Improving Productive Community Integration in Homeless-experienced Veterans
ConditionHomeless Persons
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorVA Office of Research and Development
About this trial
The VA has been focused on reducing the number of homeless Veterans nationally. However, it has been very difficult to increase the level of productive activities--including work, school, and training--for homeless-experienced Veterans (HEVs), even when the VA provides substantial case management and support services in addition to housing. The overarching aim of this proposed treatment project is to validate an innovative psychosocial intervention (a combination of Motivational Interviewing and Cognitive Behavioral Therapy; MI-CBT) that is designed to enhance motivation and increase productive community integration in Veterans who have experienced homelessness. The efficacy of this new intervention will be evaluated in a randomized control trial that includes 24 weeks of active treatment, and a follow up assessment, compared with a control condition. The results of the proposed study will have clinical and functional impact for Veterans by helping HEVs to achieve fuller community integration.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Veteran
fluent in English
history of homelessness and currently housed through VA Housing and Urban Development-VA Supportive Housing (HUD-VASH) housing programs
expressed willingness to work on a school, work, or training goals
Disqualifiers
no clinically significant medical, neurological, or physical condition that would interfere with providing informed consent or valid assessments
no visible sign of intoxication on the laboratory assessment visits
Trial design
Design model
Parallel
Treatments tested in this trial
Motivational Interviewing and Cognitive Behavioral Therapy
Other interventionPsychosocial intervention to increase motivation for work and productive activities
Healthy Behavior Training
Other interventionAn educational program on nutrition, exercise, and stress management.
Treatment groups
106 Participants
are divided into 2 treatment groupsGroup A: MI-CBTExperimental treatment 1 intervention
Group B: Health LifestylesActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Action subscale of the University of Rhode Island Change Assessment Scale
Measure of attitudes and activities related to motivation for productive activities. The range is 8-40 in which higher scores indicate more willingness to change.
Time frame
baseline, midpoint at 12 weeks, post-treatment at 24 weeks, and follow-up at 36 weeks2
Service Use and Resource Form (SURF)
Average number of hours of productive activities per week for past month
Time frame
baseline, midpoint at 12 weeks, post-treatment at 24 weeks, and follow-up at 36 weeksSecondary outcomes
1
Measure of willingness to exert effort on a cognitive task (Deck choice task)
Measure of effort allocation on a cognitive choice task. The range is 0-18 with higher scores indicated more accuracy and effort allocation.
Time frame
baseline, midpoint at 12 weeks, post-treatment at 24 weeks, and follow-up at 36 weeksSponsors and contacts
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Source ClinicalTrials.gov