Interactive Motivational Media for Perinatal Drug Abuse - 3

Phase 2

Completed

Conditions: Substance-Related Disorders

Interventions: Behavioral: Brief computer-delivered intervention

Registration Number: NCT00230048

Lead Sponsor: Wayne State University

Brief Summary: Interactive Motivational Media for Perinatal Drug Abuse

Detailed Description: The goal of this exploratory/developmental proposal is to develop a low-cost, highly adaptable brief motivational intervention for perinatal drug abuse via embedding motivational principles in a self-contained interactive computer system. The Motivation Enhancement System (MES) will utilize a touch-screen, audio enhancement, and an interactive narrator to guide women in the immediate post-partum period through evaluation (thus facilitating self-report) and a one-time motivational intervention. A taxi voucher will be provided to further facilitate entry into treatment, and multiple tailored self-help mailings will be issued following discharge. If validated, this intervention could offer a highly cost-effective, replicable, and prescriptive method for increasing self-change and treatment involvement in drug abusers. Following development of the MES, a preliminary pilot phase will study the use of the MES with post-partum drug-using women and make necessary modifications, using data from participant debriefings and a single-case research design. After optimization of the MES, a clinical trial will randomly assign 120 post-partum drug-using women into treatment or assessment only conditions, with a 3-month blinded follow up to evaluate intervention effects on drug use and treatment involvement. Toxicological and self-report measures, as well as objective analysis of infant development, will be utilized. Participants will be lower socioeconomic status urban women.

Recruitment & Eligibility

Status: COMPLETED

Sex: Female

Target Recruitment: 107

Inclusion Criteria

Screen positive for drug use (self-report)

Exclusion Criteria

Frank psychosis or other cognitive impairment, fatigue, grief over medically compromised infant, inability to communicate in English

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Brief intervention	Brief computer-delivered intervention	-

Primary Outcome Measures

Name	Time	Method
Number of Participants With Drug Use at 3 Months	3 months	The number of participants postive for drug use using participant's self-report of drug use and urinalysis. Participants were considered positive if self-report and/or urinalysis were positive.
Treatment Engagement	3 months	Completing at least a single intake or treatment session of any kind, focused on substance use within the previous 3 months.

Secondary Outcome Measures