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| ID | Type | Description | Link |
|---|---|---|---|
| R34DA047502 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Drug Abuse (NIDA) | NIH |
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This project will pilot test a computer-assisted social network intervention, using motivational interviewing techniques, that can help case managers work with formerly homeless young adults who recently transitioned to supportive housing to reduce substance use and increase permanent supportive connections during this critical transitional period.
The goal of this study is to conduct a pilot evaluation of a motivational network intervention (MNI) to reduce substance use and strengthen supportive connections for recently homeless 18-25 year-olds who have transitioned to a housing program. The goal of this pilot study is to evaluate, through a small randomized controlled trial (Stage 1b), the added benefit of incorporating the MNI into case management for transitional age youth (TAY) residents of housing programs. We hypothesized that residents receiving the MNI as part of case management would show more positive changes in their substance use behaviors and the composition and structure of their personal networks (i.e., greater proportion of network members who are low-risk) over a 3-month follow-up period compared to residents receiving usual case management only.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management. |
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| Usual Care | Active Comparator | As part of residency, participants receive regular case management meetings. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Motivational Network Intervention | Behavioral | Every 2 weeks, residents attend meetings with their case manager. These meetings are customized to the needs of the resident at the time of the meeting. Participants randomized into the Motivational Network Intervention arm are offered an additional discussion about their social networks. Case managers ask participants to answer a series of standardized questions about people they know. After these questions are answered, case managers show participants a series of images representing these answers. While showing these images, case mangers engage the participant in discussions about what they notice using Motivational Interviewing techniques. The goal is to discuss what the participant wants to change and state strategies about achieving these changes. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Days Cannabis Used | Count of days that respondent used cannabis in the past 30 days | 30 days |
| Proportion of Risky Network Members | Proportion of network members who engaged in substance use or the participant used more substances when they were with the network member. | 4 weeks |
| Number of Drinks Consumed on Drinking Days | Participants reported on the typical number of drinks they consumed on drinking days in the past month. | 30 days |
| Number of Drinking Days | Number of days in the past month (0-30) that participants reported engaging in any alcohol use. | 30 days |
| Number of Days Consumed 5 (for Men) or 4 (for Women) Drinks on a Single Occasion | Number of days in the past month (0-30) that participants reported engaging in heavy alcohol use (5 or more drinks for men and four or more drinks for women on a single occasion). | 30 days |
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Inclusion Criteria:
Exclusion Criteria:
• Not able to speak/understand English
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Village Family Services | Burbank | California | 90512 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35505383 | Derived | Kennedy DP, Osilla KC, Tucker JS. Feasibility of a computer-assisted social network motivational interviewing intervention to reduce substance use and increase supportive connections among emerging adults transitioning from homelessness to housing. Addict Sci Clin Pract. 2022 May 3;17(1):26. doi: 10.1186/s13722-022-00307-4. | |
| 33726809 | Derived | Tucker JS, Kennedy DP, Osilla KC, Golinelli D. Motivational network intervention to reduce substance use and increase supportive connections among formerly homeless emerging adults transitioning to housing: study protocol for a pilot randomized controlled trial. Addict Sci Clin Pract. 2021 Mar 16;16(1):18. doi: 10.1186/s13722-021-00227-9. |
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Recruitment was delayed throughout the project due to COVID-19 social-distancing restrictions and frequent resident quarantines. These restrictions also limited the number of MNI sessions that could be scheduled and completed. During the final year of the project, the project team ended randomization and assigned all study participants to the CONNECT arm to adjust for recruitment/session delivery shortfalls.
Participants were recruited through a nonprofit agency in Los Angeles County that provides a comprehensive continuum of care to transitional age youth experiencing homelessness. The agency's case managers offered eligibility screening to all residents who had been at the facility for less than one year. Residents who consented to be contacted by the study team completed an eligibility screener and provided contact information and informed consent if eligible and willing to participate.
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| ID | Title | Description |
|---|---|---|
| FG000 | Intervention | The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management. Motivational Network Intervention: See earlier description |
| FG001 | Usual Care | As part of residency, participants receive regular case management meetings. Since we are interested in evaluating the added benefit of the MNI over usual case management, residents in the control condition will be asked to meet with their case manager four times (once every two weeks) during their participation in the study. These meetings are anticipated to last approximately 30-60 minutes and will be customized to the residents' needs. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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Baseline analysis participants include all those who completed baseline surveys. Case managers recruited and provided informed consent to 39 eligible and interested participants. A separate interviewer subsequently contacted and completed the baseline interview with the participant by telephone. 3 eligible participants never completed the baseline interview and are not part of the analysis population because they never provided any responses to any questions necessary for measures.
