Interactive Motivational Media for Perinatal Drug Abuse - 3

Study Overview
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Brief Summary
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Interactive Motivational Media for Perinatal Drug Abuse

Detailed Description
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The goal of this exploratory/developmental proposal is to develop a low-cost, highly adaptable brief motivational intervention for perinatal drug abuse via embedding motivational principles in a self-contained interactive computer system. The Motivation Enhancement System (MES) will utilize a touch-screen, audio enhancement, and an interactive narrator to guide women in the immediate post-partum period through evaluation (thus facilitating self-report) and a one-time motivational intervention. A taxi voucher will be provided to further facilitate entry into treatment, and multiple tailored self-help mailings will be issued following discharge. If validated, this intervention could offer a highly cost-effective, replicable, and prescriptive method for increasing self-change and treatment involvement in drug abusers. Following development of the MES, a preliminary pilot phase will study the use of the MES with post-partum drug-using women and make necessary modifications, using data from participant debriefings and a single-case research design. After optimization of the MES, a clinical trial will randomly assign 120 post-partum drug-using women into treatment or assessment only conditions, with a 3-month blinded follow up to evaluate intervention effects on drug use and treatment involvement. Toxicological and self-report measures, as well as objective analysis of infant development, will be utilized. Participants will be lower socioeconomic status urban women.

Official Title
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Interactive Motivational Media for Perinatal Drug Abuse

Conditions
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Substance-Related Disorders

Intervention / Treatment
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* Behavioral: Brief computer-delivered intervention


Participation Criteria
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Eligibility Criteria
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Woman in immediate postpartum period Inclusion Criteria: Screen positive for drug use (self-report) Exclusion Criteria: Frank psychosis or other cognitive impairment, fatigue, grief over medically compromised infant, inability to communicate in English

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Assessment only<br> | |
| Experimental: Brief intervention<br> | Behavioral: Brief computer-delivered intervention<br>* Brief (20-minute) computer delivered intervention, plus two subsequent non-tailored mailings.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants With Drug Use at 3 Months | The number of participants postive for drug use using participant's self-report of drug use and urinalysis. Participants were considered positive if self-report and/or urinalysis were positive. | 3 months | 
| Treatment Engagement | Completing at least a single intake or treatment session of any kind, focused on substance use within the previous 3 months. | 3 months |