Risk Reduction Behavior
Conditions
Keywords
Behavioral changes, Multiple risks
Brief summary
This study is a randomized, controlled, multiple risk intervention pilot study evaluated with clients recruited from VA Medical Center Substance Abuse Programs. The intervention combines an innovative online system with interpersonal MI-based coaching delivered in 4 sessions over 12-months time.
Interventions
The S-HRI provides feedback on participants' stages of change for each risk and the single most important step they can take to begin progressing. A counselor will review the report with participants and provide motivational interviewing (MI) coaching and referrals to relevant behavior change services. Repeated computer and individual counseling contacts at baseline, 3, 6 and 12 months follow-up are designed to support participants through the process of changing multiple risk behaviors.
Participants in the usual care condition will complete the core assessments and the S-HRA online at baseline, 3, 6, 12,and 18 months follow-up but will not meet with the study MI coach and will NOT receive any feedback or printed report until the 18-month follow-up.
Sponsors
Study design
Eligibility
Inclusion criteria
* Inclusion criteria are: at least 18 years of age, enrolled in the San Francisco Veteran Affairs Medical Center (SF VAMC) Substance Abuse Programs, residing in the San Francisco Bay Area and not planning to relocate out of the area in the next 18 months. For patients in the Day Hospital, we will wait until they have completed one week of treatment before approaching for study involvement, as the first week is the most intensive for services.
Exclusion criteria
*
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Client engagement with behavior change service referrals | Up to18 months follow-up. |
Secondary
| Measure | Time frame |
|---|---|
| Behavioral changes in multiple risks | up to 18 months follow-up. |
| Improvements in health-related quality of life at 3, 6, 12, and 18 months follow-up. | up to 18 months follow-up. |
Countries
United States