Testing the Effectiveness of a Graphic Novel Health Education Curriculum for Patients With Addiction
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | October 2015 |
| End Date: | June 2017 |
| Contact: | Adam C Brooks, PhD |
| Email: | abrooks@tresearch.org |
| Phone: | 215-399-0980 |
This study deploys a strategy to develop and evaluate a training-efficient, multimedia
patient-centered Health Education Toolkit to promote shared decision making between
counselors and patients. An existing evidence-based toolkit intervention will be adapted and
redesigned by a patient and provider team into an engaging, narrative graphic novel
curriculum useful in group and individual counseling. The proven behavioral interventions
will be augmented with health education material focused on medication assisted treatment
(MAT) and HIV risk reduction. We will test whether exposure to the Toolkit (TK) can reduce
substance use and HIV risk, while increasing engagement with MAT.
patient-centered Health Education Toolkit to promote shared decision making between
counselors and patients. An existing evidence-based toolkit intervention will be adapted and
redesigned by a patient and provider team into an engaging, narrative graphic novel
curriculum useful in group and individual counseling. The proven behavioral interventions
will be augmented with health education material focused on medication assisted treatment
(MAT) and HIV risk reduction. We will test whether exposure to the Toolkit (TK) can reduce
substance use and HIV risk, while increasing engagement with MAT.
An existing evidence-based toolkit intervention will be adapted and redesigned by a patient
and provider team into an engaging, narrative graphic novel curriculum useful in group and
individual counseling. The proven behavioral interventions will be augmented with health
education material focused on medication assisted treatment (MAT) and HIV risk reduction.
Together, these materials will comprise the Health Education Toolkit. The Health Education
Toolkit (TK) will employ a shared decision making model to encourage 1) increased recovery
engagement by patients, and 2) patient engagement in deciding whether to initiate and adhere
to MAT. We will conduct a two-year, randomized controlled trial of 350 patients with active
alcohol substance use disorders (SUDs) enrolled in outpatient treatment and will follow them
over 6 months. We will test whether patients randomized to receive the TK curriculum will
demonstrate larger reductions in substance use (drug and alcohol) and increases in
abstinence, b) more attendance at specialty substance abuse intervention and treatment
sessions, c) greater rates of initiating MAT for alcohol dependence, and d) reduced HIV
transmission risk behaviors and greater rates of HIV testing over the 6-month follow-up
period as compared to patients receiving treatment-as-usual (TAU).
and provider team into an engaging, narrative graphic novel curriculum useful in group and
individual counseling. The proven behavioral interventions will be augmented with health
education material focused on medication assisted treatment (MAT) and HIV risk reduction.
Together, these materials will comprise the Health Education Toolkit. The Health Education
Toolkit (TK) will employ a shared decision making model to encourage 1) increased recovery
engagement by patients, and 2) patient engagement in deciding whether to initiate and adhere
to MAT. We will conduct a two-year, randomized controlled trial of 350 patients with active
alcohol substance use disorders (SUDs) enrolled in outpatient treatment and will follow them
over 6 months. We will test whether patients randomized to receive the TK curriculum will
demonstrate larger reductions in substance use (drug and alcohol) and increases in
abstinence, b) more attendance at specialty substance abuse intervention and treatment
sessions, c) greater rates of initiating MAT for alcohol dependence, and d) reduced HIV
transmission risk behaviors and greater rates of HIV testing over the 6-month follow-up
period as compared to patients receiving treatment-as-usual (TAU).
Inclusion Criteria:
- 18 years or older
- Screening score of at least 16 on the AUDIT
- Meets criteria for a DSM-V substance use disorder as assessed via the MINI Plus 5.0.
- Reports at least two heavy drinking episodes in the previous 4 weeks
Exclusion Criteria:
- Reports plans to leave the Philadelphia greater metropolitan area within the next 6
months
- Does not speak English
- Unable to provide valid informed consent
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