Trial Outcomes & Findings for Impact of Group Motivational Interviewing and In-Home-Messaging-Devices for Dually Diagnosed Veterans (NCT NCT00706901)

NCT ID: NCT00706901

Last Updated: 2018-08-08

Results Overview

Number of alcohol drinking days is the number of days that that participant self-reported having at least 1 standard alcohol beverage during the specified follow up period on the Time Line Follow Back (Sobell \& Sobell, 1992).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

180 participants

Primary outcome timeframe

One month follow-up and three month follow up in the previous 30 (one month follow up) and 60 (three month follow up) days

Results posted on

2018-08-08

Participant Flow

Participant milestones

Participant milestones
Measure
Arm 1 GMI
Participants in GMI first completed a baseline assessment, then returned 1 week later to attend four GMI sessions, each session lasting 75 minutes, administered on four consecutive days within the same week period. One and three months after the day of IRB consent, participants were provided 1 one-month and a 3-month follow-up, respectively.
Arm 2 IHMD
Participants in IHMD first completed a baseline assessment, then received within a 1 week period their IHMD CCHT device to be used on a daily basis for 27 days in their home. One and three months after the day of IRB consent, participants were provided 1 one-month and a 3-month follow-up, respectively.
Arm 3 TCC
Participants in TCC first completed a baseline assessment, then returned 1 week later to attend four TCC sessions, each session lasting 75 minutes, administered on four consecutive days within the same week period. One and three months after the day of IRB consent, participants were provided 1 one-month and a 3-month follow-up, respectively.
Overall Study
STARTED
59
62
59
Overall Study
COMPLETED
51
57
51
Overall Study
NOT COMPLETED
8
5
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm 1 GMI
Participants in GMI first completed a baseline assessment, then returned 1 week later to attend four GMI sessions, each session lasting 75 minutes, administered on four consecutive days within the same week period. One and three months after the day of IRB consent, participants were provided 1 one-month and a 3-month follow-up, respectively.
Arm 2 IHMD
Participants in IHMD first completed a baseline assessment, then received within a 1 week period their IHMD CCHT device to be used on a daily basis for 27 days in their home. One and three months after the day of IRB consent, participants were provided 1 one-month and a 3-month follow-up, respectively.
Arm 3 TCC
Participants in TCC first completed a baseline assessment, then returned 1 week later to attend four TCC sessions, each session lasting 75 minutes, administered on four consecutive days within the same week period. One and three months after the day of IRB consent, participants were provided 1 one-month and a 3-month follow-up, respectively.
Overall Study
Lost to Follow-up
2
3
2
Overall Study
Withdrawal by Subject
4
2
5
Overall Study
In Jail
1
0
1
Overall Study
Death
1
0
0

Baseline Characteristics

Impact of Group Motivational Interviewing and In-Home-Messaging-Devices for Dually Diagnosed Veterans

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1 GMI
n=59 Participants
Group Motivational Interviewing
Arm 2 IHMD
n=62 Participants
In-Home-Messaging Device
Arm 3 TCC
n=59 Participants
Treatment Control condition
Total
n=180 Participants
Total of all reporting groups
Age, Continuous
52.9 years
STANDARD_DEVIATION 8.8 • n=5 Participants
52.3 years
STANDARD_DEVIATION 10.3 • n=7 Participants
51.1 years
STANDARD_DEVIATION 10.6 • n=5 Participants
52.1 years
STANDARD_DEVIATION 9.9 • n=4 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
14 Participants
n=4 Participants
Sex: Female, Male
Male
54 Participants
n=5 Participants
58 Participants
n=7 Participants
54 Participants
n=5 Participants
166 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
32 Participants
n=5 Participants
36 Participants
n=7 Participants
36 Participants
n=5 Participants
104 Participants
n=4 Participants
Race (NIH/OMB)
White
27 Participants
n=5 Participants
25 Participants
n=7 Participants
22 Participants
n=5 Participants
74 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Region of Enrollment
United States
59 participants
n=5 Participants
62 participants
n=7 Participants
59 participants
n=5 Participants
180 participants
n=4 Participants

PRIMARY outcome

Timeframe: One month follow-up and three month follow up in the previous 30 (one month follow up) and 60 (three month follow up) days

Population: Intent to treat population (at least one GMI session attended)

Number of alcohol drinking days is the number of days that that participant self-reported having at least 1 standard alcohol beverage during the specified follow up period on the Time Line Follow Back (Sobell \& Sobell, 1992).

