Developing a Telehealth Model to Improve Treatment Access for Rural Veterans With Substance Use Disorders

Not Applicable

Recruiting

• Conditions: Substance Dependence; Substance Use; Substance Use Disorders; Veterans
• Interventions: Behavioral: VetReach

• Registration Number: NCT05348317
• Lead Sponsor: VA Office of Research and Development

Brief Summary

This project will pilot-test and obtain stakeholder input on a telehealth-delivered substance use disorder (SUD) care model (with initial engagement and ongoing MI-CBT treatment) with the goal of increasing treatment utilization and improving outcomes for rural and non-rural Veterans with SUDs.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-04-21
• Study First Submitted QC: 2022-04-21
• Study First Posted: 2022-04-27
• Study Start: 2022-05-19
• Status Verified: 2024-08
• Last Update Submitted: 2024-08-27
• Last Update Posted: 2024-08-28
• Primary Completion: 2026-09-30
• Study Completion: 2026-09-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Veteran patients at the Ann Arbor VA Healthcare System
• Diagnostic and Statistical Manual of Mental Disorders (DSM-5) SUD diagnosis and/or substance use on average of 2 days a week over the past month
• Telephone access
• Able to provide informed consent

Exclusion Criteria

• Receiving SUD psychotherapy
• Inability to speak or understand English
• Substantial mental health instability or conditions that preclude informed consent (e.g., acute psychosis, cognitive deficits) or understanding of assessment or program content
• Prior alcohol withdrawal seizures or delirium tremens

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
MI-CBT Teletx	VetReach	The intervention consists of an initial 30-60 min phone-delivered Engagement session that focuses on MI to help participants build self-efficacy and motivation to engage and to empower them to plan change and use Elicit-Provide-Elicit (EPE) to address treatment barriers (e.g., stigma, appeal, accessibility). Participants will then complete up to 8 \~50 minute Teletx weekly sessions via videoconference (or phone if needed). The intervention is highly patient-centered, by meeting and assessing patients where they are including in their unique context (i.e. rural community), helping them identify reasons and motivations for change, and centered around their goals (e.g. substance use reduction or abstinence).

Primary Outcome Measures

Name	Time	Method
Feasibility of the intervention (engagement)	8 weeks	Percent (%) of participants engaging in the intervention (at least 3 completed sessions)
Acceptability of the telehealth intervention	2 months	Study-specific acceptability rating completed by participants (% with a positive rating, higher % is better)

Trial Locations

Locations (1)

VA Ann Arbor Healthcare System, Ann Arbor, MI; 🇺🇸 Ann Arbor, Michigan, United States