Acceptability and Feasibility of Cognitive Behavioral Therapy for Treatment-Seeking (CBT-TS) With Deaf Individuals
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Mental Health Issue
- Sponsor
- University of Rochester
- Enrollment
- 42
- Locations
- 1
- Primary Endpoint
- Proportion of Participants Who Schedule Professional Treatment
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The current study aims to assess the acceptability and feasibility of an adapted version of Cognitive Behavioral Therapy for Treatment Seeking (CBT-TS) for use with signing Deaf adults. This is a Stage 1A intervention refinement study consisting of a single-arm open pilot trial. Thirty Deaf adults with clinically significant symptoms of alcohol use disorder (AUD), post-traumatic stress disorder (PTSD), depression, anxiety, and/or insomnia, who are not currently engaged in treatment will be recruited from across the United States. All subjects will complete a baseline assessment of their behavioral health symptoms, perceptions towards treatment, and intent to seek treatment prior to engaging in the adapted CBT-TS intervention. The primary clinical outcome, assessed at one-month follow-up, will be whether subjects scheduled professional treatment. Secondary outcomes include changes in subjects' perceptions towards treatment, intentions to seek treatment, and symptom severity from baseline. During the one-month, follow-up assessment subjects will also complete a client satisfaction survey and open-ended questions to provide feedback about the CBT-TS intervention.
Investigators
Aileen Aldalur
Assistant Professor
University of Rochester
Eligibility Criteria
Inclusion Criteria
- •18 years of age or older
- •self-identify as Deaf or hard-of-hearing (any degree of hearing loss)
- •primary method of communication is ASL or PSE
- •positive screen for one or more behavioral health disorders including: AUD (AUDIT \> 16 and alcohol use in the past 30 days exceeds the limit for low-risk drinking established by the NIAAA), PTSD (PCL-5 \> 31), depression (PHQ-9 \> 10), anxiety (GAD-7 \> 10), or insomnia (ISI \> 15)
- •no current behavioral health treatment per standardized self-report
- •access to video chat technology with internet and webcam.
Exclusion Criteria
- •unable to communicate with the researcher in ASL or PSE
- •current alcohol withdrawal necessitating medical evaluation
- •current psychiatric impairment necessitating emergency services or inpatient admission (i.e., imminent danger of harm to self or others)
- •unable to comprehend the nature of the study
- •currently receiving behavioral health treatment for their symptoms.
Outcomes
Primary Outcomes
Proportion of Participants Who Schedule Professional Treatment
Time Frame: 1 month
We will use a validated treatment utilization survey that will assess subjects' use of 12 treatment services, their reasons for seeking/not seeking treatment, and any barriers they experienced through a series of structured questions. Treatment-seeking will be coded as a binary variable representing those who scheduled or attended any professional treatment service and those who did not.
Mean Change in Attitudes About Treatment
Time Frame: baseline to 1 month
The Deaf Perceptions About Services Scale (PASS-D) Attitude scale. The Attitude scale contains 4 items assessing individuals' attitudes about behavioral health treatment. The items are rated on a Likert scale ranging from 1 - 7. Scores are averaged across the items for a total score of 1 - 7 with higher scores indicating more favorable attitudes about treatment.
Mean Change in Subjective Norm About Treatment
Time Frame: baseline to 1 month
The Deaf Perceptions About Services Scale (PASS-D) Subjective Norm scale. The Subjective Norm scale contains 3 items assessing individuals' perceptions of the subjective norm in their community about behavioral health treatment. The items are rated on a Likert scale ranging from 1-7. Scores are averaged across the items for a total score of 1 - 7 with higher scores indicating more favorable perceptions about treatment.
Mean Change in Perceived Behavioral Control About Seeking Treatment
Time Frame: baseline to 1 month
The Deaf Perceptions About Services Scale (PASS-D) Perceived Behavioral Control scale. The Perceived Behavioral Control scale contains 3 items assessing individuals' perceived behavioral control to seek behavioral health treatment. The items are rated on a Likert scale ranging from 1 - 7. Scores are averaged across the items for a total score of 1 - 7 with higher scores indicating more perceived behavioral control to seek treatment.
Mean Change in Intention to Seek Treatment
Time Frame: baseline to 1 month
The D-PASS will be administered pre-and-post-treatment to collect information about subjects' intention to seek treatment. The scale ranges from 3 to 21 with higher scores indicating more favorable attitudes.