Exercise as Alcohol Use Disorders Intervention for Non-Treatment Seeking Adults

Sponsor
St. Louis University (Other)
Overall Status
Completed
CT.gov ID
NCT01399554
Collaborator
University of Connecticut (Other), National Institute on Alcohol Abuse and Alcoholism (NIAAA) (NIH)
38
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2
28
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Study Details

Study Description

Brief Summary

Alcohol use disorders are common and few individuals with the disorder ever seek help. This study proposes to intervene in a novel way - exercise, as it has many mental and physical health benefits and is an activity that is incompatible with simultaneous alcohol use. If effective, this non-stigmatizing intervention may increase the utility and acceptability of interventions for alcohol use disorders and ultimately increase the number of individuals effectively treated.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Motivational Enhancement Therapy plus Contingency Management
Phase 1

Detailed Description

About 26 million Americans (8.5%) meet criteria for an alcohol use disorder (AUD; i.e., abuse or dependence), and most with an AUD will not ever seek help. A variety of reasons exist for not seeking help, with stigma and desire to handle the problem on one's own being primary among them. Therefore, offering interventions for AUD that do not stigmatize or require an individual to see a mental health professional may increase the utility and acceptability of AUD interventions and ultimately increase the number of individuals effectively treated. This pilot study evaluates exercise as an AUD intervention. Exercise has been proposed as a potential treatment for AUD due to its numerous mental and physical health benefits. Thirty sedentary non-treatment seeking AUD individuals to be recruited from the community via advertisements. Participants will be given a four month YMCA gym membership and will be randomized to one of two conditions: (1) assessment only (AO), or (2) a combination of two motivational enhancement therapy (MET) sessions focused on increasing exercise spaced two months apart and four months of weekly contingency management (CM) for adhering to specific exercise activities. MET is a client-centered, directive method of enhancing intrinsic motivation to change by exploring and resolving ambivalence, and CM is a behavioral treatment offering individuals tangible reinforcers such as prizes for completion of specific target behaviors. Assessments of all participants will take place at baseline, 2-months (mid-treatment), and 4-months (post-treatment. Results from this pilot study will guide future investigations of exercise as a method for intervening with non-treatment seeking AUD individuals.

Study Design

Study Type:
Interventional
Actual Enrollment :
38 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Exercise as Alcohol Use Disorders Intervention for Non-Treatment Seeking Adults
Study Start Date :
Apr 1, 2011
Actual Primary Completion Date :
Aug 1, 2013
Actual Study Completion Date :
Aug 1, 2013

Arms and Interventions

Arm Intervention/Treatment
No Intervention: Assessment Only

Experimental: Weekly Exercise Counseling Intervention

Behavioral: Motivational Enhancement Therapy plus Contingency Management
A combination of two motivational enhancement therapy (MET) sessions focused on increasing exercise spaced two months apart and four months of weekly contingency management (CM) for adhering to specific exercise activities. MET is a client-centered, directive method of enhancing intrinsic motivation to change by exploring and resolving ambivalence, and CM is a behavioral treatment offering individuals tangible reinforcers such as prizes for completion of specific target behaviors.
Other Names:
  • MET
  • CM
  • Outcome Measures

    Primary Outcome Measures

    1. Monthly drinking frequency [Six months]

    Secondary Outcome Measures

    1. Monthly Exercise Behavior [Six months]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    21 Years to 55 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Age 21-55 years

    • English speaking

    • Sedentary

    • Alcohol-related problems

    • Recent heavy drinking episodes

    • Blood pressure <165/95 mmHg

    Exclusion Criteria:
    • Currently receiving or desiring treatment for alcohol problems

    • Contraindications for exercise

    • Acute psychiatric problems that require immediate treatment

    • Obese - class II

    • Pregnant or desire to become so in the next several months

    • Other substance dependence

    • In recovery for pathological gambling

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Saint Louis University St. Louis Missouri United States 63103

    Sponsors and Collaborators

    • St. Louis University
    • University of Connecticut
    • National Institute on Alcohol Abuse and Alcoholism (NIAAA)

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Jeremiah Weinstock, Assistant Professor, St. Louis University
    ClinicalTrials.gov Identifier:
    NCT01399554
    Other Study ID Numbers:
    • 1R03AA020194
    • 1R03AA020194
    First Posted:
    Jul 22, 2011
    Last Update Posted:
    Apr 7, 2014
    Last Verified:
    Apr 1, 2014
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Apr 7, 2014