Clinical trial NCT02333357: Multimedia Toolkits to Implement 12-Step Recovery Concepts in Group Counseling
Official title: Multimedia Toolkits to Implement 12-Step Recovery Concepts in Group Counseling
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Alcohol Abuse
Drug Abuse
Lead sponsor: Public Health Management Corporation
Sponsor class: OTHER
Collaborators: name: National Institute on Alcohol Abuse and Alcoholism (NIAAA)
First posted: 2015-01-07
Enrollment: 3483
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study is developing and testing a 12-step toolkit with five modules, training counselors to use them, and studying their frequency of use, desirability, effectiveness and patient outcomes. The toolkit includes counselor written guides, posters, client worksheets, engagement activities, and videos designed to be shown during substance abuse treatment group sessions to explain and encourage 12-step participation.

Detailed description: The study has three aims. Aim 1 involves the development of an evidence-based 12-step facilitation toolkit curriculum. Toolkit structure and content is grounded in theory and empirical findings, and incorporates feedback from 12-step facilitation experts and individuals with a history of substance abuse. Aim 2 consists of implementing the resulting five-module Toolkit in a multi-site randomized controlled trial using a pre-/post-Toolkit training design that includes 1- and 6-month post-training assessments. Group counselors employed at community-based outpatient and inpatient substance abuse treatment programs will be randomly assigned to a Toolkit or treatment-as-usual condition. Data obtained from audiotaped sessions will identify between group differences in counselor adherence to 12-step content and skillfulness. Additional data will be collected on counselor satisfaction, 12-step attitudes and beliefs, and 12-step knowledge, as well as on Toolkit acceptability, feasibility, and short-term sustainability. Aim 3 will determine whether exposure to the Toolkit curriculum results in stable 12-step involvement and decreased self-reported substance use among clients.

Eligibility criteria: Inclusion Criteria for Counselors:

* Over 18 years of age
* Employed at a participating substance abuse treatment facility
* Provide treatment in a group format

Exclusion Criteria for Counselors:

* At the time of the project they do not have primary responsibility for conducting at least three substance abuse group sessions per week
* Their therapy group is normally scheduled to run less than 50 minutes, or more than 150 minutes
* Unable to provide valid informed consent

Inclusion Criteria for Clients:

* Over 18 years of age
* Attending an observed group of a participating counselor
* (For participation in the Follow-Up Study/Aim 3 only) patients must endorse heavy drinking, alcohol-related difficulties, or poor prior 12-step participation

Exclusion Criteria for Clients:

- Unable to provide valid informed consent

Primary outcomes:
measure: Change in counselor content adherence from baseline, as measured by the Group Observation Rating System
timeFrame: 0, 1, 6 months
measure: Change in counselor therapeutic skillfulness from baseline, as measured by the Group Observation Rating System
timeFrame: 0, 1, 6 months
Secondary outcomes:
measure: Change in counselor satisfaction from baseline, as measured by the Counselor Satisfaction Form
timeFrame: 0, 1, 6 months
measure: Change in counselor 12-step attitudes and beliefs from baseline, as measured by the Counselor 12-Step Attitudes and Beliefs Scale
timeFrame: 0, 1, 6 months
measure: Change in counselor 12-step knowledge from baseline, as measured by the Counselor Core Elements of 12-step Knowledge Inventory
timeFrame: 0, 1, 6 months
measure: Change in counselor feasibility and sustainability of the toolkit from baseline, as measured by a bi-weekly web-based calendar
timeFrame: 0, 1, 6 months
measure: Change in client involvement in 12-step activities from baseline, as measured by the Patient AA Attendance and Involvement Scale
timeFrame: 0, 2, 4, 12, 24 weeks
measure: Change in client substance use from baseline, as measured by the Substance Use Inventory
timeFrame: 0, 2, 4, 12, 24 weeks
Other outcomes:
Locations:
city: Camden
country: United States
facility: Genesis Counseling Centers
state: New Jersey
city: Brooklyn
country: United States
facility: Phoenix House
state: New York
city: Eagleville
country: United States
facility: Eagleville Hospital
state: Pennsylvania
city: Levittown
country: United States
facility: Livengrin Foundation
state: Pennsylvania
city: Philadelphia
country: United States
facility: Rehab After Work
state: Pennsylvania
city: Philadelphia
country: United States
facility: Penn Presbyterian
state: Pennsylvania
city: Philadelphia
country: United States
facility: Self-Help Movement
state: Pennsylvania
city: Philadelphia
country: United States
facility: Sobreity Through Outpatient
state: Pennsylvania
city: Philadelphia
country: United States
facility: The Kirkbride Center
state: Pennsylvania
city: Philadelphia
country: United States
facility: The Wedge Recovery Centers
state: Pennsylvania
city: Philadelphia
country: United States
facility: Gaudenzia Inc.
state: Pennsylvania
Study officials:
affiliation: Treatment Research Institute
name: Kimberly C Kirby, PhD
role: PRINCIPAL_INVESTIGATOR
References: