Computer-Based Training in Cognitive Behavior Therapy

Phase 1

Completed

• Conditions: Cocaine Abuse
• Interventions: Other: Treatment as usual (TAU); Behavioral: CBT for CBT

• Registration Number: NCT00350610
• Lead Sponsor: Yale University

Brief Summary

The computer-based training program (CBT for CBT) 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

In this behavioral trial 120 methadone maintained cocaine abusing individuals will be randomly assigned to either treatment as usual in a community-based clinic 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 cocaine 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.

Study Timeline

• Study First Submitted: 2006-07-07
• Study First Submitted QC: 2006-07-07
• Study First Posted: 2006-07-11
• Study Start: 2007-11
• Primary Completion: 2012-12
• Study Completion: 2012-12
• Status Verified: 2013-01
• Last Update Submitted: 2013-01-28
• Last Update Posted: 2013-01-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• 18 years and older
• methadone maintained for at least 3 months
• meet current DSM-IV criteria for cocaine use disorder
• fluent in English or at least a6th grade reading level
• can commit to at least 8 weeks of treatment and willing to be randomized to treatment

Exclusion Criteria

• untreated bipolar or schizophrenic disorder
• current legal case pending (pending incarceration during 8 weeks of study)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
1	Treatment as usual (TAU)	Standard treatment as usual (TAU) in a community based clinic consisting of individual and group therapy sessions and regular urine monitoring.
2	Treatment as usual (TAU)	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 cocaine use and increasing coping skills twice weekly for 8 weeks.
2	CBT for CBT	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 cocaine use and increasing coping skills twice weekly for 8 weeks.

Primary Outcome Measures

Name	Time	Method
reduction in drug use	8 weeks

Secondary Outcome Measures

Name	Time	Method
patients ability to demonstrate coping skills through a computerized role-playing evaluation	8 weeks
retention in treatment	8 weeks

Trial Locations

Locations (1)

APT Foundation Orchard Hill Clinic; 🇺🇸 New Haven, Connecticut, United States