VetReach: Developing a Telehealth Model to Improve Treatment Access for Rural Veterans With Substance Use Disorders
This project will pilot-test and obtain stakeholder input on a telehealth-delivered substance use disorder (SUD) care model (with initial engagement and ongoing MI-CBT treatment) with the goal of increasing treatment utilization and improving outcomes for rural and non-rural Veterans with SUDs.
|Condition or Disease||Intervention/Treatment||Phase|
Arms and Interventions
|Experimental: MI-CBT Teletx
The intervention consists of an initial 30-60 min phone-delivered Engagement session that focuses on MI to help participants build self-efficacy and motivation to engage and to empower them to plan change and use Elicit-Provide-Elicit (EPE) to address treatment barriers (e.g., stigma, appeal, accessibility). Participants will then complete up to 8 ~50 minute Teletx weekly sessions via videoconference (or phone if needed). The intervention is highly patient-centered, by meeting and assessing patients where they are including in their unique context (i.e. rural community), helping them identify reasons and motivations for change, and centered around their goals (e.g. substance use reduction or abstinence).
Telehealth-delivered MI-CBT substance use disorder care model
Primary Outcome Measures
- Feasibility of the intervention (engagement) [8 weeks]
Percent (%) of participants engaging in the intervention (at least 3 completed sessions)
- Acceptability of the telehealth intervention [2 months]
Study-specific acceptability rating completed by participants (% with a positive rating, higher % is better)
Other Outcome Measures
- Change in substance consumption [baseline, 8 weeks post-baseline]
Substance use/consumption will be assessed using the 30-day Timeline Follow-Back (TLFB). The TLFB will capture information on the frequency and quantity of substance use, with total consumption calculated.
- Change in frequency of substance use as reported on the Timeline Follow-Back (TLFB) [baseline, 8 weeks post-baseline]
Based on frequency and quantity, higher scores indicate worse outcome.
Veteran patients at the Ann Arbor VA Healthcare System
Diagnostic and Statistical Manual of Mental Disorders (DSM-5) SUD diagnosis and/or substance use on average of 2 days a week over the past month
Able to provide informed consent
Receiving SUD psychotherapy
Inability to speak or understand English
Substantial mental health instability or conditions that preclude informed consent (e.g., acute psychosis, cognitive deficits) or understanding of assessment or program content
Prior alcohol withdrawal seizures or delirium tremens
Contacts and Locations
|1||VA Ann Arbor Healthcare System, Ann Arbor, MI||Ann Arbor||Michigan||United States||48105|
Sponsors and Collaborators
- VA Office of Research and Development
- VA Ann Arbor Healthcare System
- Principal Investigator: Lewei Lin, MD, VA Ann Arbor Healthcare System, Ann Arbor, MI
Study Documents (Full-Text)None provided.
- CDX 22-007