Peer-Delivered Episodic Future Thinking for Returning Citizens
NCT ID: NCT06119503
Last Updated: 2025-02-25
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
NA
Total Enrollment
40 participants
Study Classification
INTERVENTIONAL
Study Start Date
2023-11-14
Study Completion Date
2025-01-30
Brief Summary
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The goal of this study is to examine the effectiveness of a brief, episodic future thinking (EFT) intervention in a substance use treatment setting serving returning citizens with substance use disorders (SUD).
The main questions it aims to answer are:
1. Determine preliminary implementation potential of the EFT intervention, including acceptability and feasibility of conducting the intervention.
2. Examine the preliminary effectiveness of this approach, with a specific focus on patient outcomes, including changes in delay discounting, treatment retention, treatment motivation, and substance use.
Participants will be asked to participant in pre and post assessment questionnaires, participate in a single-episode brief intervention followed by tailored phone call follow-ups.
The main questions it aims to answer are:
1. Determine preliminary implementation potential of the EFT intervention, including acceptability and feasibility of conducting the intervention.
2. Examine the preliminary effectiveness of this approach, with a specific focus on patient outcomes, including changes in delay discounting, treatment retention, treatment motivation, and substance use.
Participants will be asked to participant in pre and post assessment questionnaires, participate in a single-episode brief intervention followed by tailored phone call follow-ups.
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Detailed Description
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Returning citizens with substance use disorders (SUD) are at the greatest risk for overdose in the first two weeks following the transition from incarceration. Thus, the reentry period is of specific importance for ensuring individuals are engaged and retained in specialized intervention services. Individuals also face numerous, and highly impactful, decisions during this period. They are required to navigate complex tasks (finding employment, securing housing), often with limited financial and social supports. Of particular concern, recent research suggests that the reentry period, often characterized by instability and limited resources, may reinforce a decision-making approach that favors meeting immediate needs relative to engaging in long-term planning. This focus on attaining smaller but immediately available rewards relative to larger, delayed, rewards (known as delay discounting), in turn, has been associated with a number of negative health outcomes, including substance use and poor treatment outcomes (higher dropout and lower motivation). In other words, the reentry context may create an environment which reinforces individuals' tendencies to engage in short-term, reward-seeking behaviors (e.g. substance use, skipping treatment appointments) at a time when their decisions have highly significant consequences (relapse, recidivism). This study will examine the efficacy of implementing a low-cost, brief intervention (Episodic Future Thinking) targeting the reduction of delay discounting with the reentry population to inform broader public health efforts aimed at reducing substance misuse and improvements in treatment outcomes.
Conditions
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Behavior, Health
Study Design
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Allocation Method
RANDOMIZED
Intervention Model
PARALLEL
Primary Study Purpose
PREVENTION
Blinding Strategy
NONE
Study Groups
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Elongating Time HOrizons for Reentry (ETHoR)
Episodic Future Thinking (EFT) utilizes participant-generated descriptions of future events to elongate an individual's temporal horizon. In EFT paradigms, the participant is asked to create and envision vivid descriptions of specific, positively valanced, events that could happen in the future. Recent research suggests that directing EFTs to focus on specific goals (i.e. evoking images of oneself engaging in activities consistent with a desired future outcome) are associated with stronger decreases in undesirable health behaviors. Thus, as part of the ETHoR condition, participants will be asked to verbally describe and imagine four specific events reflecting positive activities in which the participant engages in substance and incarceration-free activities, corresponding to predetermined future timepoints. The PRC will encourage participants to include as many contextual and emotional details as possible.
Group Type
EXPERIMENTAL
Elongating Time HOrizons for Reentry (ETHoR)
Intervention Type
BEHAVIORAL
The adapted episodic future thinking (EFT) intervention will focus on generation of vivid, substance-free, rewarding events that could happen in an incarceration free future.
Standardized Recent Thinking (ERT)
Individuals in the control group utilizes SET; an approach that controls for activation of episodic thinking but does not engage prospection (the hypothesized mechanism of episodic future thinking, future outcome) are associated with stronger decreases in undesirable health behaviors. Thus, as part of the SET condition, participants will be asked to verbally describe and imagine four current events reflecting positive activities in which the participant engages in substance and incarceration-free activities, corresponding to current experiences. The PRC will encourage participants to include as many contextual and emotional details as possible.
Group Type
ACTIVE_COMPARATOR
Standardized Episodic Thinking (SET)
Intervention Type
BEHAVIORAL
In the standardized episodic thinking (SET) condition, the participant will instead describe in vivid details events that have occurred in the recent past.
