Computer-Based Training in Cognitive Behavior Therapy (CBT4CBT)

Computer-Assisted Cognitive Behavior Therapy for Veterans With Substance Use Disorder

Status

Completed

Phases

Phase 1

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT01406899

Enrollment

Registered

2011-08-01

Start date

2010-01-31

Completion date

2013-12-31

Last updated

2014-12-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Substance-Related Disorders

Brief summary

In this behavioral trial 80 substance abusing individuals will be randomly assigned to either treatment as usual in the substance abuse clinic of the Newington, CT VA hospital 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 substance 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.

Detailed description

This pilot study aims to evaluate the feasibility and effectiveness of adding a computer based training program in Cognitive Behavior Therapy (CBT4CBT) for the treatment of addictions in a VA substance abuse outpatient clinic. Key secondary aims are to assess the impact of adding CBT4CBT to standard care on treatment attendance, engagement, retention, and to investigate if certain process measures are associated with substance use outcomes. Approximately 80 patients enrolled in the Newington Outpatient Substance Abuse Treatment Program (SATP) will be randomly assigned to either (A) treatment as usual, or (B) treatment as usual plus exposure to the CBT4CBT program.

Interventions

BEHAVIORALComputer Based Treatment

Standard treatment as usual (TAU) plus coping skills computer program. In addition to the individual and group therapy sessions (TAU), individuals will work with a computerized program that teaches skills for stopping substance use and increasing coping skills twice weekly for 8 weeks.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* 18 years and older * Recent (within 3 months) substance use * meet current DSM-IV (Diagnostic and Statistical Manual-IV) criteria for substance use disorder * fluent in English or at least a 6th grade reading level * can commit to at least 8 weeks of treatment and willing to be randomized to treatment

Exclusion criteria

* Unstable housing situation * Likelihood of going to prison during the intervention portion of study * Recent opiate or benzodiazepine prescription

Design outcomes

Primary

Measure	Time frame	Description
Reduction in substance use	8 weeks	percent days abstinent, confirmed by urine toxicology screens

Secondary

Measure	Time frame	Description
Retention in treatment	6 months	did patient continued to be enrolled in substance abuse treatment at follow-up

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 11, 2026