Study protocol: a hybrid effectiveness-implementation trial of Moral Reconation Therapy in the US Veterans Health Administration

Autor: David A. Smelson, Lakiesha L. Kemp, Joel Rosenthal, Jennifer S. Smith, Daniel M. Blonigen, Autumn Harnish, Christine Timko, Michael A. Cucciare
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Adult
Mental Health Services
050103 clinical psychology
medicine.medical_specialty
Hospitals
Veterans
Justice-involved veterans
Effectiveness
Morals
Veterans health administration
Health informatics
Health administration
law.invention
Study Protocol
Clinical Protocols
Randomized controlled trial
law
Humans
Medicine
0501 psychology and cognitive sciences
Residential Treatment
health care economics and organizations
Veterans
0505 law
Cognitive Behavioral Therapy
Recidivism
business.industry
Health Policy
Public health
Nursing research
lcsh:Public aspects of medicine
05 social sciences
Health services research
lcsh:RA1-1270
Criminals
Mental health
Moral Reconation therapy
United States
humanities
Hybrid trial
United States Department of Veterans Affairs
Treatment Outcome
Implementation
Family medicine
050501 criminology
Crime
business
Follow-Up Studies
Zdroj: BMC Health Services Research, Vol 18, Iss 1, Pp 1-9 (2018)
BMC Health Services Research
ISSN: 1472-6963
0252-4171
DOI: 10.1186/s12913-018-2967-3
Popis: Moral Reconation Therapy (MRT) is a cognitive-behavioral intervention aimed at reducing risk for criminal recidivism by restructuring antisocial attitudes and cognitions (i.e., “criminogenic thinking”). MRT has empirical support for reducing risk for criminal recidivism among civilian offenders. Recently, a version of MRT was developed for military veterans; however, no randomized controlled trials (RCT) have been conducted with the veteran-specific protocol, and the effectiveness and implementation potential of MRT outside of correctional settings has not been established. Using a Hybrid Type 1 RCT design, this study will test the effectiveness of MRT to reduce risk for criminal recidivism and improve health-related outcomes among justice-involved veterans entering mental health residential treatment at three US Veterans Health Administration (VHA) Medical Centers. Upon admission to the treatment program, justice-involved veterans will complete a baseline assessment, be randomized to usual care (UC) or UC + MRT, and be followed 6 and 12 months post-baseline. A process evaluation will also be conducted to identify barriers and facilitators to implementation of MRT in residential treatment. The primary aim of this study is to evaluate the effectiveness of MRT with justice-involved veterans. If MRT proves effective in this trial, the findings can provide large healthcare systems that serve veterans with an evidence-based intervention for addressing criminogenic thinking among justice-involved adults, as well as guidance on how to facilitate future implementation of MRT in non-correctional settings. This trial is funded by the VA Health Services Research & Development Program (IIR 14–081) and is registered with ClinicalTrials.gov (ID: NCT02524171 ).
Databáze: OpenAIRE
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