Dual Diagnosis Inpatients: Telephone Monitoring RCT to Improve Outcomes
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 406
- 试验地点
- 2
- 主要终点
- Readiness to Attend Substance Use Disorder Continuing Care
研究概览
简要总结
This research program will improve the care and treatment outcomes of dually diagnosed veterans who receive inpatient psychiatry care, and decrease their use of VA inpatient mental health services. It will increase the use of substance abuse outpatient care and 12-step groups to benefit recovery, reduce rehospitalizations, and reduce costs for VA.
详细描述
Background:
Substance use disorders (SUDs) are highly prevalent among veteran psychiatry inpatients. Dual substance use and psychiatric disorders are related to poor outcomes and rehospitalizations, which are quite costly. However, relatively little is known about how to effectively help dually diagnosed psychiatry inpatients. Telephone Monitoring (TM) is effective among SUD patients at increasing SUD continuing care and self-help utilization and improving SUD outcomes. This study will build on these findings and contribute important new clinical knowledge by determining whether TM is similarly effective when adapted for dually diagnosed veteran psychiatry inpatients. It will evaluate the effectiveness of a manual-guided TM intervention.
Objectives:
Primary hypotheses are that patients in the TM condition, compared to patients in usual care (UC), will attend more SUD continuing care sessions and 12-step group meetings, and have better SUD and psychiatric outcomes. Secondary hypotheses are that TM patients will have fewer and delayed rehospitalizations, and their better outcomes will be mediated by SUD outpatient treatment and 12-step group participation.
Methods:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Dually diagnosed veteran in VA inpatient psychiatry treatment
排除标准
- •Current diagnosis of schizophrenia or schizoaffective disorder
- •too psychiatrically unstable or cognitively impaired to understand informed consent and other study procedures
- •does not have ongoing telephone access
研究组 & 干预措施
Usual Care
Psychiatry inpatient usual care
干预措施: Usual care (Other)
Telephone Monitoring
Patients in the TM condition will receive an in-person session while in treatment, followed by monitoring over the telephone for three months after discharge. The intervention will incorporate motivational interviewing to monitor patients' substance use, facilitate entry into outpatient treatment, and encourage 12-step self-help group participation.
干预措施: Telephone Monitoring (TM) with Motivational Interviewing (Behavioral)
结局指标
主要结局
Readiness to Attend Substance Use Disorder Continuing Care
时间窗: 3 months post-intervention
Readiness to attend substance use disorder continuing care; scale range=0-4, with 0=not ready to do; 4=already doing; higher scores indicate a better outcome.
次要结局
未报告次要终点