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Alcohol AbusePhase 2PRIDE-PNCT00227903

Therapeutic Substance Abuse Treatment in Pregnancy - 1

A Phase 2 study testing MI-CBT and Brief Advice in people with Alcohol Abuse and Cocaine Abuse, run by Yale University at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is... To assess whether a behavioral treatment that combines motivational enhancement and cognitive skills training therapy (MET-CBT) is more effective than brief advice in: 1) decreasing use of a full range of psychoactive substances (e.g. Read more about this study

Who is it for?
Ages 16 to 45 years, women only
Conditions the study is for
Alcohol Abuse, Cocaine Abuse, Marijuana Abuse
What is being tested?
MI-CBT and Brief Advice
Could I receive a placebo?
No, everyone receives an active treatment
How many people
168 participants
Where
2 sitesUnited States
Study dates
Sep 2004to Aug 2010
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 to 45 years
  • Women only
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Pregnant women, age 16 or older, alcohol or illicit drug use in the past 30 days -

Who cannot join

  • Nonfluent in English or Spanish, pending incarceration, psychotic, cognitively unable to give informed consent, actively suicidal or homicidal, already engaged in addictions treatment, primarily addicted to nicotine or heroin.
  • -

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Bridgeport Hospital

    Bridgeport, Connecticut, 06106

  • Yale-New Haven Hospital

    New Haven, Connecticut, 06510

Other trials in United States

About this study

Official title: Psychosocial Research to Improve Drug Treatment in Pregnancy (PRIDE-P)

The purpose of this study is... To assess whether a behavioral treatment that combines motivational enhancement and cognitive skills training therapy (MET-CBT) is more effective than brief advice in: 1) decreasing use of a full range of psychoactive substances (e.g. marijuana, cocaine, methamphetamines, alcohol, nicotine, opioids) in pregnant substance using and dependent women; 2) decreasing HIV risk behavior; 3) improving birth outcomes (longer gestations and greater birth weight).

Read the detailed description

We propose an integrated system of counseling services onsite in primary care obstetrical clinics, comparing a manualized brief advice (closely approximating "treatment as usual") to manualized motivationally enhanced cognitive behavioral therapy. Treatment providers are obstetrical nurses. Therapy patients are taught skill sets designed to enhance motivation to abstain from drugs of abuse, as well as designed to prevent relapse during the perinatal period. It is our hypothesis that therapy patients will be more successful at achieving stated study aims than those receiving brief advice.

Being tested
MI-CBT, Brief Advice
Medical subject headings
Alcoholism, Cocaine-Related Disorders, Marijuana Abuse

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MI-CBTBehavioural

    Motivationally-enhanced cognitive behavioral skills counseling

  • Brief AdviceBehavioural

    Advice and education

Study groups in NCT00227903
Study groupRoleWhat they receive
MI-CBTExperimentalMotivationally-enhanced cognitive behavioral skills counseling
Receives: Behavioral: MI-CBT
Brief AdviceActive comparatorAdvice and education
Receives: Behavioral: Brief Advice

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Days Used Drugs or Alcohol

    Measured: intake to delivery, an average of 21 weeks

  2. Percentage of Days Used Drugs or Alcohol

    Measured: delivery to 3 months post-delivery

  3. Percentage of Days That Participants (Without a Baseline Diagnosis of Drug Abuse or Dependence) Used Drugs or Alcohol

    Measured: intake to delivery, an average of 21 weeks

  4. Percentage of Days That Participants (Without a Baseline Diagnosis of Drug Abuse or Dependence) Used Drugs or Alcohol

    Measured: Delivery to 3 months post-delivery

  5. Percentage of Days That Participants (With a Baseline Diagnosis of Drug Abuse or Dependence) Used Drugs or Alcohol

    Measured: intake to delivery, an average of 21 weeks

  6. Percentage of Days That Participants (With a Baseline Diagnosis of Drug Abuse or Dependence) Used Drugs or Alcohol

    Measured: Delivery to 3 months post-delivery

Secondary outcomes (20)
  1. Incidence of Preterm Births

    Measured: At delivery

  2. Incidence of Low Birth Weight

    Measured: At delivery

  3. Proportion of Participants Abstinent From Both Drugs and Alcohol (28 Days Prior to Assessment) According to Self-report

    Measured: intake to delivery, an average of 21 weeks

  4. Proportion of Participants Abstinent From Both Drugs and Alcohol (28 Days Prior to Assessment) According to Self-report

    Measured: Delivery to 3 months post-delivery

  5. Proportion of Participants Abstinent From Drugs (i.e., Marijuana, Cocaine or Opioids) According to Urine

    Measured: intake to delivery, an average of 21 weeks

  6. Proportion of Participants Abstinent From Drugs According to Urine

    Based on urine tests for marijuana, cocaine, or opioids

    Measured: Delivery to 3 months post-delivery

  7. Proportion of Participants Abstinent From Both Drugs and Alcohol According to Combined Self-report and Urine

    Based on urine tests for marijuana, cocaine or opioids.

    Measured: intake to delivery, an average of 21 weeks

  8. Proportion of Participants Abstinent From Both Drugs and Alcohol According to Combined Self-report and Urine

    Based on urine tests for marijuana, cocaine, or opioids.

