Computer Based Training in Cognitive Behavioral Therapy Web-based
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 164
- 试验地点
- 1
- 主要终点
- Reduction in drug abuse
研究概览
简要总结
The investigators are conducting a randomized clinical trial of our new web-based version of the CBT4CBT program to evaluate its effectiveness relative to standard outpatient counseling at 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.
详细描述
One hundred eighty drug-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) individual clinician delivered CBT, or (3) web-based CBT4CBT. Treatments will be delivered over a 12-week period with a six-month follow-up after termination of the study treatments. The primary outcome measures will be reduction in substance use (frequency of drug use by time, confirmed by urine toxicology screens). 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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Are 18 years of age or older.
- •Are applying for outpatient, non-agonist substance abuse treatment at SATU.
- •Meet current DSM-IV criteria for cocaine, marijuana,opioid,or amphetamine dependence.
- •Are sufficiently stable for 12 weeks of outpatient treatment.
- •Can commit to 12 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
排除标准
- •Have an untreated bipolar or schizophrenic disorder.
- •Who have a current legal case pending such that incarceration during 12-week protocol is likely.
- •Are physically dependent on alcohol, opioids or benzodiazepines
研究组 & 干预措施
Individual clinician-provided CBT
Individual treatment provided by a trained Cognitive Behavioral Therapy (CBT)clinician who will cover the same skills provided by the CBT4CBT computer program.
干预措施: Individual clinician-provided CBT (Behavioral)
CBT4CBT
A computerized program that teaches skills for stopping drug use and increasing coping skills such as how to understand patterns of drug use, coping with cravings, etc.
干预措施: CBT4CBT (Behavioral)
Standard Treatment as Usual (TAU)
Treatment that would normally be received at the clinic typically consisting of individual or group counseling sessions focusing on substance abuse.
干预措施: Standard Treatment As Usual (TAU) (Behavioral)
结局指标
主要结局
Reduction in drug abuse
时间窗: 12 weeks
次要结局
- Subjects ability to demonstrate coping skills through a computerized role-playing evaluation(12 weeks)