores represent greater commitment to sobriety. | The "Overall Number of Participants Analyzed" reported here represents the study census for this outcome at 4 weeks. In the study flow section of this report, the values reported under "completed" represent the study census at 8 weeks. That is why the values reported here and the values reported in the study flow under "completed" do not match. | Posted | Mean | Standard Deviation | units on a scale | 4 weeks (after Phase 2, the independent practice phase) |
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| Primary | Commitment to Sobriety at 8 Weeks | Score on a single item, "I am willing to do whatever it takes to recover from my addiction." This item uses an 11 point scale ranging from 0-10. Higher scores represent greater commitment to sobriety. | The "Overall Number of Participants Analyzed" reported here represents the study census for this outcome at 8 weeks. These values match those reported as "completed" in the the study flow section of this report. | Posted | Mean | Standard Deviation | units on a scale | 8 weeks (the 1-month post intervention) |
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| 0 |
| 42 |
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| 42 |
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| 42 |
| EG001 | Control Group | There will be no intervention for those randomized to the control group. However, they will complete assessment instruments throughout the study period while also continuing to attend intensive outpatient treatment for addiction. | 0 | 39 | 0 | 39 | 0 | 39 |
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