Trial Outcomes & Findings for Justice-Involved Veterans and Moral Reconation Therapy (NCT NCT02524171)
NCT ID: NCT02524171
Last Updated: 2023-07-27
Results Overview
The Psychological Inventory of Criminal Thinking Styles (56 items) was administered to assess criminal thinking. The measure includes scales of Mollification, Cutoff, Entitlement, Power Orientation, Super-optimism, Cognitive Indolence, and Discontinuity . Scores on these scales were summed to create a General Criminal Thinking score, which has been validated as an overall index of recidivism risk. Higher scores equate to more criminal thinking. Scores were converted to a T-score metric (M=50, SD=10), calculated in reference to norms from samples of incarcerated offenders.
COMPLETED
NA
344 participants
6 months (post-baseline)
2023-07-27
Participant Flow
Recruitment began on April 4, 2016 from 3 VA Mental Health Residential Rehabilitation Treatment Program (MH RRTP) at Bedford, MA, Little Rock, AR, and Palo Alto, CA. Recruitment officially closed on July 31, 2018.
A total of 344 participants were enrolled across the 3 sites but only 341 were randomized to either the intervention group or control group. Three participants decided to withdraw from the study for various reasons such as declining to finish the baseline interview or deciding that he/she did not want to participate.
Participant milestones
| Measure |
Moral Reconation Therapy (MRT)
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
6-month Follow-up
STARTED
|
172
|
169
|
|
6-month Follow-up
COMPLETED
|
119
|
124
|
|
6-month Follow-up
NOT COMPLETED
|
53
|
45
|
|
12-month Follow-up Interview
STARTED
|
172
|
169
|
|
12-month Follow-up Interview
COMPLETED
|
127
|
128
|
|
12-month Follow-up Interview
NOT COMPLETED
|
45
|
41
|
Reasons for withdrawal
| Measure |
Moral Reconation Therapy (MRT)
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
6-month Follow-up
Lost to Follow-up
|
53
|
45
|
|
12-month Follow-up Interview
Lost to Follow-up
|
45
|
41
|
Baseline Characteristics
Justice-Involved Veterans and Moral Reconation Therapy
Baseline characteristics by cohort
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
Total
n=341 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
166 Participants
n=5 Participants
|
163 Participants
n=7 Participants
|
329 Participants
n=5 Participants
|
|
Age, Categorical
>=65 years
|
6 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
12 Participants
n=5 Participants
|
|
Age, Continuous
|
45.83 years
STANDARD_DEVIATION 12.191 • n=5 Participants
|
46.60 years
STANDARD_DEVIATION 12.169 • n=7 Participants
|
46.21 years
STANDARD_DEVIATION 12.168 • n=5 Participants
|
|
Sex: Female, Male
Female
|
8 Participants
n=5 Participants
|
8 Participants
n=7 Participants
|
16 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
164 Participants
n=5 Participants
|
161 Participants
n=7 Participants
|
325 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
White
|
97 Participants
n=5 Participants
|
100 Participants
n=7 Participants
|
197 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Black or African American
|
45 Participants
n=5 Participants
|
52 Participants
n=7 Participants
|
97 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
American Indian/Alaska Native
|
4 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
6 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Asian/Pacific Islander
|
4 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
6 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Hispanic or Latino/a, White
|
10 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
16 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Other
|
12 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
19 Participants
n=5 Participants
|
|
Controlled environment
No
|
14 Participants
n=5 Participants
|
10 Participants
n=7 Participants
|
24 Participants
n=5 Participants
|
|
Controlled environment
Jail
|
17 Participants
n=5 Participants
|
10 Participants
n=7 Participants
|
27 Participants
n=5 Participants
|
|
Controlled environment
Alcohol or drug treatment
|
130 Participants
n=5 Participants
|
135 Participants
n=7 Participants
|
265 Participants
n=5 Participants
|
|
Controlled environment
Medical treatment
|
2 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
|
Controlled environment
Psychiatric treatment
|
6 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
12 Participants
n=5 Participants
|
|
Controlled environment
Other
|
3 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
|
Sites (U.S.)
Pacific
|
56 Participants
n=5 Participants
|
55 Participants
n=7 Participants
|
111 Participants
n=5 Participants
|
|
Sites (U.S.)
Continental
|
55 Participants
n=5 Participants
|
55 Participants
n=7 Participants
|
110 Participants
n=5 Participants
|
|
Sites (U.S.)
Northeast
|
61 Participants
n=5 Participants
|
59 Participants
n=7 Participants
|
120 Participants
n=5 Participants
|
|
Days in the residential program
|
91.20 Days
STANDARD_DEVIATION 96.035 • n=5 Participants
|
92.55 Days
STANDARD_DEVIATION 100.326 • n=7 Participants
|
91.868 Days
STANDARD_DEVIATION 98.183 • n=5 Participants
|
PRIMARY outcome
Timeframe: 6 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The Psychological Inventory of Criminal Thinking Styles (56 items) was administered to assess criminal thinking. The measure includes scales of Mollification, Cutoff, Entitlement, Power Orientation, Super-optimism, Cognitive Indolence, and Discontinuity . Scores on these scales were summed to create a General Criminal Thinking score, which has been validated as an overall index of recidivism risk. Higher scores equate to more criminal thinking. Scores were converted to a T-score metric (M=50, SD=10), calculated in reference to norms from samples of incarcerated offenders.
