Therapeutic IVR to Augment CBT in Alcohol Dependence
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 158
- 试验地点
- 2
- 主要终点
- Amount of alcohol and use
研究概览
简要总结
The purpose of this study is to determine whether a telephone based self-help program will prevent relapse among individuals undergoing standard substance abuse treatment.
详细描述
Relapse rates in the first few months following substance abuse treatment are as high as 50%, in spite of the immediate effectiveness of treatments such as Cognitive Behavioral Therapy (CBT). Continuing use of therapy skills following treatment is associated with maintenance of treatment gains. We have programmed a telephone to deliver pre-recorded summaries and rehearsal sessions of skills learned in therapy. The system also includes monthly feedback messages from therapists. We expect that this ad-lib access to therapy skills would allow patients to generalize skills to their personal post-treatment lives. It would also allow individuals in remote or rural areas to obtain access to assistance without travel barriers.
Comparison(s): patients completing group CBT for substance abuse will be randomly assigned to two conditions. In one condition, patients will have unlimited access to the therapeutic telephone system for 4 months. The other condition is standard care (i.e., no formal relapse prevention).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Meets current DSM-IV criteria for alcohol dependence
- •Active drinking during the three months prior to entry into treatment
- •Minimum age of 19
- •Minimum sixth grade reading level.
排除标准
- •Meets criteria for a current psychotic illness
- •Imminent plans to move or be incarcerated
- •Presence of such severe hearing, visual, or cognitive deficit(s) that participation in CBT or use of an Interactive Voice Response (IVR) system are not possible
- •Inability to identify at least one "locator" person to assist in tracking for follow-up assessments
- •Does not have telephone service within the home
- •Incarceration while in active protocol in the study
- •Attendance of less than 8 of 12 CBT sessions
结局指标
主要结局
Amount of alcohol and use
时间窗: 4 months and one year
drinks per day, drinks per drinking day, percent days abstinent, heavy drinking days
次要结局
- Utilization of the telephone system components during the study(4 months and one year)
研究者
John E. Helzer, MD
Professor of Psychiatry
University of Vermont