Cocaine Abuse
Conditions
Keywords
cognitive behavior therapy, computer assisted instruction, drug abuse therapy, educational resource design and development
Brief summary
The computer-based training program (CBT for CBT) focuses on teaching basic coping skills, presenting examples of effective use of coping skills in a number of realistic situations in video form, and providing opportunities for patients to practice and review new skills while receiving substance abuse treatment.
Detailed description
In this behavioral trial 120 methadone maintained cocaine abusing individuals will be randomly assigned to either treatment as usual in a community-based clinic OR treatment as usual plus 8 hours of access to the 'CBT for CBT' computer program over a period of 8 weeks. Primary outcomes will be retention in treatment and reduction in cocaine use (percent days abstinent, confirmed by urine toxicology screens). The patients' ability to demonstrate coping skills through a computerized role-play evaluation will be a secondary outcome. A six-month follow-up will assess durability and/or delayed emergence of effects.
Interventions
Standard treatment as usual in a community based treatment setting
Standard treatment as usual (TAU) plus computer based therapy using CBT
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years and older * methadone maintained for at least 3 months * meet current DSM-IV criteria for cocaine use disorder * fluent in English or at least a6th grade reading level * can commit to at least 8 weeks of treatment and willing to be randomized to treatment
Exclusion criteria
* untreated bipolar or schizophrenic disorder * current legal case pending (pending incarceration during 8 weeks of study)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| reduction in drug use | 8 weeks |
Secondary
| Measure | Time frame |
|---|---|
| patients ability to demonstrate coping skills through a computerized role-playing evaluation | 8 weeks |
| retention in treatment | 8 weeks |
Countries
United States