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临床试验/NCT03750487
NCT03750487已完成不适用

Home Visitation Enhancing Linkages Project (HELP 2.0)

The National Center on Addiction and Substance Abuse at Columbia University1 个研究点 分布在 1 个国家目标入组 14 人开始时间: 2020年12月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
14
试验地点
1
主要终点
Feasibility: e-SBI Session 2 Completion Rate

研究概览

简要总结

A small pilot randomized controlled trial (RCT) will be conducted to test the impact of an electronic screening and brief intervention (e-SBI) on reduction in substance use (measured via self-report), associated symptoms (depression and parenting stress), and improvement in home visiting retention and substance use treatment engagement. While a pilot RCT was originally planned, the study experienced significant delays and recruitment challenges due to the COVID-19 pandemic. Therefore, after review by the DSMB and study sponsor, the decision was made to eliminate the randomization and assign all participants to the intervention condition to evaluate feasibility and acceptability of the intervention.

详细描述

The purpose of this clinical trial is to pilot test an electronic screening and brief intervention (e-SBI) that will be adapted for use with pregnant and postpartum women in home visiting (HV) programs. The e-SBI will be tested in a small randomized trial in two home visiting sites, with 20 home visitors and 40 clients. Home visitors will be randomized to the control intervention or the e-SBI. Clients will be surveyed at baseline, and 3- and 6- month follow-up to track e-SBI impacts on reduction in substance use (measured via self-report), associated symptoms (depression and parenting stress), and improvement in home visiting retention and substance use treatment engagement.

While a pilot RCT was originally planned, the study experienced significant delays and recruitment challenges due to the COVID-19 pandemic. Therefore, after review by the DSMB and study sponsor, the decision was made to eliminate the randomization and assign all participants to the intervention condition to evaluate feasibility and acceptability of the intervention. Total enrollment was N = 14. Four participants were assigned to the control condition prior to elimination of randomization. The remaining 10 participants were assigned to the intervention condition. Primary study outcomes were feasibility and acceptability.

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 (Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • English-speaking,
  • 18 years or older,
  • pregnant or up to 3 months postpartum,
  • newly enrolling in home visiting with a participating home visitor,
  • not currently attending substance use treatment

排除标准

  • 未提供

结局指标

主要结局

Feasibility: e-SBI Session 2 Completion Rate

时间窗: Upon completion of e-SBI session 2 (approximately 4-6 weeks after enrollment)

e-SBI session 2 completion rate (% of participants who completed e-SBI session 2)

Feasibility: e-SBI Session 1 Completion Rate

时间窗: Upon completion of e-SBI session 1, approximately 2-4 weeks after enrollment

e-SBI session 1 completion rate (% of participants who completed e-SBI session 1)

Acceptability: Satisfaction With e-SBI Session 2 (Intervention Group Only)

时间窗: Upon completion of e-SBI session 2, approximately 4-6 weeks after enrollment

8-item user satisfaction survey based on the Technology Acceptance Model completed after each e-SBI session. The scale was developed by Ondersma in prior studies of the e-SBI, it does not have a formal title. The scale measures satisfaction with the e-SBI session. The following items are included in the scale: 1. How much did you like this session? 2. How easy was it to use this program? 3. How interesting was this session? 4. How respectful was this session? 5. How much were you bothered by parts of this session? (reverse scored) 6. How much did this session get you thinking about your substance use? 7. How much did you feel you were helped during this session? 8. How interested are you in working with the program again? Items were rated on a 1 to 5 Likert scale. Average across all 7 items was calculated, with item 5 reverse scored. Possible range of scores is 1 to 5. Higher scores indicate higher satisfaction with the e-SBI session.

Acceptability: Satisfaction With e-SBI Session 1 (Intervention Group Only)

时间窗: Upon completion of e-SBI session 1, approximately 2-4 weeks after enrollment

8-item user satisfaction survey based on the Technology Acceptance Model completed after each e-SBI session. The scale was developed by Ondersma in prior studies of the e-SBI, it does not have a formal title. The scale measures satisfaction with the e-SBI session. The following items are included in the scale: 1. How much did you like this session? 2. How easy was it to use this program? 3. How interesting was this session? 4. How respectful was this session? 5. How much were you bothered by parts of this session? (reverse scored) 6. How much did this session get you thinking about your substance use? 7. How much did you feel you were helped during this session? 8. How interested are you in working with the program again? Items were rated on a 1 to 5 Likert scale. Average across all 7 items was calculated, with item 5 reverse scored. Possible range of scores is 1 to 5. Higher scores indicate higher satisfaction with the e-SBI session.

次要结局

未报告次要终点

研究者

发起方
The National Center on Addiction and Substance Abuse at Columbia University
申办方类型
Other
责任方
Sponsor

研究点 (1)

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