Occupational Therapy-Based Cognitive Rehabilitation of Cocaine Abusers: A Pilot Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Change in cognitive impairment
Study Overview
Brief Summary
This study integrates a model of occupational-therapy based cognitive rehabilitation as part of a comprehensive treatment plan for cocaine abusers. We hypothesize that cognitive impairment and quality of life would improve and that cocaine use would decrease in those participants receiving occupational-therapy based cognitive rehabilitation.
Detailed Description
occupational-therapy based cognitive rehabilitation as part of a comprehensive treatment plan for cocaine abusers
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Primary cocaine use disorder (based on DSM-5 criteria) and in at least 3 months of remission
- •At least mild cognitive impairment, defined as = or > 1.5 standard deviations impairment on any 2 performance-based neurocognitive measures
- •Needing to change quality of life, defined as self-identifying at least 2 life areas as needing to change on the Drug User Quality of Life Scale
- •A Veteran at the San Francisco Veterans Affairs Medical Center
- •Currently receiving weekly drug counseling (individual or group; at least 1 hour/week) through an outpatient substance use disorder treatment program
Exclusion Criteria
- •Inability to speak, read, write, and understand English
- •Inadequate hearing or vision
- •Concurrent substance use disorder (except tobacco or caffeine) not in at least 3 months of remission
- •A psychiatric disorder that will interfere with study participation or will make participation hazardous (e.g., psychosis, suicidal or homicidal ideations, severe anxiety)
- •A depressive disorder classified as severe, defined as a Beck Depression Inventory-II score >29
- •Current diagnosis of a bipolar disorder needing acute inpatient psychiatric hospitalization
- •Currently symptomatic from attention-deficit/hyperactivity disorder (DSM-5 criteria)
- •Any learning disorder, any type of dementia, any type of delirium, or an amnestic disorder due to any general medical condition
- •Wechsler Test of Adult Reading standard score <70
- •Mini-Mental State Examination score <24
- •Current use of scheduled (i.e., prescribed) regular (i.e., daily) psychotropics or other medicines with a high likelihood of sedation & cognitive impairment (e.g., benzodiazepines, clozapine, anticholinergics)
- •Currently prescribed stimulants (e.g., methylphenidate) or cognitive enhancers (e.g., donepezil, memantine)
- •Active medical illnesses - uncontrolled diabetes, uncontrolled hypertension, uncontrolled thyroid dysfunction, or uncontrolled B12/folate deficiency; central nervous system illness with potential cognitive aspects (Parkinson's, or Huntington's dementia); Cirrhosis with complications (e.g., ascites, encephalopathy, jaundice, gastrointestinal bleeding); Needing acute medical hospitalization from HIV sequelae, such as HIV-related opportunistic infection
- •Any history of any type of stroke or brain hemorrhage
- •Any history of traumatic brain injury, intracranial pathology (e.g., tumor), or brain surgery
- •Currently on probation or parole
- •Concurrent participation in another study that medically/administratively interferes with this study
Arms & Interventions
Psychoeducation/games
Psychoeducation/games
Intervention: Psychoeducation/games (Behavioral)
Cognitive Rehabilitation
Occupational therapy-based cognitive rehabilitation
Intervention: Occupational therapy-based cognitive rehabilitation (Behavioral)
Outcomes
Primary Outcomes
Change in cognitive impairment
Time Frame: baseline through 6 months
Global Deficit Score, range 0 (no impairment) to 5 (severe impairment)
Secondary Outcomes
No secondary outcomes reported
