Extended Care Treatment of Multiple Risk Behaviors in Complex Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 250
- 试验地点
- 2
- 主要终点
- Client engagement with behavior change service referrals
研究概览
简要总结
This study is a randomized, controlled, multiple risk intervention pilot study evaluated with clients recruited from VA Medical Center Substance Abuse Programs. The intervention combines an innovative online system with interpersonal MI-based coaching delivered in 4 sessions over 12-months time.
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
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Inclusion criteria are: at least 18 years of age, enrolled in the San Francisco Veteran Affairs Medical Center (SF VAMC) Substance Abuse Programs, residing in the San Francisco Bay Area and not planning to relocate out of the area in the next 18 months. For patients in the Day Hospital, we will wait until they have completed one week of treatment before approaching for study involvement, as the first week is the most intensive for services.
排除标准
- •Exclusion criteria are: unstable psychiatric disorder and severe cognitive impairment.
研究组 & 干预措施
Extended Staging Health Risk Intervention (S-HRI)
The S-HRI provides feedback on participants' stages of change for each risk and the single most important step they can take to begin progressing. A counselor will review the report with participants and provide motivational interviewing (MI) coaching and referrals to relevant behavior change services. Repeated computer and individual counseling contacts at baseline, 3, 6 and 12 months follow-up are designed to support participants through the process of changing multiple risk behaviors.
干预措施: Extended Staging Health Risk Intervention (S-HRI) (Behavioral)
Usual Care
Participants in the usual care condition will complete the core assessments and the Staging Health Risk Assessment (S-HRA) online at baseline, 3, 6, 12, and 18 months follow-up but will not meet with the study MI coach and will NOT receive any feedback or printed report until the 18-month follow-up.
干预措施: Usual Care (Behavioral)
结局指标
主要结局
Client engagement with behavior change service referrals
时间窗: Up to18 months follow-up.
次要结局
- Behavioral changes in multiple risks(up to 18 months follow-up.)
- Improvements in health-related quality of life at 3, 6, 12, and 18 months follow-up.(up to 18 months follow-up.)