Interventions
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Elongating Time HOrizons for Reentry (ETHoR)
The adapted episodic future thinking (EFT) intervention will focus on generation of vivid, substance-free, rewarding events that could happen in an incarceration free future.
Intervention Type
BEHAVIORAL
Standardized Episodic Thinking (SET)
In the standardized episodic thinking (SET) condition, the participant will instead describe in vivid details events that have occurred in the recent past.
Intervention Type
BEHAVIORAL
Other Intervention Names
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Episodic Future Thinking (EFT)
Eligibility Criteria
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Inclusion Criteria
1. At least 18 years of age
2. Experience in an incarceration setting within 12 months
3. Identify as an individual in substance use recovery
4. Willing to participate in the study
5. Able to participate in written assessments and an intervention conducted in English
6. Willing to receive brief bi-weekly check-in calls for one month, email, and other phone messages related to study participation including SMS/text messages as needed
2. Experience in an incarceration setting within 12 months
3. Identify as an individual in substance use recovery
4. Willing to participate in the study
5. Able to participate in written assessments and an intervention conducted in English
6. Willing to receive brief bi-weekly check-in calls for one month, email, and other phone messages related to study participation including SMS/text messages as needed
Exclusion Criteria
1. Individuals' ineligible or unwilling to participate in study activities and assessments
2. Self-reporting of active and untreated psychosis
2. Self-reporting of active and untreated psychosis
Minimum Eligible Age
18 Years
Eligible Sex
ALL
Accepts Healthy Volunteers
Yes
Sponsors
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Detroit Recovery Project INC
UNKNOWN
Sponsor Role
collaborator
Michigan State University
OTHER
Sponsor Role
collaborator
University of Kansas
OTHER
Sponsor Role
collaborator
Henry Ford Health System
OTHER
Sponsor Role
lead
Responsible Party
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Julia Felton
Principal Investigator
Responsibility Role
PRINCIPAL_INVESTIGATOR
Locations
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Detroit Recovery Project
Detroit, Michigan, United States
Site Status
Countries
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United States
References
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Other Identifiers
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JRCT: 16686-01
Identifier Type: -
Identifier Source: org_study_id
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Field Trial of a Relapse Prevention Program for Adolescents Receiving Substance Use Treatment
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COMPLETED
PHASE2
Motivational Interviewing to Reduce Substance Use Among Depression Patients
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COMPLETED
NA
Behavioral Economic Treatment to Enhance Rural (BETTER) Living
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COMPLETED
NA
Decision Making in Chronic Pain and Alcohol Use Disorder
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SUSPENDED
NA
Examining Effects of Domain Specific Episodic Future Thinking on Cannabis Use
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UNKNOWN
NA
Mindfulness Based Relapse Prevention: Efficacy and Mechanisms
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COMPLETED
PHASE1/PHASE2
Motivational Enhancement to Improve Treatment Engagement and Outcome in Subjects Seeking Treatment for Substance Abuse - 1
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COMPLETED
PHASE3
Developing an Intervention to Address Suicide Risk During Substance Use Disorder
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COMPLETED
NA
Digital Mindfulness-Based Treatment for Substance Use Disorder Recovery
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COMPLETED
NA
Evaluating Feasibility, Acceptability, Usability, and an Initial Estimate of Effect of a Novel Training Platform on Peer Recovery Supporter Skill, Adherence, and Knowledge Gain-Phase I
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COMPLETED
NA
Brief Interventions for Drop-out Re-engagement
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COMPLETED
PHASE1
EEG/Event-related Brain Potential Risk Markers as Predictors and Outcomes of SUD Treatment in Adolescents
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COMPLETED
PHASE3
Innovating Technology Solutions for Residents in Support Housing Communities w SUD Through Community-Engaged Research
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NOT_YET_RECRUITING
NA
Piloting "Positive Peer Journaling" a Journaling Practice to Support Recovery From Addiction
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COMPLETED
NA
Peer MI in FQHCs for Substance-using Emerging Adults
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UNKNOWN
PHASE2
Initiating Substance Use Disorder Treatment for Hospitalized Alcohol Use Disorder Patients
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WITHDRAWN
NA
Facilitating Aftercare for Alcohol Detox Patients
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COMPLETED
NA
Brief Intervention in Primary Care for Problem Drug Use and Abuse
NCT00877331
COMPLETED
NA