Using Telephone Technology to Prevent Relapse After Alcoholism Treatment - Full Text View

Purpose

The purpose of this study is to determine whether a telephone based self-help program will prevent relapse among individuals undergoing standard substance abuse treatment.

Condition	Intervention	Phase
Alcoholism	Behavioral: Daily monitoring of alcohol & drug use, & therapy skills Device: Alcohol Therapeutic Interactive Voice Response System	Phase II

MedlinePlus related topics:

Alcoholism

Drug Information available for:

Ethanol

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Other, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study

Official Title:	Therapeutic IVR to Augment CBT in Alcohol Dependence

Further study details as provided by National Institute on Alcohol Abuse and Alcoholism (NIAAA):

Primary Outcome Measures:

Amount of alcohol and drug use [ Time Frame: 4 months and one year ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Utilization of the telephone system components during the study [ Time Frame: 4 months and one year ] [ Designated as safety issue: No ]

Estimated Enrollment:	200
Study Start Date:	May 2005
Estimated Study Completion Date:	December 2009
Estimated Primary Completion Date:	December 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1 Therapeutic Phone System: Active Comparator Comparison(s): patients completing group CBT for substance abuse will be randomly assigned to two conditions. In one condition, patients will have unlimited access to the therapeutic telephone system for 4 months. The other condition is standard care (i.e., no formal relapse prevention).	Device: Alcohol Therapeutic Interactive Voice Response System Patients will have unlimited access to the therapeutic telephone system for 4 months.
2 Standard care: Active Comparator Comparison(s): patients completing group CBT for substance abuse will be randomly assigned to two conditions. In one condition, patients will have unlimited access to the therapeutic telephone system for 4 months. The other condition is standard care (i.e., no formal relapse prevention).	Behavioral: Daily monitoring of alcohol & drug use, & therapy skills Comparison(s): patients completing group CBT for substance abuse will be randomly assigned to two conditions. In one condition, patients will have unlimited access to the therapeutic telephone system for 4 months. The other condition is standard care (i.e., no formal relapse prevention).

Detailed Description:

Relapse rates in the first few months following substance abuse treatment are as high as 50%, in spite of the immediate effectiveness of treatments such as Cognitive Behavioral Therapy (CBT). Continuing use of therapy skills following treatment is associated with maintenance of treatment gains. We have programmed a telephone to deliver pre-recorded summaries and rehearsal sessions of skills learned in therapy. The system also includes monthly feedback messages from therapists. We expect that this ad-lib access to therapy skills would allow patients to generalize skills to their personal post-treatment lives. It would also allow individuals in remote or rural areas to obtain access to assistance without travel barriers.

Comparison(s): patients completing group CBT for substance abuse will be randomly assigned to two conditions. In one condition, patients will have unlimited access to the therapeutic telephone system for 4 months. The other condition is standard care (i.e., no formal relapse prevention).

Eligibility

Ages Eligible for Study:	19 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Meets current DSM-IV criteria for alcohol dependence
Active drinking during the three months prior to entry into treatment
Minimum age of 19
Minimum sixth grade reading level.

Exclusion Criteria:

Meets criteria for a current psychotic illness
Imminent plans to move or be incarcerated
Presence of such severe hearing, visual, or cognitive deficit(s) that participation in CBT or use of an Interactive Voice Response (IVR) system are not possible
Inability to identify at least one "locator" person to assist in tracking for follow-up assessments
Does not have telephone service within the home
Incarceration while in active protocol in the study
Attendance of less than 8 of 12 CBT sessions

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00132795

Contacts


Contact: Gail L. Rose, Ph.D.	802-847-1430	Gail.Rose@vtmednet.org

Locations


United States, Vermont
	UVM Health Behavior Research Center	Recruiting
	South Burlington, Vermont, United States, 05403
	Contact: Gail L. Rose, Ph.D. 802-847-1430 Gail.Rose@vtmednet.org
	Principal Investigator: John E. Helzer, MD

Sponsors and Collaborators

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Investigators


Principal Investigator:	John E. Helzer, MD	University of Vermont

More Information

Responsible Party:	The University of Vermont ( John E. Helzer, M.D., Principal Investigator )
Study ID Numbers:	NIAAAHEL014270, NIH Grant 5 R01 AA014270-02
First Received:	August 19, 2005
Last Updated:	September 26, 2008
ClinicalTrials.gov Identifier:	NCT00132795
Health Authority:	United States: Federal Government

Keywords provided by National Institute on Alcohol Abuse and Alcoholism (NIAAA):

Cognitive Therapy

Recurrence

Prevention

Educational Technology

Study placed in the following topic categories:

Mental Disorders

Alcoholism

Substance-Related Disorders

Disorders of Environmental Origin

Alcohol-Related Disorders

Recurrence

Ethanol

ClinicalTrials.gov processed this record on November 05, 2008

Sponsored by:	National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Information provided by:	National Institute on Alcohol Abuse and Alcoholism (NIAAA)
ClinicalTrials.gov Identifier:	NCT00132795