Comparison of training methods in dual diagnosis (mental health and substance use) treatment for community mental health teams
| ISRCTN | ISRCTN62599190 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN62599190 |
| Secondary identifying numbers | N/A |
- Submission date
- 04/08/2008
- Registration date
- 19/02/2009
- Last edited
- 21/11/2019
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Steve Pilling
Scientific
Scientific
Centre for Outcomes Research and Effectiveness
Clinical Health Psychology
University College London
1 - 19 Torrington Place
London
WC1E 7HB
United Kingdom
| Phone | +44 (0)20 7679 1785 |
|---|---|
| s.pilling@ucl.ac.uk |
Study information
| Study design | Active-controlled blinded (staff were blinded during baseline measures) randomised trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Other |
| Study type | Treatment |
| Scientific title | A randomised trial of two methods of training in dual diagnosis (co-morbid mental health and substance use) interventions for community mental health teams |
| Study acronym | CODA |
| Study objectives | Whether a whole team training approach to dual diagnosis interventions is more effective than training a few individuals in increased positive attitudes and capabilities to working with people with dual diagnosis and in turn improve service user outcomes. |
| Ethics approval(s) | Camden and Islington Community Research Ethics Committee, 12/04/2001, ref: 00/96 |
| Health condition(s) or problem(s) studied | Schizophrenia, co-morbid drug and alcohol dependence |
| Intervention | This is an intention to treat, repeated measure within subjects randomised trial. There were two active conditions of training; the staff were blind to training conditions when they completed baseline measures, but not for follow-up (as they knew what training they had had). Service user data was collected via case-notes and case managers who would have been aware of training condition. The intervention included training to increase staff skills in engagement, assessment, motivational interviewing, cognitive behavioural teachniques, health promotion and education. The whole team training was 5 days training, and then the teams in this arm received 1 hour of supervision once per month for 18 months. The specialist training consisted of two people from a team having 12 day training, and then only supervision from the trainer. |
| Intervention type | Other |
| Primary outcome measure | 1. Service users: hospital bed days 2. Staff: Alcohol and Alcohol Problems Perception Questionnaire (AAPPQ) Staff outcomes measured at baseline immediately prior to training; service user outcomes measured in the 6 months prior to training and in the 6 months prior to the end of an 18 month period after training was delivered. |
| Secondary outcome measures | 1. Dual Diagnosis Attitudes, Self-Efficacy Scale, Knowledge about dual diagnosis 2. Minnesota Satisfaction Scale 3. Maslach Burn-out Inventory 4. Service Users only: 4.1. Clinician Drug and Alcohol Use Scale (rated by case managers) 4.2. Incidence of suicide, violence, homelessness (from case-notes) Staff outcomes measured at baseline immediately prior to training; service user outcomes measured in the 6 months prior to training and in the 6 months prior to the end of an 18-month period after training was delivered. |
| Overall study start date | 01/06/2001 |
| Completion date | 30/09/2003 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | 159 workers and 315 service users |
| Key inclusion criteria | 1. Staff: 1.1. Any member of the community mental health team with active case-loads who were expecting to be in their post for the next 18 months 1.2. Aged 18 - 65 years, males and females 2. Service users: those with a case note diagnosis of psychotic disorder (and abuse or dependence in any substance) |
| Key exclusion criteria | 1. Staff: 1.1. Anyone about to leave the post 1.2. Those without an active case-load 2. Service users: exclude those with primary substance misuse |
| Date of first enrolment | 01/06/2001 |
| Date of final enrolment | 30/09/2003 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
University College London
London
WC1E 7HB
United Kingdom
WC1E 7HB
United Kingdom
Sponsor information
University College London (UK)
University/education
University/education
1 - 19 Torrington Place
London
WC1E 7HB
England
United Kingdom
| lhughes@lincoln.ac.uk | |
| Website | http://www.ucl.ac.uk/ |
"ROR" |
https://ror.org/02jx3x895 |
Funders
Funder type
Government
Camden and Islington NHS Foundation Trust (UK)
No information available
Alcohol Education Research Council (UK) - grant in 2001
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Editorial Notes
21/11/2019: No publications found. Verifying results with principal investigator.
09/08/2017: No publications found in PubMed, verifying study status with principal investigator.
