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Effectiveness of Assertive Continuing Care for Youth

Primary Purpose

Substance Use Disorders

Status

Completed

Phase

Phase 3

Locations

Study Type

Interventional

Intervention

ACC

UCC

About this trial

This is an interventional treatment trial for Substance Use Disorders

Eligibility Criteria

12 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Met DSM-IV diagnostic criteria for abuse or dependence on alcohol or another drug in the past year
Been between the ages of 12 and 18 at the time of residential admission; and (c) resided in one of ten Illinois counties targeted for the intervention

Exclusion Criteria:

left residential treatment prior to the seventh day
did not return to a target county at discharge
showed evidence of cognitive impairment that interfered with understanding of study instruments, procedures, or the informed consent process
were deemed dangerous to themselves or others during treatment
were a ward of child protective services and inaccessible for the intervention
met DSM-IV criteria for pathological gambling
were discharged to the state department of corrections
were already participating in a treatment study

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Arm Label

Assertive Continuing Care (ACC)

Contingency Management (CM)

ACC + CM

Usual Continuing Care (UCC)

Arm Description

Behavioral intervention comprised of the community reinforcement approach plus case management delivered in home and other community settings to youth and their caregivers.

Using a prize drawing system (no, low, medium and large value prizes) with adolescents could earn escalating prize drawing opportunities by completing verifiable pro-social activities and providing negative urine test and breath alcohol test results.

This arm is the combination of arms 1 and 2.

UCC consists of a discharge recommendation to seek aftercare services at nearest treatment provider to where the patient lived. This service primarily consisted of outpatient group counseling.

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

NCT ID

NCT01085188

First Posted

March 10, 2010

Last Updated

March 10, 2010

Sponsor

Chestnut Health Systems

Collaborators

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

1. Study Identification

Unique Protocol Identification Number

NCT01085188

Brief Title

Effectiveness of Assertive Continuing Care for Youth

Study Type

Interventional

2. Study Status

Record Verification Date

March 2010

Overall Recruitment Status

Completed

Study Start Date

January 2003 (undefined)

Primary Completion Date

January 2008 (Actual)

Study Completion Date

undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor

Chestnut Health Systems

Collaborators

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

4. Oversight

5. Study Description

Brief Summary

Following discharge from residential treatment 324 adolescents are randomly assigned to Assertive Continuing Care with and without motivational incentives in a 2 x 2 factorial design. Clinical outcomes are assessed at 3, 6, 9, and 12 months post discharge.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Substance Use Disorders

7. Study Design

Primary Purpose

Treatment

Study Phase

Phase 3

Interventional Study Model

Factorial Assignment

Allocation

Randomized

Enrollment

342 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Assertive Continuing Care (ACC)

Arm Type

Experimental

Arm Description

Behavioral intervention comprised of the community reinforcement approach plus case management delivered in home and other community settings to youth and their caregivers.

Arm Title

Contingency Management (CM)

Arm Type

Experimental

Arm Description

Arm Title

ACC + CM

Arm Type

Experimental

Arm Description

This arm is the combination of arms 1 and 2.

Arm Title

Usual Continuing Care (UCC)

Arm Type

Active Comparator

Arm Description

UCC consists of a discharge recommendation to seek aftercare services at nearest treatment provider to where the patient lived. This service primarily consisted of outpatient group counseling.

Intervention Type

Behavioral

Intervention Name(s)

ACC

Intervention Description

Weekly community based behavioral counseling and case management

Intervention Type

Behavioral

Intervention Name(s)

Intervention Description

Weekly community based prize drawing opportunities contingent upon completed verifiable pro-social activities and clean urine and breath alcohol test results

Intervention Type

Behavioral

Intervention Name(s)

UCC

Intervention Description

recommendation made by discharge counselor upon leaving residential treatment to attend nearest outpatient clinic.

10. Eligibility

Sex

All

Minimum Age & Unit of Time

12 Years

Maximum Age & Unit of Time

18 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Met DSM-IV diagnostic criteria for abuse or dependence on alcohol or another drug in the past year Been between the ages of 12 and 18 at the time of residential admission; and (c) resided in one of ten Illinois counties targeted for the intervention Exclusion Criteria: left residential treatment prior to the seventh day did not return to a target county at discharge showed evidence of cognitive impairment that interfered with understanding of study instruments, procedures, or the informed consent process were deemed dangerous to themselves or others during treatment were a ward of child protective services and inaccessible for the intervention met DSM-IV criteria for pathological gambling were discharged to the state department of corrections were already participating in a treatment study

12. IPD Sharing Statement

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Effectiveness of Assertive Continuing Care for Youth

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