Twelve Step Based Self-help Groups for Substance Related Disorders (TSF_Norway)

Sorlandet Hospital HF

Status: Completed

Conditions: Substance Use Disorders

Treatments: Behavioral: Brief motivation to participate in TSG

Study type: Interventional

Funder types: Other

Identifiers

NCT00708890

SSHF_815357

Details and patient eligibility

About

The Twelve Step groups are the most available and widespread self-help groups for patients with alcohol or drug related disorders. In a public health perspective, self-help groups (SHGs) may be considered as a supplement to professional treatment and provide aftercare soon as professional treatment has ended.

There is a need to investigate if U.S. findings and procedures concerning referrals from the health services to Twelve Step Groups (TSGs) can be replicated and accommodated to a cultural setting which is unfamiliar with these groups. There is also a particular need in the Norwegian treatment system to develop alternative treatment strategies for patients undergoing detoxification to improve their chances of long-term recovery, due to deficient formal follow-up alternatives.

We plan to carry out a RCT-study. One hundred and sixty patients entering a detoxification treatment center (Addiction Unit, Sørlandet Hospital, Kristiansand, Norway) will be assigned to two different groups: One given standard information about TSGs (brief advice) and one given intensive referral (motivational sessions and contact with TSG volunteers). A follow up assessment is planned at 6 months to determine whether intensive referral results in more TSG attendance, and if this mediates less substance use and better functioning outcomes.

This study introduces a new concept in the Norwegian health care system and relies on a systematic cooperation with user organizations (SHGs) and user volunteers. Thus the study focuses strongly on user resources.

Enrollment: 140 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with alcohol and substance use disorders treated on a detox ward

Exclusion criteria

• Severe psychiatric comorbidity
• Patients on opioid replacement therapy
• Those who have appointment with other inpatient treatment at intake (and will be transferred to such treatment)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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140 participants in 2 patient groups

Intervention group

Experimental group

Treatment:

Behavioral: Brief motivation to participate in TSG

Control group

No Intervention group

Description:

Will only get a standard information about TSG group (information about meeting etc.)