Alcohol Use, Suicidal Ideation/Behavior
Conditions
Keywords
Alcohol, Cognitive Behavioral Therapy, Suicide, Remote, Self-Guided Therapy, CBT4CBT
Brief summary
The purpose of this single groups trial is to (Aim 1) determine relationships between alcohol use, suicidal thoughts and behaviors (STBs), and behavioral economic decision-making in a community sample (N = 100) of alcohol using adults who are 18 years of age or older, (Aim 2) is to determine factors that predict engagement with a remote intervention (computer based training for cognitive behavioral therapy; CBT4CBT) for alcohol and its effects on alcohol use, STBs, and decision-making with those same adults. Participants will complete a baseline assessment and be given access for remote, self-guided CBT4CBT modules for alcohol use. Following this, participants will remotely complete three follow-up assessments over three months. This will allow for determination of incidence and predictors of alcohol use and STBs and determination of predictors of engagement and efficacy of a remote intervention for alcohol use in both samples.
Interventions
BEHAVIORALSelf-Guided Cognitive Behavioral Therapy
Computer Based Training for Cognitive Behavioral Therapy (CBT4CBT) is a set of seven modules that consist of different skills trainings that can be accessed by devices with an internet connection. The version of CBT4CBT that will be provided is the alcohol-based CBT4CBT.
Sponsors
Mark J Rzeszutek, PhD
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* At least 18 years old * Consume alcohol at least weekly * A score of 8 or greater on the Alcohol Use Disorder Identification Test (AUDIT) * Some interest in cutting back on drinking or quitting * Read and understand English
Exclusion criteria
* A score of 31 or greater on the Alcohol Use Disorder Identification Test (AUDIT) at baseline * Reporting schizophrenia and/or other psychiatric diagnoses other than depression or anxiety at baseline * Already being in treatment for alcohol use disorder at baseline * Past month substance use other than cannabis or tobacco
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Engagement with Self-Guided Cognitive Behavioral Therapy for Alcohol Use | Assessed at study week 12 | At the end of the study, participant engagement with Computer Based Training for Cognitive Behavioral Therapy (CBT4CBT) modules will be analyzed with ordinary linear regression. Engagement will be defined as the proportion of modules completed. |
| Change in Alcohol Use | Assessed at study week 0, 4, 8, and 12 | Participants will complete baseline and remote follow-up assessments. Alcohol use will be measured by timeline follow-back of alcohol use for the previous 4 weeks of time of assessment. General linear mixed-effects modeling will be used to assess changes in alcohol use. |
| Change in Suicidal Thoughts and Behaviors | Assessed at study week 0, 4, 8, and 12 | Participants will complete baseline and remote follow-up assessments. Suicidal thoughts and behaviors will be will be measured by the Colombia Suicide Severity Rating Scale. Suicidal ideation severity is measured from a scale of 0 to 25, where higher scores indicate higher levels of suicidal ideation severity. General linear mixed-effects modeling will be used to assess changes in suicidal thoughts and behaviors. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORMark J Rzeszutek, PhD
University of Kentucky
Outcome results
None listed