Using Telephone Technology to Prevent Relapse After Alcoholism Treatment (ATIVR)

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University of Vermont

Status and phase

Completed
Phase 2

Conditions

Alcoholism

Treatments

Behavioral: Daily monitoring of alcohol & drug use, & therapy skills
Behavioral: control group

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT00132795
R01AA014270 (U.S. NIH Grant/Contract)
NIAAAHEL014270

Details and patient eligibility

About

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.

Full 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).

Enrollment

158 patients

Sex

All

Ages

19+ years old

Volunteers

No Healthy Volunteers

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

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

158 participants in 2 patient groups

1 Therapeutic Phone System
Experimental group
Description:
patients assigned to this condition will have unlimited access to the therapeutic telephone system for 4 months.
Treatment:
Behavioral: Daily monitoring of alcohol & drug use, & therapy skills
2 Standard care
Active Comparator group
Description:
Standard post-CBT care (i.e., no formal relapse prevention or professional treatment).
Treatment:
Behavioral: control group

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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