Mobile Continuing Care Approach for Youth

Study Overview
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Brief Summary
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The primary purpose of this study is to test the effectiveness of a pilot mobile based continuing care program (monitoring/feedback texting) relative to standard continuing care as usual in reducing relapse and improving psychosocial functioning outcomes in a youth population (under 24) with substance abuse problems.

Detailed Description
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This study will include approximately 80 participants randomized to either 12 weeks of mobile continuing care (intervention) or standard continuing care as usual (control). Participants will be recruited from the treatment programs in Los Angeles County, including Matrix Institute on Addictions, Tarzana Treatment, Twin Town, Phoenix House, and Cri-Help. During the 12-week active program, participants will be monitored monthly via telephone data collection. Both groups will be followed for 10-months using repeated assessments (self-report and urine specimens) at baseline (month 0) and at follow-up points (months 3, 6, and 9).

Official Title
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Mobile Continuing Care Approach for Youth

Conditions
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Addiction

Intervention / Treatment
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* Behavioral: Mobile Continuing Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Youth between 12 and 24 years old Youth in treatment for substance abuse Youth who complete treatment (minimum 12 weeks) Youth who have the cognitive capacity to understand study procedures and agree to participate Exclusion Criteria: Presence of an adverse (life threatening) medical condition that could interfere with study participation. Presence of psychiatric co-occurring illness or symptoms warranting safety concerns or continued treatment, including acute suicide risk; and Current homelessness (unless residing in recovery home for which contact information can be provided).

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 24 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mobile Continuing Care<br>Behavioral: 12-week Structured Texting intervention focused on recovery monitoring, feedback for self-management, social support and education | Behavioral: Mobile Continuing Care<br>* Behavioral: Mobile Texting 12-week intervention. Delivers daily Recovering monitoring, self-management feedback, and education/social support<br>|
| No Intervention: Standard Continuing Care as Usual<br>Continuing care as usual to 12-step facilitation (Anonymous group) | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Primary Substance Use (Defined as Substance Received Treatment for) | Primary substance use relapse was measured by urine tests (0 = negative, 1 = positive). | Baseline, discahrge, 3 month follow-up, 6 month follow-up, 9 month follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participation in Recovery Behaviors Over Time | Recovery behaviors defined as mean number of days doing extracurricular/recovery-goal directed activities using repeated measures over time. | baseline, discharge, 3-, 6- and 9-month follow-ups | 
| Recovery Confidence (Self-efficacy) Over Time | Change/improvements in mean recovery confidence score over time (measured by question How confident are you in your ability to be completely abstinent (clean) from alcohol and drugs in the next 30 days? (units on scale included 0=not at all, 1=slightly, 2=moderately, 3=considerably, 4-extremely). | baseline, discharge, 3-, 6-, and 9-month follow-ups | 
| Social Support Utilization | Self-help utilization was measured by the question: In the past 30 days, how many days did you attend self-help meetings like AA or NA to support your recovery? | Baseline, discahrge, 3 month follow-up, 6 month follow-up, 9 month follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Continuing Care, Youth Substance Abuse, Recovery Support, Mobile Texting