    Measured: Delivery to 3 months post-delivery

  9. Proportion of Participants (Without a Baseline Diagnosis of Drug Abuse or Dependence) Abstinent From Both Drugs and Alcohol (28 Days Prior to Assessment) According to Self-report

    Measured: intake to delivery, an average of 21 weeks

  10. Proportion of Participants (Without a Baseline Diagnosis of Drug Abuse or Dependence) Abstinent From Both Drugs and Alcohol (28 Days Prior to Assessment) According to Self-report

    Measured: Delivery to 3 months post-delivery

  11. Proportion of Participants (With a Baseline Diagnosis of Drug Abuse or Dependence) Abstinent From Both Drugs and Alcohol (28 Days Prior to Assessment) According to Self-report

    Measured: intake to delivery, an average of 21 weeks

  12. Proportion of Participants (With a Baseline Diagnosis of Drug Abuse or Dependence) Abstinent From Both Drugs and Alcohol (28 Days Prior to Assessment) According to Self-report

    Measured: Delivery to 3 months post-delivery

  13. Proportion of Participants (Without a Baseline Diagnosis of Drug Abuse or Dependence) Abstinent From Drugs According to Urine

    Based on urine tests for marijuana, cocaine or opioids.

    Measured: intake to delivery, an average of 21 weeks

  14. Proportion of Participants (Without a Baseline Diagnosis of Drug Abuse or Dependence) Abstinent From Drugs According to Urine

    Based on urine tests for marijuana, cocaine or opioids.

    Measured: Delivery to 3 months post-delivery

  15. Proportion of Participants (With a Baseline Diagnosis of Drug Abuse or Dependence) Abstinent From Drugs According to Urine

    Based on urine tests for marijuana, cocaine or opioids.

    Measured: intake to delivery, an average of 21 weeks

  16. Proportion of Participants (With a Baseline Diagnosis of Drug Abuse or Dependence) Abstinent From Drugs According to Urine

    Based on urine tests for marijuana, cocaine or opioids.

    Measured: Delivery to 3 months post-delivery

  17. Proportion of Participants (Without a Baseline Diagnosis of Drug Abuse or Dependence) Abstinent From Both Drugs and Alcohol According to Combined Self-report and Urine

    Based on urine tests for marijuana, cocaine or opioids.

    Measured: intake to delivery, an average of 21 weeks

  18. Proportion of Participants (Without a Baseline Diagnosis of Drug Abuse or Dependence) Abstinent From Both Drugs and Alcohol According to Combined Self-report and Urine

    Based on urine tests for marijuana, cocaine or opioids

    Measured: Delivery to 3 months post-delivery

  19. Proportion of Participants (With a Baseline Diagnosis of Drug Abuse or Dependence) Abstinent From Both Drugs and Alcohol According to Combined Self-report and Urine

    Based on urine tests for marijuana, cocaine or opioids

    Measured: intake to delivery, an average of 21 weeks

  20. Proportion of Participants (With a Baseline Diagnosis of Drug Abuse or Dependence) Abstinent From Both Drugs and Alcohol According to Combined Self-report and Urine

    Based on urine tests for marijuana, cocaine or opioids

    Measured: Delivery to 3 months post-delivery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Sep 2005 (estimated)
  2. Study startSep 2004
  3. Primary completionAug 2010
  4. Study completionAug 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
168 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00227903
Sponsor's protocol ID
0402026466
Other IDs
R01DA019135
Acronym
PRIDE-P
Status last verified
Apr 2020
First submitted
27 Sep 2005
Last updated
15 Apr 2020
Data monitoring committee
Yes
Individual data sharing
No: only aggregate de-identified data

Publications

  • Yonkers KA, Howell HB, Allen AE, Ball SA, Pantalon MV, Rounsaville BJ. A treatment for substance abusing pregnant women. Arch Womens Ment Health. 2009 Aug;12(4):221-7. doi: 10.1007/s00737-009-0069-2. Epub 2009 Apr 7.

    PubMed 19350369
  • Hine CE, Howell HB, Yonkers KA. Integration of medical and psychological treatment within the primary health care setting. Soc Work Health Care. 2008;47(2):122-34. doi: 10.1080/00981380801970244.

    PubMed 18956504
  • Yonkers KA, Gotman N, Kershaw T, Forray A, Howell HB, Rounsaville BJ. Screening for prenatal substance use: development of the Substance Use Risk Profile-Pregnancy scale. Obstet Gynecol. 2010 Oct;116(4):827-833. doi: 10.1097/AOG.0b013e3181ed8290.

    PubMed 20859145
  • Quesada O, Gotman N, Howell HB, Funai EF, Rounsaville BJ, Yonkers KA. Prenatal hazardous substance use and adverse birth outcomes. J Matern Fetal Neonatal Med. 2012 Aug;25(8):1222-7. doi: 10.3109/14767058.2011.602143. Epub 2012 May 11.

    PubMed 22489543
  • Yonkers KA, Forray A, Howell HB, Gotman N, Kershaw T, Rounsaville BJ, Carroll KM. Motivational enhancement therapy coupled with cognitive behavioral therapy versus brief advice: a randomized trial for treatment of hazardous substance use in pregnancy and after delivery. Gen Hosp Psychiatry. 2012 Sep-Oct;34(5):439-49. doi: 10.1016/j.genhosppsych.2012.06.002. Epub 2012 Jul 12.

    PubMed 22795046
  • Xu X, Yonkers KA, Ruger JP. Economic evaluation of a behavioral intervention versus brief advice for substance use treatment in pregnant women: results from a randomized controlled trial. BMC Pregnancy Childbirth. 2017 Mar 7;17(1):83. doi: 10.1186/s12884-017-1260-5.

    PubMed 28270105
  • Forray A, Gotman N, Kershaw T, Yonkers KA. Perinatal smoking and depression in women with concurrent substance use. Addict Behav. 2014 Apr;39(4):749-56. doi: 10.1016/j.addbeh.2013.12.008. Epub 2013 Dec 17.

    PubMed 24447885

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MI-CBT and Brief Advice in people with Alcohol Abuse and Cocaine Abuse, run by Yale University at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Aug 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Days Used Drugs or Alcohol (time frame: intake to delivery, an average of 21 weeks). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00227903, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Apr 2020.

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