Substance Abuse
Conditions
Keywords
cognitive behavior therapy, computer assisted instruction, drug abuse therapy, educational resource design and development
Brief summary
The investigators are conducting a randomized clinical trial of our new web-based version of the CBT4CBT program to evaluate its effectiveness relative to standard outpatient counseling at SATU. The computer-based training program (CBT4CBT) 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
One hundred eighty drug-using individuals seeking treatment at the Substance Abuse Treatment Unit (SATU) of the Connecticut Mental Health Center will be randomized to (1) standard outpatient counseling at SATU (typically consisting of weekly group counseling), (2) individual clinician delivered CBT, or (3) web-based CBT4CBT. Treatments will be delivered over a 12-week period with a six-month follow-up after termination of the study treatments. The primary outcome measures will be reduction in substance use (frequency of drug use by time, confirmed by urine toxicology screens). Secondary outcomes will include treatment utilization and cost, several measures intended to detect whether web-based CBT4CBT retains key characteristics of traditional clinician-administered CBT (e.g., acquisition of coping skills, use of change strategies), participant characteristics which will be evaluated as potential moderators of outcome, as well as participant satisfaction and treatment credibility.
Interventions
BEHAVIORALStandard Treatment As Usual (TAU)
Treatment normally offered at this clinic which could include individual or group drug counseling sessions one time per week last one hour each time.
BEHAVIORALIndividual clinician-provided CBT
Individual drug counseling sessions with trained clinicians using CBT one time per week last one hour per session.
BEHAVIORALCBT4CBT
Subjects work with a computerized program that teaches skills for stopping drug use and increasing coping skills. Computerized sessions are one time per week and last about one hour per session.
Sponsors
National Institute on Drug Abuse (NIDA)
Yale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Are 18 years of age or older. * Are applying for outpatient, non-agonist substance abuse treatment at SATU. * Meet current DSM-IV criteria for cocaine, marijuana,opioid,or amphetamine dependence. * Are sufficiently stable for 12 weeks of outpatient treatment. * Can commit to 12 weeks of treatment and are willing to be randomized to treatment * Are willing to provide locator information for follow-up. * Are fluent in English and have a 6th grader or higher reading level
Exclusion criteria
* Have an untreated bipolar or schizophrenic disorder. * Who have a current legal case pending such that incarceration during 12-week protocol is likely. * Are physically dependent on alcohol, opioids or benzodiazepines
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction in drug abuse | 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Subjects ability to demonstrate coping skills through a computerized role-playing evaluation | 12 weeks |
Countries
United States
Outcome results
None listed