Substance Dependence, Substance Use, Substance Use Disorders
Conditions
Keywords
Telehealth, Motivational interviewing, Cognitive behavioral therapy
Brief summary
The objective of this pilot intervention study is to iteratively refine motivational interviewing and psychosocial intervention programs delivered via telehealth (Teletx) to help improve substance use and other related outcomes in SUD patients who are not receiving SUD care. We will examine feasibility and acceptability of these pilot psychosocial programs in a total of n=50 participants. The goal is to refine the programs to improve acceptability and feasibility and collect preliminary data for a future fully powered randomized controlled trial (RCT) in the future. In addition to study sessions, participants that are enrolled in the study will complete surveys prior to, during, and after treatment.
Interventions
BEHAVIORALMI-CBT Teletx
Participants will first receive a 20-45 min phone or video session focused on raising participants' motivation to engage in treatment activities and psychoeducation material about substance use (i.e. "engagement session") including possible discussion about risks of substance use, value of alternative healthier activities, and the community and crisis resources pamphlet. The evidence-based manualized psychosocial programs that will be delivered via telehealth are adaptations of cognitive behavioral therapy, motivational interviewing, and other psychosocial interventions to enhance initial and ongoing treatment engagement. TeleTx consists of up to 8 \~30-50 minute psychosocial sessions delivered via phone or videoconference platform (e.g. Zoom etc)
Sponsors
University of Michigan
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Outpatient care at Michigan Medicine in past year * Diagnostic and Statistical Manual of Mental Disorders (DSM-5) SUD diagnosis and/or substance use on average of 2 days a week over the past month * Have a Smart phone, tablet or another Wi-Fi or data-enabled device (e.g. with a camera)
Exclusion criteria
* Inability to speak or understand English * Conditions that preclude informed consent (e.g., acute psychosis, cognitive deficits) or understanding of assessment or program content * Prior alcohol withdrawal seizures or delirium tremens (DTs). Those who are at-risk of complicated withdrawal (e.g., seizures, DTs) require greater medical attention and will be excluded and referred to their clinician for medical management.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of the intervention (engagement) | 8 weeks | Percent (%) of participants engaging in the intervention |
| Tele-Tx Intervention acceptability | 8 weeks | Study-specific acceptability rating completed by participants. Based on Likert scale, higher scores indicate greater treatment acceptability |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORAllison Lin, MD
University of Michigan
Outcome results
None listed