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Risk for Criminal Recidivism (Criminal Thinking)
|
53.66 score on a scale
Interval 49.2 to 58.1
|
53.30 score on a scale
Interval 48.7 to 58.0
|
PRIMARY outcome
Timeframe: 12 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The Psychological Inventory of Criminal Thinking Styles (56 items) was administered to assess criminal thinking. The measure includes scales of Mollification, Cutoff, Entitlement, Power Orientation, Super-optimism, Cognitive Indolence, and Discontinuity . Scores on these scales were summed to create a General Criminal Thinking score, which has been validated as an overall index of recidivism risk. Higher scores equate to more criminal thinking. Scores were converted to a T-score metric (M=50, SD=10), calculated in reference to norms from samples of incarcerated offenders.
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Risk for Criminal Recidivism (Criminal Thinking)
|
50.96 score on a scale
Interval 46.5 to 55.4
|
49.80 score on a scale
Interval 45.2 to 54.4
|
SECONDARY outcome
Timeframe: 6 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The quantity and frequency of patients' self-reported alcohol use in the past 6 months, measured with the Timeline Follow-Back interview that was administered at the 6-month follow-up interview.
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Alcohol Use
|
94 percentage of days abstinent (past 6 mo)
Interval 90.0 to 100.0
|
95 percentage of days abstinent (past 6 mo)
Interval 90.0 to 100.0
|
SECONDARY outcome
Timeframe: 6 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The quantity and frequency of patients' self-reported drug use in the past 6 months, measured with the Timeline Follow-Back interview. It was administered at each time point to calculate for the past 6 months total number of days using any drugs (marijuana, cocaine, amphetamines, heroin, other opiates, benzodiazepines, barbiturates, inhalants, or hallucinogens).
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Drug Use
|
23.07 Days (in past 6 months)
Interval 5.0 to 41.1
|
15.01 Days (in past 6 months)
Interval -3.7 to 33.7
|
SECONDARY outcome
Timeframe: 6 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
Scale A of the Measures of Criminal Attitudes and Associates (MCAA; Mills, Kroner, \& Forth, 2002) was administered at each interview to quantify participants' associations with criminal peers, a strong predictor of criminal recidivism (Mills, Kroner, \& Hemmati, 2004). Participants were asked to consider the four adults (excluding family, co-workers, or other residents in treatment) with whom they spend the most free-time. A count variable was created by summing the number of friends for which the participant answered yes to any of the questions of criminal involvement (possible range=0-4, where a higher score indicates a worse outcome)
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Criminal Associates
|
0.43 friends with criminal involvement
Interval 0.2 to 0.8
|
0.28 friends with criminal involvement
Interval 0.1 to 0.6
|
SECONDARY outcome
Timeframe: 6 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The Employment module of the ASI was administered at each timepoint to assess problem severity in this domain, using composite score indices (range 0 to 1); higher scores indicate greater problem severity.
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Employment Problem Severity
|
0.58 score on a scale
Interval 0.5 to 0.7
|
0.61 score on a scale
Interval 0.5 to 0.7
|
SECONDARY outcome
Timeframe: 6 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The Alcohol module of the ASI was administered at each time point to assess problem severity in this domain, using composite score indices (ranging from 0 to 1); higher scores indicate greater problem severity. ASI composite scores such as this have long been used to provide internally-consistent evaluations of a patient in a particular problem area (Grahn \& Padyab, 2020).
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Alcohol Use Problem Severity.
|
0.09 score on a scale
Interval 0.0 to 0.2
|
0.06 score on a scale
Interval 0.0 to 0.1
|
SECONDARY outcome
Timeframe: 6 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The Legal Status module of the Addiction Severity Index (ASI; McLellan et al., 2006) was administered at each interview to assess legal problem severity. The latter is based on a composite index derived from five items: Are you presently awaiting charges, trial, or sentence? How many days in the past 30 have you engaged in illegal activities for profit? How serious do you feel your present legal problems are? (0=Not at all, 4=Extremely) How important to you now is counseling or referral for these legal problems? (0=Not at all, 4=Extremely) How much money did you receive from illegal sources in the past 30 days? These items were standardized and aggregated and yield scores ranging from 0 to 1; higher scores indicate greater problem severity of legal problems.
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Legal Problem Severity
|
0.14 score on a scale
Interval 0.1 to 0.2
|
0.13 score on a scale
Interval 0.1 to 0.2
|
SECONDARY outcome
Timeframe: 6 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The Family/Social module of the ASI was administered at each timepoint to assess problem severity in this domain, using composite score indices (range 0 to 1); higher scores indicate greater problem severity.
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Family/Social Problems
|
0.1 score on a scale
Interval 0.1 to 0.2
|
0.1 score on a scale
Interval 0.0 to 0.2
|
SECONDARY outcome
Timeframe: 12 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The quantity and frequency of patients' self-reported alcohol use in the past 6 months, measured with the Timeline Follow-Back interview that was administered at the 12-month follow-up interview.
