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Sponsored by: |
Department of Veterans Affairs |
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Information provided by: | Department of Veterans Affairs |
ClinicalTrials.gov Identifier: | NCT00105768 |
VA investigators have described greater substance use at the beginning of the month when disability and other monthly checks are received. The proposed research addresses an important VA priority�seeing that veterans� funds are spent to improve veterans� quality of life and are not misspent on substances of abuse.
Condition | Intervention | Phase |
---|---|---|
Substance Abuse Dual Diagnosis |
Behavioral: Advisor-Teller Money Management-Substance Abuse Counselling |
Phase I Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Single Blind, Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Effectiveness of Advisor - Teller Money Manager (ATM) |
Estimated Enrollment: | 120 |
Study Start Date: | July 2002 |
Study Completion Date: | October 2005 |
Arms | Assigned Interventions |
---|---|
1 | Behavioral: Advisor-Teller Money Management-Substance Abuse Counselling |
Background:
VA investigators have described greater substance use at the beginning of the month when disability and other monthly checks are received. The proposed research addresses an important VA priority�seeing that veterans� funds are spent to improve veterans� quality of life and are not misspent on substances of abuse.
Objectives:
The objective was to determine the effectiveness of a money management-based therapy called ATM for veterans who abuse cocaine or alcohol compared to a financial advice control condition.
Methods:
Veterans were randomly assigned to 36-weeks of ATM or to the control condition, financial advice. ATM (Adviser-Teller Money Manager) involves meeting with a money manager at least weekly. The money manager performs three functions�limiting patients� access to funds by storing checkbooks and ATM cards, training patients to budget their funds, and linking spending to treatment goals. The control condition involved listing income and expenses in a workbook. Veterans were enrolled from each of two sites if they had spent at least $100 in the preceding 90 days on alcohol or cocaine, and had at least $300 per month income. Measures of treatment fidelity and participation included number of visits attended, whether funds were stored, monthly income and expenses and Likert-scaled ratings from 1-4 of money management-related outcomes. Outcome measures collected included urine toxicology tests and breathalyzers, self-reported substance use as assessed by the ASI follow-up, and secondary measures including quality of life and psychiatric symptomatology.
Status:
Data analysis is ongoing. Attempts are being made to (a) disseminate ATM and assess its effect among homeless women veterans (b) determine the reliability and validity of money management-based assessments used to determine which veterans are capable of managing their funds (c) optimize funds management by disabled veterans.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Age _>18. Meets DSM-II criteria for cocaine abuse or alcohol abuse. Self-reported use of at least $100 worth of alcohol or cocaine during 30 days within last 90 days. Income of at least $300 per month.
Exclusion Criteria:
Currently receives money management, physiological dependence on alcohol or opiates, has a conservator or other payee
United States, Connecticut | |
VA Connecticut Health Care System (West Haven) | |
West Haven, Connecticut, United States, 06516 |
Principal Investigator: | Marc I. Rosen, MD | VA Connecticut Health Care System (West Haven) |
Responsible Party: | Department of Veterans Affairs ( Rosen, Marc - Principal Investigator ) |
Study ID Numbers: | MHI 20-001 |
Study First Received: | March 16, 2005 |
Last Updated: | October 31, 2008 |
ClinicalTrials.gov Identifier: | NCT00105768 History of Changes |
Health Authority: | United States: Federal Government |
Mental Disorders Substance-Related Disorders Disorders of Environmental Origin |
Mental Disorders Substance-Related Disorders Disorders of Environmental Origin |