Opioid-use Disorder
Conditions
Brief summary
In this Phase II SBIR/STTR project, our Specific Aim will be to determine if the use of CBT4CBT-Buprenorphine leads to clinically significant improved outcomes and increased retention for buprenorphine maintenance patients in a larger and diverse population of individuals seeking buprenorphine treatment in primary care (N=100).
Detailed description
In this phase, 100 individuals entering buprenorphine maintenance at the primary care clinic (Central Medical Unit, CMU) will be randomized to either (1) standard buprenorphine maintenance in which counseling is offered on site, or (2) standard buprenorphine maintenance with CBT4CBT-Buprenorphine substituting for on-site counseling. This will be a 12-week trial.
Interventions
Computerized, user-driven cognitive-behavioral therapy (CBT) web-based program adapted for use in office based buprenorphine treatment
Standard outpatient buprenorphine maintenance
Sponsors
Study design
Intervention model description
Randomized controlled trial
Eligibility
Inclusion criteria
* Meets current Diagnostic Statistical Manual (DSM-5) criteria for opioid use disorder * Requesting buprenorphine maintenance treatment at Central Medical Unit of the APT Foundation
Exclusion criteria
* Unstabilized psychotic disorder * Currently suicidal or homicidal * Current cocaine, benzodiazepine, or alcohol use disorder. * Any history of PCP (phencyclidine) use. * Pregnant or lactating * Any other physical or mental condition that would contraindicate office-based buprenorphine maintenance treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent of urine toxicology screens that are negative for opioids by group. | 12 weeks | Percent of urine toxicology screens, collected weekly, that are negative for opioid metabolites. |
Countries
United States