Web-based CBT4CBT for Alcohol

Not Applicable

Completed

• Conditions: Alcohol Abuse or Dependence
• Interventions: Behavioral: Web-based CBT4CBT for alcohol plus TAU; Behavioral: Standard Treatment as Usual (TAU); Behavioral: Web-based CBT with minimal clinical contact

• Registration Number: NCT01615497
• Lead Sponsor: Yale University

Brief Summary

The investigators are conducting a randomized clinical trial of our new web-based version of the CBT4CBT (Computer Based Training for Cognitive Behavioral Therapy) program specifically designed for alcohol to evaluate its effectiveness relative to standard outpatient counseling at the Substance Abuse Treatment Unit (SATU). The computer-based training program (CBT4CBT) 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

Ninety alcohol using individuals seeking treatment at the Substance Abuse Treatment Unit (SATU) of the Connecticut Mental Health Center will be randomized to (1) standard outpatient counseling at SATU (typically consisting of weekly group counseling), (2) standard outpatient counseling plus web-based CBT, or (3) web-based CBT4CBT with minimal clinical monitoring. Treatments will be delivered over an 8-week period with a six-month follow-up after termination of the study treatments. The primary outcome measures will be reduction in alcohol use (frequency of alcohol use by time, confirmed by urine toxicology screens and breathalyzers). Secondary outcomes will include treatment utilization and cost, several measures intended to detect whether web-based CBT4CBT retains key characteristics of traditional clinician-administered CBT (e.g., acquisition of coping skills, use of change strategies), participant characteristics which will be evaluated as potential moderators of outcome, as well as participant satisfaction and treatment credibility.

Study Timeline

• Study First Submitted: 2012-06-06
• Study First Submitted QC: 2012-06-06
• Study First Posted: 2012-06-08
• Study Start: 2012-11
• Primary Completion: 2015-06
• Study Completion: 2015-06
• Status Verified: 2020-03
• Last Update Submitted: 2020-03-04
• Last Update Posted: 2020-03-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 68

Inclusion Criteria

• Are 18 years of age or older.
• Are applying for outpatient, non-agonist substance abuse treatment at SATU.
• Meet current DSM-IV criteria for alcohol abuse or dependence.
• Are sufficiently stable for 8 weeks of outpatient treatment.
• Can commit to 8 weeks of treatment and are willing to be randomized to treatment
• Are willing to provide locator information for follow-up.
• Are fluent in English and have a 6th grader or higher reading level

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Exclusion Criteria

• Have an untreated bipolar or schizophrenic disorder.
• Who have a current legal case pending such that incarceration during 8-week protocol is likely.
• Are physically dependent on alcohol, opioids or benzodiazepines

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Web-based CBT4CBT for alcohol plus TAU	Web-based CBT4CBT for alcohol plus TAU	A computerized program that teaches skills for stopping drug and alcohol use by increasing coping skills such as how to understand patterns of drug use, coping with cravings, etc. plus standard treatment as usual.
Standard Treatment as Usual (TAU)	Standard Treatment as Usual (TAU)	Treatment that would normally be received at the clinic typically consisting of individual or group counseling sessions focusing on alcohol and substance abuse.
Web-based CBT with minimal clinical contact	Web-based CBT with minimal clinical contact	A computerized program that teaches skills for stopping drug and alcohol use by increasing coping skills such as how to understand patterns of drug and alcohol use, coping with cravings, etc. plus 10 minute check in with clinician.

Primary Outcome Measures

Name	Time	Method
Reduction in alcohol use	8 weeks

Secondary Outcome Measures

Name	Time	Method
Subjects ability to demonstrate coping skills through a computerized role-playing evaluation and homework	8 weeks

Trial Locations

Locations (1)

Substance Abuse Treatment Unit (SATU); 🇺🇸 New Haven, Connecticut, United States