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| ID | Title | Description |
|---|---|---|
| BG000 | Intervention | The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management. Motivational Network Intervention: See earlier description |
| 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, Categorical | Count of Participants |
| 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 | Number of Days Cannabis Used | Count of days that respondent used cannabis in the past 30 days | Posted | Mean | Standard Deviation | days | 30 days |
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3 months, from the time they are screened / recruited by case managers until they complete the follow-up assessment. Each participant is offered 4 sessions separated by 2 weeks each. After they complete the final session with their case manager, they are contacted about completing their final assessment. During this time, project staff discuss any adverse events for participants who have been screened until they complete follow-up interviews with case managers during weekly project meetings.
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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 | Intervention | The intervention will consist of four sessions spaced two weeks apart that will last approximately 30 minutes each and consist of two parts: a network interview to capture network data about the time period since their last interview and a discussion of a resulting network visualization conducted in a motivational interviewing style. Participants will receive the intervention as part of existing case management. Motivational Network Intervention: See earlier description |
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Recruitment was delayed throughout the project due to COVID-19 social-distancing restrictions and frequent resident quarantines. These restrictions also limited the number of MNI sessions that could be scheduled and completed. During the final year of the project, the project team ended randomization and assigned all study participants to the CONNECT arm to adjust for recruitment/session delivery shortfalls. The resulting study sample was underpowered to detect intervention effects.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| David P. Kennedy | RAND | 3104673904 | 6133 | davidk@rand.org |
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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 | Sep 30, 2024 | Sep 30, 2024 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Jul 22, 2024 | Jul 30, 2024 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| Usual Care | Other | Residents attend regular case management meetings with their case managers as a condition of their residency in the housing program. These sessions are customized do the needs of the resident at the time of the meeting. Participants randomized into the usual care arm will be offered these sessions every 2 weeks. |
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| BG001 | Usual Care | As part of residency, participants receive regular case management meetings. Usual Care: See earlier description |
| BG002 | Total | Total of all reporting groups |
| Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex/Gender, Customized | 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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| Number of Days Cannabis Used | Mean | Standard Deviation | days |
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| Proportion of Risky Network Members | Mean | Standard Deviation | proportion |
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| Number of Drinks Consumed on Drinking Days | Mean | Standard Deviation | drinks per day |
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| Number of Drinking Days | Mean | Standard Deviation | days |
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| Number of Days Consumed 5 (for Men) or 4 (for Women) Drinks on a Single Occasion | Mean | Standard Deviation | days |
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| Proportion of Supportive Network Members | Mean | Standard Deviation | proportion |
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| Average network centrality - risky alters | Participants listed names of network contacts ("alters"). Risky alters are defined as those they used more alcohol or drugs with than usual. Participants also listed how many other alters each alter knew. The measure "connections" was calculated for each alter to indicate the number of other network members they knew. For each respondent, average connections was calculated for different types of network members, including "risky alters". The average connection measure was calculated by adding up "connections" for each "risky alter" and dividing it by the overall number of alters. | Mean | Standard Deviation | average connections |
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| Average network centrality - supportive alters | Participants listed names of network contacts ("alters"). Supportive alters are defined as those who provide at least one type of support. Participants also listed how many other alters each alter knew. The measure "connections" was calculated for each alter to indicate the number of other network members they knew. For each respondent, average connections was calculated for different types of network members, including "supportive alters". The average connection measure was calculated by adding up "connections" for each "supportive alter" and dividing it by the overall number of alters. | Mean | Standard Deviation | average connections |
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| Primary | Proportion of Risky Network Members | Proportion of network members who engaged in substance use or the participant used more substances when they were with the network member. | Posted | Mean | Standard Deviation | proportion of network members | 4 weeks |
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| Primary | Number of Drinks Consumed on Drinking Days | Participants reported on the typical number of drinks they consumed on drinking days in the past month. | Posted | Mean | Standard Deviation | drinks per day | 30 days |
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| Primary | Number of Drinking Days | Number of days in the past month (0-30) that participants reported engaging in any alcohol use. | Posted | Mean | Standard Deviation | days | 30 days |
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| Primary | Number of Days Consumed 5 (for Men) or 4 (for Women) Drinks on a Single Occasion | Number of days in the past month (0-30) that participants reported engaging in heavy alcohol use (5 or more drinks for men and four or more drinks for women on a single occasion). | Posted | Mean | Standard Deviation | days | 30 days |
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| 1 |
| 24 |
| 0 |
| 24 |
| 0 |
| 24 |
| EG001 | Usual Care | As part of residency, participants receive regular case management meetings. Usual Care: See earlier description | 0 | 12 | 0 | 12 | 0 | 12 |
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