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Improving Substance Abuse Counseling Adherence Using Web-based Videoconferencing

Primary Purpose

Substance Abuse Disorder

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
eGet
Sponsored by
Johns Hopkins University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Substance Abuse Disorder focused on measuring Web based videoconferencing, methadone, substance abuse counseling

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Sites / Locations

  • Addiction Treatment Services

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Internet (eGetgoing)

Routine on-site

Arm Description

Subjects will assigned to use an accredited web-based platform (eGetgoingTM, CRC Health Group, Inc.) to deliver routine substance abuse counseling.

Subjects will attend routine face-to-face individual counseling sessions.

Outcomes

Primary Outcome Measures

Counseling efficacy
Attendance to individual counseling sessions, both online and on-site will be tracked weekly for the duration of the study.
Reinforcement value (eGetgoing)
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)
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 Outcome Measures

Program Satisfaction
Subjects will complete a survey to assess their overall program satisfaction
Treatment cost
Subjects will complete surveys to measure treatment related time and monetary travel costs.
Therapeutic relationship
Subjects and their therapists will complete surveys to assess qualities of the therapeutic relationship.

Full Information

First Posted
June 10, 2010
Last Updated
April 2, 2013
Sponsor
Johns Hopkins University
Collaborators
National Institute on Drug Abuse (NIDA)
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1. Study Identification

Unique Protocol Identification Number
NCT01142609
Brief Title
Improving Substance Abuse Counseling Adherence Using Web-based Videoconferencing
Official Title
Improving Substance Abuse Counseling Adherence Using Web-based Videoconferencing
Study Type
Interventional

2. Study Status

Record Verification Date
April 2013
Overall Recruitment Status
Completed
Study Start Date
December 2009 (undefined)
Primary Completion Date
August 2012 (Actual)
Study Completion Date
August 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Johns Hopkins University
Collaborators
National Institute on Drug Abuse (NIDA)

4. Oversight

Data Monitoring Committee
No

5. Study Description

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Substance Abuse Disorder
Keywords
Web based videoconferencing, methadone, substance abuse counseling

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
85 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Internet (eGetgoing)
Arm Type
Experimental
Arm Description
Subjects will assigned to use an accredited web-based platform (eGetgoingTM, CRC Health Group, Inc.) to deliver routine substance abuse counseling.
Arm Title
Routine on-site
Arm Type
No Intervention
Arm Description
Subjects will attend routine face-to-face individual counseling sessions.
Intervention Type
Behavioral
Intervention Name(s)
eGet
Intervention Description
eGet individual counseling sessions from home will be scheduled weekly for 12 weeks.
Primary Outcome Measure Information:
Title
Counseling efficacy
Description
Attendance to individual counseling sessions, both online and on-site will be tracked weekly for the duration of the study.
Time Frame
Weekly for 12 weeks
Title
Reinforcement value (eGetgoing)
Description
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).
Time Frame
Monthly for 3 months
Title
Reinforcement value (on-site)
Description
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).
Time Frame
Baseline
Secondary Outcome Measure Information:
Title
Program Satisfaction
Description
Subjects will complete a survey to assess their overall program satisfaction
Time Frame
Baseline and monthly for 3 months
Title
Treatment cost
Description
Subjects will complete surveys to measure treatment related time and monetary travel costs.
Time Frame
Baseline and Month 3
Title
Therapeutic relationship
Description
Subjects and their therapists will complete surveys to assess qualities of the therapeutic relationship.
Time Frame
Baseline and monthly for 3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Van King, M.D.
Organizational Affiliation
Johns Hopkins University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Addiction Treatment Services
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21224
Country
United States

12. IPD Sharing Statement

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Improving Substance Abuse Counseling Adherence Using Web-based Videoconferencing

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