Trial document





This trial has been registered retrospectively.
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  DRKS00003574

Trial Description

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Title

Cross-interface, work-related case management in therapeutic aftercare of addiction as key to integration through employment and relapse prevention

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Trial Acronym

SaBiNE

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URL of the Trial

[---]*

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Brief Summary in Lay Language

Employment potentially has a highly positive impact on teetotalism. However, many people suffering from an addiction are unemployed, often long-term.
There is evidence that addictions exert a negative influence on potential employment. In addition to this, persistent unemployment can help develop addictive behaviour.
Our research project examines to what extent a work-based scientific steering of recovering addicts exerts positive effects on integration through employment and teetotalism up to 12 months after discharge from an inpatient withdrawal symptoms treatment.

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Brief Summary in Scientific Language

The project aims to optimize therapeutic aftercare processes of addictions following inpatient withdrawal symptoms treatments. For this purpose, a randomized, controlled, multicentric study examines the effect of a specific work-based therapeutic aftercare of addictions, specifically integrating work, in four addiction treatment clinics in Central Germany with a total of 320 participants. A systematic, work-related, cross-interface case management will be established as intervention in addition to the standard care, which already starts during the inpatient withdrawal symptoms treatment and accompanies recovering addicts for up to 12 months after discharge from the inpatient rehabilitation. The project's goal is to examine whether or not the work-related treatment improves integration through employment of unemployed recovering addicts significantly. At the same time, it analyzes the effect of intervention on teetotalism figures.

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Organizational Data

  •   DRKS00003574
  •   2012/03/12
  •   [---]*
  •   yes
  •   Approved
  •   2011-30, Ethikkommission der Medizinischen Fakultät der Martin-Luther-Universität Halle Wittenberg
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Secondary IDs

  • [---]*
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Health Condition or Problem studied

  •   F10-F19 -  Mental and behavioural disorders due to psychoactive substance use
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Interventions/Observational Groups

  •   Work-related case management as individual intervention: the work-related case management takes place inside the four addiction treatment clinics, starting already six weeks before the expected end of the rehabilitation. During the inpatient phase of the case management essential measures integrating employment are planned and prepared based on an analysis of work history incorporating the recovering addict and in consultation with the therapeutic team of the institution. In addition to this, the cooperation with the relevant job management and addiction aftercare partners will be initiated at that time, so that the recovering addicts can be transferred into the work-integration and addiction aftercare as seamlessly as possible. During the subsequent 12-month outpatient phase, the work-related case management directs the occupational reintegration process in coordination with the case manager or the placement officer of the responsible job management institution (including gradual handover), helps to coordinate an abstinent daily routine, supports during crises or relapse and assists further essential treatment, where applicable.
  •   study participants receive standard care of the respective addiction treatment clinic and addiction aftercare
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Characteristics

  •   Interventional
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  •   Randomized controlled trial
  •   Open (masking not used)
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  •   Active control (effective treament of control group)
  •   Treatment
  •   Parallel
  •   N/A
  •   N/A
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Primary Outcome

Occupational reintegration (work time ≥15h/week) into the regular labour market
Measurement time: 12 and 24 months after discharge from withdrawal symptoms treatment
Research instruments: standardized survey, questions about work history in accordance with the Socio-Economic Panel (SOEP)

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Secondary Outcome

Teetotalism figures and relapse frequency (DGSS standards), duration of occupation, access to pension for reduction in earning capacity, occupation in intermediate labour market, social reintegration (housing, debts, etc.), social service history, use of addiction aftercare
Measurement time: 12 and 24 months after discharge from withdrawal symptoms treatment
Research instruments: standardized survey, questions related to "core data record documenting addict support" (DHS 2010) and "documentation standards III for treatment evaluation of addicts" (German Society for Addiction Research 2001)

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • Medical Center 
  • Medical Center 
  • Medical Center 
  • Medical Center 
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Recruitment

  •   Actual
  •   2011/10/17
  •   320
  •   Multicenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   63   Years
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Additional Inclusion Criteria

Unemployment when rehabilitation begins, capacity to work, initial diagnosis: F10-F19 (ICD 10), proficiency in German language

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Exclusion Criteria

Capacity to work <3h/day, <18 and >63 years of age, prison sentence following rehabilitation

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Addresses

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    • Martin-Luther-Universität Halle-Wittenberg Institut für Gesundheits- und Pflegewissenschaft
    • Mr.  Prof. Dr. phil. habil.  Johann  Behrens 
    • Magdeburger Str. 8
    • 06097  Halle/Saale
    • Germany
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    • Martin-Luther-Universität Halle-Wittenberg Institut für Gesundheits- und Pflegewissenschaft
    • Ms.  Dipl. PGW  Susanne  Saal 
    • Magdeburger Str. 8
    • 06097  Halle /Saale
    • Germany
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    • Martin-Luther-Universität Halle-Wittenberg Institut für Gesundheits- und Pflegewissenschaft
    • Ms.  Dipl. PGW  Susanne  Saal 
    • Magdeburger Str. 8
    • 06097  Halle /Saale
    • Germany
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Sources of Monetary or Material Support

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    • Deutsche Rentenversicherung Mitteldeutschland
    • Georg-Schumann-Straße 146
    • 04159  Leipzig
    • Germany
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    • Bundesagentur für Arbeit
    • Regensburger Straße 104
    • 90478  Nürnberg
    • Germany
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Status

  •   Recruiting complete, follow-up complete
  •   2014/09/30
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* This entry means the parameter is not applicable or has not been set.