Telephone Coaching of Family Members of Veterans With Substance Abuse Problems
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/17/2019 |
| Start Date: | June 14, 2017 |
| End Date: | September 30, 2019 |
This project will develop and pilot test an enhanced, telephone "coaching" intervention to
help family members concerned about a Veteran of the wars in Iraq or Afghanistan who needs to
seek treatment for a substance abuse problem.
help family members concerned about a Veteran of the wars in Iraq or Afghanistan who needs to
seek treatment for a substance abuse problem.
The investigators will first develop a detailed manual for Coaching-CRAFT, which will be a
telephone-based model of coaching that uses the web-version of an intervention already
developed and available to the investigators. The investigators will conduct a preliminary
nonrandomized feasibility trial of the use of Coaching-CRAFT with a sample of 50 family
member callers recruited from VA's Coaching Into Care call center. Later in the study, the
investigators will recruit up to 50 Veterans whose family members also participated in this
study. Since the 'Coaching Into Care' telephone-based call center located at the Corporal
Michael J. Crescenz VA Medical Center (CMCVAMC) is a national call center, study subjects
(non-Veterans and Veterans) will be from all parts of the United States.
Family members (spouses, siblings, or parents) of Veteran will be recruited from Coaching
Into Care, and offered telephone-based coaching to the family member regarding their concern
that the Veteran has a substance abuse problem and does not want to seek treatment. The
program will involve approximately 12 telephone calls over 4-6 months. Family members will be
assessed for their own mental health symptoms, their perception of their Veteran's mental
health symptoms and substance use, his or her treatment, as well as their perception of
burden on the relationship with the Veteran. These assessments will occur at study entry, 6
months, and 12 months after study entry. Veteran's perceptions of the intervention will be
sought at 12 months, whenever safe and practical. For Veterans who are not approached to
participate in the study, VHA administrative data will be sought through a HIPAA Waiver to
confirm any possible mental health and or substance abuse treatment the Veteran has received.
Rates of initiation of treatment will be compared to QA data from the Coaching Into Care call
center.
telephone-based model of coaching that uses the web-version of an intervention already
developed and available to the investigators. The investigators will conduct a preliminary
nonrandomized feasibility trial of the use of Coaching-CRAFT with a sample of 50 family
member callers recruited from VA's Coaching Into Care call center. Later in the study, the
investigators will recruit up to 50 Veterans whose family members also participated in this
study. Since the 'Coaching Into Care' telephone-based call center located at the Corporal
Michael J. Crescenz VA Medical Center (CMCVAMC) is a national call center, study subjects
(non-Veterans and Veterans) will be from all parts of the United States.
Family members (spouses, siblings, or parents) of Veteran will be recruited from Coaching
Into Care, and offered telephone-based coaching to the family member regarding their concern
that the Veteran has a substance abuse problem and does not want to seek treatment. The
program will involve approximately 12 telephone calls over 4-6 months. Family members will be
assessed for their own mental health symptoms, their perception of their Veteran's mental
health symptoms and substance use, his or her treatment, as well as their perception of
burden on the relationship with the Veteran. These assessments will occur at study entry, 6
months, and 12 months after study entry. Veteran's perceptions of the intervention will be
sought at 12 months, whenever safe and practical. For Veterans who are not approached to
participate in the study, VHA administrative data will be sought through a HIPAA Waiver to
confirm any possible mental health and or substance abuse treatment the Veteran has received.
Rates of initiation of treatment will be compared to QA data from the Coaching Into Care call
center.
Inclusion Criteria:
- CSO is a sibling, spouse/ intimate partner, or parent of a US military Veteran who
served in Iraq or Afghanistan since 2001
- by the report of the CSO the Veteran of interest has a substance abuse problem that
has led to interpersonal, legal, occupational, and/or health related negative
consequences
- the CSO reports that the Veteran is not currently receiving treatment for this problem
- the CSO has contact 4+times/week and lives with or within 30 min. of the Veteran.
Exclusion Criteria:
- CSO has a SUD (Form 90, see Measures)
- the Veteran is currently incarcerated
- the CSO has no computer or other device with Internet access able to view video
content
- the CSO or Veteran likely has a psychotic disorder (CSO report on the MINI) (see
Measures)
- the CSO's involvement in a "coaching" intervention meant to encourage the Veteran to
actively consider to seek care places the CSO at risk on a physical or psychological
basis
- Callers who do not have access to a safe phone line will not be referred to the study.
We found this trial at
1
site
3900 Woodland Avenue
Philadelphia, Pennsylvania 19104
Philadelphia, Pennsylvania 19104
Principal Investigator: Steven L. Sayers, PhD
Phone: 215-823-5196
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