Occupational Therapy-Based Cognitive Rehabilitation of Cocaine Abusers: A Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Change in cognitive impairment
研究概览
简要总结
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.
详细描述
occupational-therapy based cognitive rehabilitation as part of a comprehensive treatment plan for cocaine abusers
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
- Single (Outcomes Assessor)
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
- •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
排除标准
- •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
研究组 & 干预措施
Psychoeducation/games
Psychoeducation/games
干预措施: Psychoeducation/games (Behavioral)
Cognitive Rehabilitation
Occupational therapy-based cognitive rehabilitation
干预措施: Occupational therapy-based cognitive rehabilitation (Behavioral)
结局指标
主要结局
Change in cognitive impairment
时间窗: baseline through 6 months
Global Deficit Score, range 0 (no impairment) to 5 (severe impairment)
次要结局
未报告次要终点