Outcome measures

Outcome measures
Measure
Arm 1 GMI
n=59 Participants
Group Motivational Interviewing
Arm 2 IHMD
n=62 Participants
In Home Messaging Device
Arm 3 TCC
n=59 Participants
Treatment Control Condition
Number of Alcohol Drinking Days in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days
One month follow up
5.1 Days Using Alcohol
Standard Deviation 7.6
6.5 Days Using Alcohol
Standard Deviation 9.5
6.7 Days Using Alcohol
Standard Deviation 10.3
Number of Alcohol Drinking Days in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days
Three month follow up
8.8 Days Using Alcohol
Standard Deviation 13.3
10.9 Days Using Alcohol
Standard Deviation 16.3
9.9 Days Using Alcohol
Standard Deviation 18.8

PRIMARY outcome

Timeframe: One and three-months post intervention in the previous 30 (one month follow up) and 60 (three month follow up) days

Population: Intent to treat population (at least one GMI session attended)

Number of alcohol binge drinking days is the number of days that that participant self-reported having at least 4 standard alcohol beverages on one occasion (for women) and at least 5 standard alcohol beverages on one occasion (for men) during the specified follow up period on the Time Line Follow Back (Sobell \& Sobell, 1992).

Outcome measures

Outcome measures
Measure
Arm 1 GMI
n=59 Participants
Group Motivational Interviewing
Arm 2 IHMD
n=62 Participants
In Home Messaging Device
Arm 3 TCC
n=59 Participants
Treatment Control Condition
Number of Alcohol Binge Drinking Days in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days
One month follow up
3.1 Days of binge drinking
Standard Deviation 6.5
2.7 Days of binge drinking
Standard Deviation 6.5
6.1 Days of binge drinking
Standard Deviation 10.5
Number of Alcohol Binge Drinking Days in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days
Three month follow up
5.1 Days of binge drinking
Standard Deviation 10.8
4.0 Days of binge drinking
Standard Deviation 10.5
7.9 Days of binge drinking
Standard Deviation 17.7

PRIMARY outcome

Timeframe: One and three-months post intervention in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days

Population: Intent to treat population (at least one GMI session attended)

Standard drinks, or SECs, is the number of drinks that the participant self-reported consuming (as measured by 0.5 oz ethanol alcohol per beverage) during the specified follow up period on the Time Line Follow Back (Sobell \& Sobell, 1992).

Outcome measures

Outcome measures
Measure
Arm 1 GMI
n=59 Participants
Group Motivational Interviewing
Arm 2 IHMD
n=62 Participants
In Home Messaging Device
Arm 3 TCC
n=59 Participants
Treatment Control Condition
Standard Number of Alcohol Drinks in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days
One month follow up
45.1 Standard alcohol drinks
Standard Deviation 98.1
45.8 Standard alcohol drinks
Standard Deviation 100.7
70.0 Standard alcohol drinks
Standard Deviation 131.1
Standard Number of Alcohol Drinks in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days
Three month follow up
66.5 Standard alcohol drinks
Standard Deviation 156.6
64.6 Standard alcohol drinks
Standard Deviation 129.7
112.3 Standard alcohol drinks
Standard Deviation 251.9

PRIMARY outcome

Timeframe: One and three-months post intervention in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days

Population: Intent to treat population (at least one GMI session attended)

Treatment utilization is the number of treatment attendance sessions based on objective CPRS medical records, including number of all VA substance abuse outpatient, other mental health (e.g., PTSD, depression), and other substance abuse treatment sessions.

