The computer-based training program (CBT for CBT) 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.
In this behavioral trial 120 methadone maintained cocaine abusing individuals will be randomly assigned to either treatment as usual in a community-based clinic OR treatment as usual plus 8 hours of access to the 'CBT for CBT' computer program over a period of 8 weeks. Primary outcomes will be retention in treatment and reduction in cocaine use (percent days abstinent, confirmed by urine toxicology screens). The patients' ability to demonstrate coping skills through a computerized role-play evaluation will be a secondary outcome. A six-month follow-up will assess durability and/or delayed emergence of effects.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
Standard treatment as usual in a community based treatment setting
Standard treatment as usual (TAU) plus computer based therapy using CBT
APT Foundation Orchard Hill Clinic
New Haven, Connecticut, United States
reduction in drug use
Time frame: 8 weeks
patients ability to demonstrate coping skills through a computerized role-playing evaluation
Time frame: 8 weeks
retention in treatment
Time frame: 8 weeks
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