Efficacy of Dual Focus Mutual Aid for Persons With Co-occurring Disorders
NCT ID: NCT01333280
Last Updated: 2014-12-10
Study Results
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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COMPLETED
NA
352 participants
INTERVENTIONAL
2008-07-31
2014-04-30
Brief Summary
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NO VOLUNTEERS ARE ACCEPTED. ENROLLMENT IS LIMITED TO CLIENTS OF THE PARTICIPATING TREATMENT PROGRAMS.
Detailed Description
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The specific study aims are:
1. To conduct a multi-site RCT to determine the efficacy of "dual focus" 12-step mutual aid groups for persons with co-occurring substance use and mental disorders. Substance-using patients who are admitted to psychiatric outpatient clinics will be randomly assigned within each clinic to (i) DTR group participation plus standard treatment, or (ii) standard treatment as usual (wait list for DTR). The primary outcome is drug/alcohol use. The secondary outcomes are psychiatric medication adherence; quality of life; treatment retention; and traditional 12 step group participation. Major assessments will occur at baseline and 6 months later.
2. To determine the therapeutic mechanisms mediating between DTR participation and behavioral outcomes. Hypothesized mediating variables will include both "common process" factors across treatments, e.g., coping, self-efficacy and social support; and factors relatively unique to mutual aid, e.g., mutual aid group processes, 12-step attitudes and spirituality.
3. To determine the personal, social/environmental and treatment-related variables which predict DTR affiliation.
4. To describe the development of DTR groups and the conditions needed to sustain them.
Federal substance abuse and mental health policy encourages the use of evidence-based interventions, yet rigorous evaluation data are scant for mutual aid groups. In particular, this research will lead to recommendations for improving the integration of formal treatment with mutual aid for persons with co-occurring disorders. Moreover, by conducting the proposed RCT, the study will substantially raise the standard by which mutual aid is evaluated.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Double Trouble (DTR) group
Double Trouble in Recovery groups
Double Trouble in Recovery
DTR is a 12 Step-based fellowship for individuals with co-occurring problems of substance abuse and mental illness
Treatment as usual
Treatment as usual while on a waiting list for DTR groups
Treatment as usual
Receive usual treatment at the programs
Interventions
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Double Trouble in Recovery
DTR is a 12 Step-based fellowship for individuals with co-occurring problems of substance abuse and mental illness
Treatment as usual
Receive usual treatment at the programs
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* substance abuse/dependence
* 18-65 years of age
NO VOLUNTEERS ARE ACCEPTED. ENROLLMENT IS LIMITED TO CLIENTS OF THE THE PARTICIPATING TREATMENT PROGRAMS.
Exclusion Criteria
* Appears intoxicated on drugs or alcohol
* Carries a diagnosis of mental retardation
* Deemed actively psychotic by the clinic's intake coordinator
* Appears unable to understand and give informed consent.
18 Years
65 Years
ALL
No
Sponsors
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National Institute on Drug Abuse (NIDA)
NIH
Western Michigan University
OTHER
Responsible Party
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Stephen Magura
Director, Evaluation Center
Principal Investigators
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Stephen Magura, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
Western Michigan University
Locations
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Proaction Health Alliance
Grand Rapids, Michigan, United States
Coney Island Hospital
Brooklyn, New York, United States
BRC
New York, New York, United States
South Beach Psychiatric Center
New York, New York, United States
Countries
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References
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Rosenblum A, Matusow H, Fong C, Vogel H, Uttaro T, Moore TL, Magura S. Efficacy of dual focus mutual aid for persons with mental illness and substance misuse. Drug Alcohol Depend. 2014 Feb 1;135:78-87. doi: 10.1016/j.drugalcdep.2013.11.012. Epub 2013 Nov 18.
Matusow H, Guarino H, Rosenblum A, Vogel H, Uttaro T, Khabir S, Rini M, Moore T, Magura S. Consumers' Experiences in Dual Focus Mutual Aid for Co-occurring Substance Use and Mental Health Disorders. Subst Abuse. 2013;7:39-47. doi: 10.4137/SART.S11006. Epub 2013 Mar 6.
Magura S, Mateu PF, Rosenblum A, Matusow H, Fong C. Risk factors for medication non-adherence among psychiatric patients with substance misuse histories. Ment Health Subst Use. 2014 Nov;7(4):381-390. doi: 10.1080/17523281.2013.839574.
Matusow H, Rosenblum A, Fong C, Laudet A, Uttaro T, Magura S. Factors associated with mental health clinicians' referrals to 12-Step groups. J Addict Dis. 2012;31(3):303-12. doi: 10.1080/10550887.2012.694605.
Other Identifiers
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DUALFOCUSAID
Identifier Type: -
Identifier Source: org_study_id