Outcome measures

Outcome measures
Measure
Arm 1 GMI
n=59 Participants
Group Motivational Interviewing
Arm 2 IHMD
n=62 Participants
In Home Messaging Device
Arm 3 TCC
n=59 Participants
Treatment Control Condition
Treatment Utilization in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days
One month follow up
8.7 Number of treatment sessions
Standard Deviation 8.7
7.0 Number of treatment sessions
Standard Deviation 9.6
8.8 Number of treatment sessions
Standard Deviation 9.0
Treatment Utilization in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days
Three month follow up
11.3 Number of treatment sessions
Standard Deviation 13.2
6.4 Number of treatment sessions
Standard Deviation 9.8
8.3 Number of treatment sessions
Standard Deviation 11.1

PRIMARY outcome

Timeframe: One and three-months post intervention in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days

Population: Intent to treat population (at least one GMI session attended)

Number of self-reported 12-step (number of self-help alcoholics anonymous or narcotics anonymous \[AA/NA\]) sessions, including days of consulting with a 12-step sponsor for help with a substance use problem based on the Time Line Follow-Back (Sobell \& Sobell, 1992).

Outcome measures

Outcome measures
Measure
Arm 1 GMI
n=59 Participants
Group Motivational Interviewing
Arm 2 IHMD
n=62 Participants
In Home Messaging Device
Arm 3 TCC
n=59 Participants
Treatment Control Condition
Treatment Attendance at 12-step or Mutual Self-help Sessions in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days
One month follow up
8.0 Number of 12-step sessions attended
Standard Deviation 12.0
5.1 Number of 12-step sessions attended
Standard Deviation 8.8
7.1 Number of 12-step sessions attended
Standard Deviation 29.6
Treatment Attendance at 12-step or Mutual Self-help Sessions in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days
Three month follow up
16.2 Number of 12-step sessions attended
Standard Deviation 22.4
10.6 Number of 12-step sessions attended
Standard Deviation 16.6
16.2 Number of 12-step sessions attended
Standard Deviation 22.4

SECONDARY outcome

Timeframe: One and three-months post intervention in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days

Population: Intent to treat population (at least one GMI session attended)

Number of illicit drug use days is the number of days that that participant self-reported having used illicit drug (e.g., cocaine, crack, marijuana, opiates, sedatives, hallucinogens) during the specified follow up period on the Time Line Follow Back (Sobell \& Sobell, 1992).

Outcome measures

Outcome measures
Measure
Arm 1 GMI
n=59 Participants
Group Motivational Interviewing
Arm 2 IHMD
n=62 Participants
In Home Messaging Device
Arm 3 TCC
n=59 Participants
Treatment Control Condition
Number of Illicit Drug Use Days in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days
One month follow up
0.74 Days of drug use
Standard Deviation 1.6
0.62 Days of drug use
Standard Deviation 2.3
0.7 Days of drug use
Standard Deviation 1.6
Number of Illicit Drug Use Days in the Previous 30 (One Month Follow up) and 60 (Three Month Follow up) Days
Three month follow up
0.9 Days of drug use
Standard Deviation 2.0
0.51 Days of drug use
Standard Deviation 1.6
0.7 Days of drug use
Standard Deviation 2.0

Adverse Events

Arm 1 GMI

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm 2 IHMD

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm 3 TCC

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm 1 GMI
n=59 participants at risk
Group Motivational Interviewing
Arm 2 IHMD
n=62 participants at risk
In Home Messaging Device
Arm 3 TCC
n=59 participants at risk
Treatment Control Condition
Psychiatric disorders
Suicidal Ideation
1.7%
1/59 • Number of events 59
0.00%
0/62
0.00%
0/59
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Death due to throat cancer
1.7%
1/59 • Number of events 59
0.00%
0/62
0.00%
0/59

Other adverse events

Adverse event data not reported

Additional Information

Elizabeth Santa Ana, Ph.D.

Charleston VAMC

Phone: (843) 789-7168

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place