Group Activities to Support Addiction Recovery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 25
- 试验地点
- 1
- 主要终点
- Number of participants reporting a change in their substance use
研究概览
简要总结
The purpose of this study is to pilot the use of Holotropic Breathwork (HB) for individuals seeking to recover from addiction. The study will have two arms: A--for individuals in residential treatment programs, B--for individuals living in the community. Arm A will use a cluster randomized intervention, providing HB for individuals at two facilities and a Multiple Modality (MM) intervention (soundbath, meditation, and a film/discussion) at a third facility. In Arm B, we seek to measure the feasibility, acceptability, and preliminary impact of HB among people with addiction living in the community. Arm B will be comprised of a single group and participants in this group will receive the same HB experience as the participants in the Arm A HB group. HB is the practice of self-directed hyperventilation while lying down with the support of a selected music set and trained facilitators. Participants may experience an expanded state of consciousness with altered cognition, perception, and emotions. HB has been associated improved mental functioning among the general public and people in addiction treatment, but has never been evaluated in a controlled trial. Inclusion criteria consist of being 19 years of age or older and having met criteria for a substance use disorder within the past five years. Additional inclusion criteria for participants in arm A include being in a residential addiction treatment program at CenterPointe or the Bridge.
Exclusion criteria form the Arm A HB group and the Arm B group include having been diagnosed with a bipolar disorder or a psychotic disorder or having had psychotic symptoms at any point in life, diagnosed with a cardiac condition, received care for a cardiac condition, or have current cardiac symptoms, ever diagnosed with a seizure disorder, current uncontrolled hypertension (140/90 or greater), diagnosed with glaucoma or retinal detachment, recent surgeries, or currently pregnant. Four breathwork sessions will be held: two at the UNMC College of Nursing in Lincoln, one at CenterPointe in Omaha, and one at The Bridge in Lincoln. One MM session will be held at The Bridge in Lincoln.
详细描述
This study evaluates the feasibility, safety, acceptability, and preliminary psychological and behavioral effects of Holotropic Breathwork (HB) as a supportive intervention for individuals in recovery from substance use disorders. HB is compared with a Multiple-Modality (MM) activity day in the residential setting. The study also assesses HB delivered to individuals in community-based recovery settings.
Study Overview
The project includes two primary participant groups:
Arm A - Residential Participants
Participants are recruited from two residential treatment programs (CenterPointe Omaha and The Bridge Lincoln). This arm uses cluster randomization: two sites will host the HB intervention, while an independent residential cohort at The Bridge will receive the MM intervention. Participants at each site receive the intervention assigned to their facility.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Arm A 19 years of age or older Currently enrolled in a residential addiction treatment program at CenterPointe or the Bridge Met criteria for a substance use disorder in the past five years
- •Arm B 19 years of age or older Met criteria for a substance use disorder in the past five years
排除标准
- •Arm A: HB group and Arm B
- •Diagnosed with a bipolar disorder at any point in life (per self-report)
- •Diagnosed with a psychotic disorder or have had psychotic symptoms at any point in life (per self-report)
- •Diagnosed with a cardiac condition, received care for a cardiac condition, or have current cardiac symptoms (per self-report)
- •Ever diagnosed with a seizure disorder (per self-report)
- •Current uncontrolled hypertension (140/90 or greater) (measured the morning of the breathwork)
- •Ever diagnosed with glaucoma or retinal detachment
- •Recent surgeries
- •Currently pregnant (individuals who have engaged in sexual activity since their last menstrual period will be asked to submit a urine sample for a pregnancy screen the morning of the breathwork)
- •Acutely suicidal (i.e. with an intention and a plan)
- •Arm A: MM group None
研究组 & 干预措施
A--for individuals in residential treatment programs
Arm A will use a cluster randomized intervention, providing HB for individuals at two facilities and a Multiple Modality (MM) intervention (yoga, meditation, and a film/discussion) at a third facility.
干预措施: Holotropic breathwork (Behavioral)
A--for individuals in residential treatment programs
Arm A will use a cluster randomized intervention, providing HB for individuals at two facilities and a Multiple Modality (MM) intervention (yoga, meditation, and a film/discussion) at a third facility.
干预措施: Multiple modality (Behavioral)
B--for individuals living in the community
Arm B will be comprised of a single group and participants in this group will receive the same HB experience as the participants in the Arm A HB group
干预措施: Holotropic breathwork (Behavioral)
结局指标
主要结局
Number of participants reporting a change in their substance use
时间窗: 1 month, 3 months, and 6 months
Timeline Followback (TLFB)
次要结局
- Change in Psychological Insight(Baseline, <24 hours post-session, 1 month, 3 months, and 6 months)
- Change in Depression Symptoms(Baseline, 1 month, 3 months, and 6 months)
- Change in Anxiety Symptoms(Baseline, 1 month, 3 months, and 6 months)
- Change in Interpersonal Functioning(Baseline, 1 month, 3 months, and 6 months)
- Change in Purpose in Life(Baseline, 1 month, 3 months, and 6 months)
- Change in Cravings(Baseline, 1 month, 3 months, and 6 months)
- Mystical Experiences(<24 hours post-session)
- Challenging Experiences(<24 hours post-session)
- Emotional Breakthrough(<24 hours post-session)
- Acceptability of the Intervention(<24 hours post-session and 1 month)
研究者
Nicholas Guenzel
Assistant professor
University of Nebraska