Recovery Housing For Drug Dependent Pregnant Women

NCT ID: NCT00497302

Last Updated: 2013-03-05

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2/PHASE3
• Total Enrollment: 128 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2004-11-30
• Study Completion Date: 2009-08-31

Brief Summary

For the past several years our research program has developed and tested an intensive outpatient intervention that is based in social learning theory and employs abstinence contingent access to recovery housing as a routine aspect of an intensive day treatment counseling program. The present project proposes to extend this treatment intervention to the special population of pregnant drug using women enrolled at the Center for Addiction and Pregnancy (CAP). We will compare an enhanced treatment that includes abstinence contingent recovery house living plus intensive individual therapy, to standard care at the CAP program. Specific aims of the project are derived from testing a two-group design are described below:

1. To determine whether financially supported abstinence-contingent recovery house placement plus individual counseling in pregnant drug-dependent women improves prenatal outpatient treatment retention.

2. To determine whether financially supported abstinence-contingent recovery house placement plus individual counseling in pregnant drug-dependent women reduces prenatal drug use.

3. To determine whether financially supported abstinence-contingent recovery house placement plus individual counseling results in better maternal and infant clinical birth outcomes (e.g., birth weight, estimated gestational age (EGA) at delivery, medical complications).

Conditions

Drug Addiction

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

1

receives housing based on drug abstinence

Group Type: EXPERIMENTAL

RBT

Intervention Type: BEHAVIORAL

Contingency management and behavioral counseling including motivational interviewing

2

Usual care treatment at the Center for Addiction and Pregnancy

Group Type: ACTIVE_COMPARATOR

usual care

Intervention Type: BEHAVIORAL

receives usual comprehensive care at Center for Addiction and Pregnancy

Interventions

RBT

Contingency management and behavioral counseling including motivational interviewing

Intervention Type: BEHAVIORAL

usual care

receives usual comprehensive care at Center for Addiction and Pregnancy

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• CAP enrolled
• Age 18 or older
• Evidence of use of opiate and/or cocaine use in the past 30 days
• Assigned to pharmacotherapy free modality
• CAP admission at an estimated gestational age (EGA) <34 weeks

Exclusion Criteria

• Endorses current suicidal ideation
• Any medical disorders requiring extended or future hospitalization
• Meet diagnostic criteria for current DSM-IV alcohol dependence
• Meet diagnostic criteria for a current DSM-IV Axis I thought disorder (i.e. schizophrenia)
• Demonstrate significant cognitive impairment that precludes them from completing the initial assessment battery

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role: collaborator

Johns Hopkins University

OTHER

Sponsor Role: lead

Responsible Party

Hendree E. Jones

Adjunct Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Hendree E Jones, PhD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

Center for Addiction and Pregnancy Jhons Hopkins Bayview Medical Center

Baltimore, Maryland, United States

Countries

United States

Other Identifiers

R01DA014979

Identifier Type: NIH

Identifier Source: secondary_id

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DPMCDA

Identifier Type: -

Identifier Source: secondary_id

R01DA014979

Identifier Type: NIH

Identifier Source: org_study_id

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