Using Values to Enhance Inmates' Response to Substance Use and HIV Risk Feedback

NCT ID: NCT03501732

Last Updated: 2019-08-08

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-27

Study Completion Date

2020-08-01

Brief Summary

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A key component of effective offender treatment is an initial assessment of risk factors followed by feedback to facilitate problem awareness and engagement in appropriate treatment and/or behavior change. Feedback regarding areas of high risk, however, can be experienced as threatening.

The investigators propose to develop, fine-tune, and pilot-test a computerized system for risk assessment and feedback, including evaluation of a brief pre-feedback prosocial values affirmation exercise (Cohen \& Sherman, 2014) aimed at decreasing defensiveness and increasing inmates' willingness to access and process risk-relevant information and to utilize post-release treatment resources, thereby reducing post-release substance misuse, HIV risk behavior, and criminal recidivism. Participants will be 170 jail inmates nearing release into the community - 20 pilot participants and 150 study participants randomly assigned to one of three conditions: (1) Values Affirmation + Personalized Risk Feedback; (2) Personalized Risk Feedback only; (3) Control. The baseline and risk assessment, values affirmation manipulation, and personalized risk feedback will be presented via touch-screen computers, requiring minimal training to administer. Analyses will assess:

1. The feasibility of utilizing a computerized system to assess and share risk information with jail inmates, including a brief values affirmation exercise to reduce defensiveness;
2. The acceptability of this approach from the perspectives of jail staff and inmates themselves;
3. The impact of the intervention on observed proximal outcomes (mechanisms of action), such as time spent viewing feedback, electing to print a copy of informational and treatment resources, and consequent changes in perceptions of risk, treatability, etc.;
4. The impact of the intervention on key post-release outcomes including engagement in relevant treatment services, substance misuse, HIV risk behaviors, re-offense and re-arrest;
5. The links between proximal outcomes (MOAs) and key post-release outcomes;
6. Potential moderators of treatment effectiveness.

Detailed Description

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Conditions

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Substance Use HIV Risk Behavior

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Values Affirmation plus Risk Feedback

Values Affirmation with Risk Feedback in substance use and HIV domains of risk

Group Type EXPERIMENTAL

Values Affirmation

Intervention Type BEHAVIORAL

Experimental Group selects two values and describes why they are important

Risk Feedback

Intervention Type BEHAVIORAL

Experimental and comparator conditions both receive normative feedback in domains of risk

Risk Feedback

Sham Values Affirmation with Risk Feedback in substance use and HIV domains of risk

Group Type ACTIVE_COMPARATOR

Risk Feedback

Intervention Type BEHAVIORAL

Experimental and comparator conditions both receive normative feedback in domains of risk

Sleep Control

Description of sleep habits in lieu of values affirmation/sham values affirmation. No risk feedback

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Values Affirmation

Experimental Group selects two values and describes why they are important

Intervention Type BEHAVIORAL

Risk Feedback

Experimental and comparator conditions both receive normative feedback in domains of risk

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Sufficient proficiency in spoken English to understand computer-assisted assessments and feedback
* post-sentencing with a sentence (i.e., less than 12 months) likely to be served out at the jail (vs. a state or federal prison) and likely to be released into the community. The invitation to participate will be timed so treatment is delivered toward the end of incarceration (within one week of release) to minimize decay of effects, and to capitalize on the motivational value of the up-coming release.

Exclusion Criteria

* Those with detainers to other jurisdictions and to Immigration and Customs Enforcement (ICE)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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OAR, Fairfax

UNKNOWN

Sponsor Role collaborator

Slonky, Inc

UNKNOWN

Sponsor Role collaborator

George Mason University

OTHER

Sponsor Role lead

Responsible Party

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June Tangney

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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June P Tangney, PhD

Role: PRINCIPAL_INVESTIGATOR

George Mason University

Central Contacts

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June P Tangney, PhD

Role: CONTACT

7039931365

Jeffrey Stuewig, PhD

Role: CONTACT

7039931365

Other Identifiers

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R34DA042974-01

Identifier Type: NIH

Identifier Source: org_study_id

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