Delivering Treatment in DUI Programs to Reduce Alcohol-Related Disparities

Phase 2

Completed

• Conditions: Alcohol Abuse
• Interventions: Behavioral: Usual Care; Behavioral: Cognitive Behavioral Therapy

• Registration Number: NCT02588703
• Lead Sponsor: RAND

Brief Summary

The current study evaluates the efficacy of Cognitive Behavioral Therapy (CBT) in DUI programs for individuals with a first-time offense. Investigators will utilize a two-group randomized design where individuals enrolled in a DUI program with a first-time conviction will be randomized to Cognitive Behavioral Therapy (CBT; n=150) or Usual Care (UC; n=150). Participants will be assessed at baseline, immediately post-treatment, and 6-months post-treatment. Recidivism data will also be collected using administrative data two years post-treatment.

Detailed Description

Enormous unmet needs for alcohol treatment exist among individuals convicted of driving under the influence (DUI) since up to 43% recidivate and 67% meet criteria for alcohol dependence. Investigators will test whether delivering a cognitive behavioral treatment (CBT) for alcohol use disorders (AUDs) as part of a mandated DUI program improves health outcomes, and reduces alcohol use, alcohol-related problems and injuries, and DUI recidivism compared to usual care. The study has the potential to promote the public welfare by providing treatment to individuals with a DUI conviction, while focusing on Latinos, who are disproportionately less likely to access treatment and more likely to be arrested for a DUI, to have higher rates of recidivism, and to die in alcohol-related crashes than their white counterparts. The study is innovative because it would be the first to address effectiveness of treatment for AUDs embedded within a DUI program. Investigators will conduct a randomized trial of a 9-session group-based CBT (n=150) as compared to group-based usual care (UC; n=150) immediately after and 6 months after the end of treatment. Short-term outcomes include alcohol use (rates of heavy drinking, percent days abstinent), alcohol use-related self-efficacy, and intent to drink and drive. Investigators will also examine whether race/ethnicity, gender, acculturation, and alcohol situational norms predict our primary treatment outcomes (rates of heavy drinking, percent days abstinent) and DUI recidivism (alcohol-related violations).

Study Timeline

• Study First Submitted: 2015-08-17
• Study Start: 2015-10
• Study First Submitted QC: 2015-10-27
• Study First Posted: 2015-10-28
• Primary Completion: 2018-07
• Status Verified: 2020-04
• Study Completion: 2020-04
• Last Update Submitted: 2020-04-08
• Last Update Posted: 2020-04-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 351

Inclusion Criteria

• meets criteria for at-risk drinking,
• 21 years+,
• English speaking,
• current client in 3-month DUI program

Exclusion Criteria

• under 21,
• does not speak English,
• does not meet criteria for at-risk drinking

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Usual Care	Usual Care	9-session 2-hour group counseling
Cognitive Behavioral Therapy	Cognitive Behavioral Therapy	9-session 2-hour group cognitive behavioral therapy

Primary Outcome Measures

Name	Time	Method
heavy drinking (Survey)	6 months	frequency of 5 drinks per day for men and 4 drinks per day for women

Secondary Outcome Measures

Name	Time	Method
DUI Behaviors and Attitudes (Survey)	6 months