Improving Substance Abuse Counseling Adherence Using Web-based Videoconferencing
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Johns Hopkins University
- Enrollment
- 85
- Locations
- 2
- Primary Endpoint
- Counseling efficacy
Study Overview
Brief Summary
This research is being done to compare the effectiveness of standard on-site, in-person counseling with Internet web-based videoconferencing (e-therapy) in drug-dependent patients in opioid-agonist treatment programs. The study is looking to see if there are any differences in satisfaction or in treatment outcome if counseling sessions are given by e-therapy compared to standard, in-person counseling given in the clinic. The e-therapy happens in real time- it works very much like standard therapy in the clinic except that the patient is in his or her own home (or other convenient location outside the clinic) and talks to and sees the therapist through an Internet connection on the computer (the therapist will usually be at the clinic).
Detailed Description
This study will be the first to evaluate the efficacy of an accredited and currently available, Internet web-based videoconferencing platform to deliver routine schedules of counseling in an opioid agonist treatment program. It has outstanding potential to help determine transportability of this technology to other treatment programs by demonstrating the benefits of integration of web-based therapy with on-site services to expand the continuum of care.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Access to a computer with Internet capability
- •Full adherence to their routine counseling schedule over the previous 30-days
- •Negative urine specimens over the previous 30-days
- •Patient at ATS for 90 days
Exclusion Criteria
- •No access to a computer with Internet capability
Outcomes
Primary Outcomes
Counseling efficacy
Time Frame: Weekly for 12 weeks
Attendance to individual counseling sessions, both online and on-site will be tracked weekly for the duration of the study.
Reinforcement value (eGetgoing)
Time Frame: Monthly for 3 months
Subjects will complete monthly surveys to evaluate the reinforcement value of eGetgoing using a multiple choice design that will compare its perceived value to other aspects of routine treatment (e.g., take-home medications).
Reinforcement value (on-site)
Time Frame: Baseline
Subjects will complete a survey to evaluate the reinforcement value of eGetgoing using a multiple choice design that will compare its perceived value to other aspects of routine treatment (e.g., take-home medications).
Secondary Outcomes
- Program Satisfaction(Baseline and monthly for 3 months)
- Treatment cost(Baseline and Month 3)
- Therapeutic relationship(Baseline and monthly for 3 months)
Investigators
Van King
Associate Professor
Johns Hopkins University