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Alcohol Use
|
94 percentage of days abstinent (past 6 mo)
Interval 90.0 to 100.0
|
94 percentage of days abstinent (past 6 mo)
Interval 90.0 to 100.0
|
SECONDARY outcome
Timeframe: 12 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The quantity and frequency of patients' self-reported drug use in the past 6 months, measured with the Timeline Follow-Back interview. It was administered at each time point to calculate for the past 6 months total number of days using any drugs (marijuana, cocaine, amphetamines, heroin, other opiates, benzodiazepines, barbiturates, inhalants, or hallucinogens).
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Drug Use
|
18.63 Days (in past 6 months)
Interval 0.4 to 36.8
|
15.03 Days (in past 6 months)
Interval -3.6 to 33.6
|
SECONDARY outcome
Timeframe: 12 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
Scale A of the Measures of Criminal Attitudes and Associates (MCAA; Mills, Kroner, \& Forth, 2002) was administered at each interview to quantify participants' associations with criminal peers, a strong predictor of criminal recidivism (Mills, Kroner, \& Hemmati, 2004). Participants were asked to consider the four adults (excluding family, co-workers, or other residents in treatment) with whom they spend the most free-time. A count variable was created by summing the number of friends for which the participant answered yes to any of the questions of criminal involvement (possible range=0-4, where a higher score indicates a worse outcome)
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Criminal Associates
|
0.37 friends with criminal involvement
Interval 0.2 to 0.7
|
0.43 friends with criminal involvement
Interval 0.2 to 0.8
|
SECONDARY outcome
Timeframe: 12 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The Employment module of the ASI was administered at each timepoint to assess problem severity in this domain, using composite score indices (range 0 to 1); higher scores indicate greater problem severity.
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Employment Problem Severity
|
0.48 score on a scale
Interval 0.4 to 0.6
|
0.53 score on a scale
Interval 0.4 to 0.6
|
SECONDARY outcome
Timeframe: 12 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The Alcohol module of the ASI was administered at each time point to assess problem severity in this domain, using composite score indices (ranging from 0 to 1); higher scores indicate greater problem severity. ASI composite scores such as this have long been used to provide internally-consistent evaluations of a patient in a particular problem area (Grahn \& Padyab, 2020).
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Alcohol Use Problem Severity.
|
0.04 score on a scale
Interval 0.0 to 0.1
|
0.06 score on a scale
Interval 0.0 to 0.1
|
SECONDARY outcome
Timeframe: 12 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The Legal Status module of the Addiction Severity Index (ASI; McLellan et al., 2006) was administered at each interview to assess legal problem severity. The latter is based on a composite index derived from five items: Are you presently awaiting charges, trial, or sentence? How many days in the past 30 have you engaged in illegal activities for profit? How serious do you feel your present legal problems are? (0=Not at all, 4=Extremely) How important to you now is counseling or referral for these legal problems? (0=Not at all, 4=Extremely) How much money did you receive from illegal sources in the past 30 days? These items were standardized and aggregated and yield scores ranging from 0 to 1; higher scores indicate greater problem severity of legal problems.
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Legal Problem Severity
|
0.09 score on a scale
Interval 0.03 to 0.15
|
0.09 score on a scale
Interval 0.02 to 0.15
|
SECONDARY outcome
Timeframe: 12 months (post-baseline)Population: Intent to treat population (all participants assigned to MRT or UC) analyzed using mixed-effects models. Effectiveness was measured by the time x condition interaction term (UC as the reference group).
The Family/Social module of the ASI was administered at each timepoint to assess problem severity in this domain, using composite score indices (range 0 to 1); higher scores indicate greater problem severity.
Outcome measures
| Measure |
Moral Reconation Therapy (MRT)
n=172 Participants
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 Participants
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Family/Social Problems
|
0.19 score on a scale
Interval 0.1 to 0.2
|
0.11 score on a scale
Interval 0.1 to 0.2
|
Adverse Events
Moral Reconation Therapy (MRT)
Usual Care (UC)
Serious adverse events
| Measure |
Moral Reconation Therapy (MRT)
n=172 participants at risk
MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
Moral Reconation Therapy (MRT): MRT is a group-based cognitive-behavioral intervention to restructure antisocial thinking. Patients will receive two groups per week of this intervention for approximately 12 weeks, in addition to the usual care they receive in the mental health residential rehabilitation treatment program.
|
Usual Care (UC)
n=169 participants at risk
Usual care provided by the mental health residential rehabilitation treatment programs, which patients in both groups are in.
|
|---|---|---|
|
Social circumstances
Death
|
1.2%
2/172 • Number of events 2 • Adverse event data was collected in the 12 months post-baseline for each participant.
|
2.4%
4/169 • Number of events 4 • Adverse event data was collected in the 12 months post-baseline for each participant.
|
Other adverse events
Adverse event data not reported
Additional Information
Daniel M. Blonigen, PhD
Center for Innovation to Implementation, VA Palo Alto
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place