The Total Health Study

University of California San Francisco (UCSF)

Status: Completed

Conditions: Risk Reduction Behavior

Treatments: Behavioral: Usual Care; Behavioral: Extended Staging Health Risk Intervention (S-HRI)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01415206

10-01298

P50DA009253 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study is a randomized, controlled, multiple risk intervention pilot study evaluated with clients recruited from VA Medical Center Substance Abuse Programs. The intervention combines an innovative online system with interpersonal MI-based coaching delivered in 4 sessions over 12-months time.

Enrollment: 250 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Inclusion criteria are: at least 18 years of age, enrolled in the San Francisco Veteran Affairs Medical Center (SF VAMC) Substance Abuse Programs, residing in the San Francisco Bay Area and not planning to relocate out of the area in the next 18 months. For patients in the Day Hospital, we will wait until they have completed one week of treatment before approaching for study involvement, as the first week is the most intensive for services.

Exclusion criteria

• Exclusion criteria are: unstable psychiatric disorder and severe cognitive impairment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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250 participants in 2 patient groups

Extended Staging Health Risk Intervention (S-HRI)

Experimental group

Description:

The S-HRI provides feedback on participants' stages of change for each risk and the single most important step they can take to begin progressing. A counselor will review the report with participants and provide motivational interviewing (MI) coaching and referrals to relevant behavior change services. Repeated computer and individual counseling contacts at baseline, 3, 6 and 12 months follow-up are designed to support participants through the process of changing multiple risk behaviors.

Treatment:

Behavioral: Extended Staging Health Risk Intervention (S-HRI)

Usual Care

Other group

Description:

Participants in the usual care condition will complete the core assessments and the Staging Health Risk Assessment (S-HRA) online at baseline, 3, 6, 12, and 18 months follow-up but will not meet with the study MI coach and will NOT receive any feedback or printed report until the 18-month follow-up.

Treatment:

Behavioral: Usual Care