Effectiveness of Assertive Continuing Care for Youth

NCT ID: NCT01085188

Last Updated: 2010-03-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

342 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-01-31

Brief Summary

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Following discharge from residential treatment 324 adolescents are randomly assigned to Assertive Continuing Care with and without motivational incentives in a 2 x 2 factorial design. Clinical outcomes are assessed at 3, 6, 9, and 12 months post discharge.

Detailed Description

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Conditions

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Substance Use Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Study Groups

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Assertive Continuing Care (ACC)

Behavioral intervention comprised of the community reinforcement approach plus case management delivered in home and other community settings to youth and their caregivers.

Group Type EXPERIMENTAL

ACC

Intervention Type BEHAVIORAL

Weekly community based behavioral counseling and case management

UCC

Intervention Type BEHAVIORAL

recommendation made by discharge counselor upon leaving residential treatment to attend nearest outpatient clinic.

Contingency Management (CM)

Using a prize drawing system (no, low, medium and large value prizes) with adolescents could earn escalating prize drawing opportunities by completing verifiable pro-social activities and providing negative urine test and breath alcohol test results.

Group Type EXPERIMENTAL

CM

Intervention Type BEHAVIORAL

Weekly community based prize drawing opportunities contingent upon completed verifiable pro-social activities and clean urine and breath alcohol test results

UCC

Intervention Type BEHAVIORAL

recommendation made by discharge counselor upon leaving residential treatment to attend nearest outpatient clinic.

ACC + CM

This arm is the combination of arms 1 and 2.

Group Type EXPERIMENTAL

ACC

Intervention Type BEHAVIORAL

Weekly community based behavioral counseling and case management

CM

Intervention Type BEHAVIORAL

Weekly community based prize drawing opportunities contingent upon completed verifiable pro-social activities and clean urine and breath alcohol test results

UCC

Intervention Type BEHAVIORAL

recommendation made by discharge counselor upon leaving residential treatment to attend nearest outpatient clinic.

Usual Continuing Care (UCC)

UCC consists of a discharge recommendation to seek aftercare services at nearest treatment provider to where the patient lived. This service primarily consisted of outpatient group counseling.

Group Type ACTIVE_COMPARATOR

UCC

Intervention Type BEHAVIORAL

recommendation made by discharge counselor upon leaving residential treatment to attend nearest outpatient clinic.

Interventions

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ACC

Weekly community based behavioral counseling and case management

Intervention Type BEHAVIORAL

CM

Weekly community based prize drawing opportunities contingent upon completed verifiable pro-social activities and clean urine and breath alcohol test results

Intervention Type BEHAVIORAL

UCC

recommendation made by discharge counselor upon leaving residential treatment to attend nearest outpatient clinic.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Met DSM-IV diagnostic criteria for abuse or dependence on alcohol or another drug in the past year
* Been between the ages of 12 and 18 at the time of residential admission; and (c) resided in one of ten Illinois counties targeted for the intervention

Exclusion Criteria

* left residential treatment prior to the seventh day
* did not return to a target county at discharge
* showed evidence of cognitive impairment that interfered with understanding of study instruments, procedures, or the informed consent process
* were deemed dangerous to themselves or others during treatment
* were a ward of child protective services and inaccessible for the intervention
* met DSM-IV criteria for pathological gambling
* were discharged to the state department of corrections
* were already participating in a treatment study
Minimum Eligible Age

12 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Alcohol Abuse and Alcoholism (NIAAA)

NIH

Sponsor Role collaborator

Chestnut Health Systems

OTHER

Sponsor Role lead

Responsible Party

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Chestnut Health Systems

Other Identifiers

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1018-1201

Identifier Type: -

Identifier Source: org_study_id

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