Efficacy and Mechanisms of CBT4CBT for Alcohol Use Disorders

Not Applicable

Completed

Brief Summary: Evaluate the efficacy of CBT4CBT and clinician-delivered CBT relative to standard treatment for reducing alcohol use

Detailed Description: Evaluate the efficacy of Computer Based Training for Cognitive Behavioral Therapy (CBT4CBT) and clinician-delivered Cognitive Behavioral Therapy (CBT) relative to standard treatment for reducing alcohol use through an 8-week randomized trial with 6-month follow-up. Our primary hypothesis is that either form of CBT will be more effective than standard treatment at increasing the percentage of days abstinent during treatment (8 weeks) and through the follow-up (6 months), assessed via Timeline FollowBack interviews.

Recruitment & Eligibility

Inclusion Criteria

Individuals will be included who:

Are 18 years of age or older.
Are applying for outpatient alcohol treatment and meet current DSM-5 criteria for alcohol use disorder, consuming at least 14/7 drinks (men/women) per week with at least 4 heavy drinking days reported in the past 28 days,
Are sufficiently stable for 8 weeks of outpatient treatment and can commit to a 6-month follow-up
Are willing to provide locator information for follow-up, and
Are fluent in English and have a 6th grade or higher reading level.

Exclusion Criteria

Individuals will be excluded who:

Have an untreated bipolar or schizophrenic disorder,
Have a current legal case pending such that incarceration during the 8-week protocol is likely,
Have been prescribed an alcohol pharmacotherapy (e.g., disulfiram, naltrexone) within the past two weeks, or
Are physically dependent on alcohol, opioids or benzodiazepines such that immediate medical detoxification is necessary for safety purposes (individuals demonstrating significant withdrawal symptoms would be eligible for re-screening following brief medical detoxification, which is arranged by RCS staff at triage).

Primary Outcome Measures

Name	Time	Method
Percentage of Days Abstinent From Alcohol Use During Treatment as Measured by Timeline Follow Back	Baseline up to 8 weeks	The Timeline Follow Back is a calendar-based questionnaire used to assess alcohol use-consumption variables and can be used to measure alcohol use over time. This outcome was updated upon results entry. Presented are the percent days abstinent from alcohol use.
Percentage of Days Abstinent From Alcohol Use During 6-month Follow-up Period as Measured by Timeline Follow Back	from end of treatment at week 8 up to 6 months	The Timeline Follow Back is a calendar-based questionnaire used to assess alcohol use-consumption variables and can be used to measure change over time. This outcome was updated upon results entry. Presented are the percent days abstinent from alcohol use summarized monthly.

Secondary Outcome Measures

Name	Time	Method

Locations (2): MCCA
🇺🇸
Bridgeport, Connecticut, United States
SATU
🇺🇸
New Haven, Connecticut, United States
MCCA
🇺🇸Bridgeport, Connecticut, United States