Substance Dependence
Conditions
Keywords
cognitive behavioural therapy, online treatment
Brief summary
The purpose of this study is to compare the efficacy and cost-effectiveness of a Computer-based Training for Cognitive Behavioural Therapy (CBT4CBT) to treatment as usual in outpatients seeking treatment for substance use disorder.
Detailed description
Fifty-two adult outpatients seeking treatment for substance use disorder from the Centre for Addiction and Mental Health Addictions Program will be randomized to receive either a computer-based training for cognitive behavioural therapy or treatment as usual for eight weeks. Participants will complete interviews, questionnaires, and other assessments (urine toxicology and physiological assessments) at week 0, at week 8, and at 6 month follow-up). Measures will assess alcohol and drug consumption, substance use disorder symptoms and associated features, quality of life, and healthcare costs.
Interventions
BEHAVIORALComputer-based Training for Cognitive Behavioural Therapy
Interactive content organized into seven modules, illustrating real-life scenarios associated with common risky situations, which illustrate the application of targeted skills and strategies
BEHAVIORALTreatment As Usual
Treatment as usual will include standard psychosocial care determined to be appropriate or necessary, on an individual patient basis.
Sponsors
Centre for Addiction and Mental Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. 18 years of age or older 2. Fluency in English 3. Understanding and willingness to comply with study requirements 4. Meet diagnostic criteria for current substance use disorder 5. Have used substance in the past 30 days 6. Treatment-seeking for substance misuse
Exclusion criteria
1. Unable to read at sixth grade level 2. Untreated or unstable severe psychiatric or medical disorder 3. Acute suicidal or homicidal ideation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Timeline Follow-Back (TLFB) | 30 days | Frequency (days) of substance use over the past 30 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Urine Toxicology Screen | 30 days | Determine substance use in past 30 days |
| Addiction Severity Index (ASI) | 30 days | Substance Use Disorder symptom severity Subscale scores are calculated for 7 domains (medical, employment/support status, alcohol, drug, legal, family/social and psychological). Subscale scores are summed scores ranging from 0-1 with higher scores indicating greater problem severity. |
| WHO Quality of Life (WHOQOL-BREF) | 4 weeks | Quality of Life Subscale scores are calculated for 4 domains (physical health, psychological, social relationships and environment) and for overall and general health quality of life. Subscale scores have a range of 0 to 100 with higher scores indicating greater quality of life. |
| Program and Client Costs-Substance Abuse Treatment (PACC-SAT) | 7 days | Healthcare Costs |
Countries
Canada
Outcome results
None listed