Computer Based Training in CBT in Primary Care

Yale University58 enrolled

Overview

To conduct an 8-week randomized trial evaluating the feasibility and efficacy of adding CBT4CBT to treatment as usual in a community based primary care program in a population of 60 individuals who meet current DSM criteria for substance use disorder other than nicotine.

The investigators will conduct an initial evaluation of the computer program as an enhancement of treatment as usual in a community-based primary care clinic. Sixty individuals with a current DSM-IV alcohol or substance use disorder will be randomly assigned to either (1) treatment as usual, or (2) treatment as usual plus exposure to the 'CBT for CBT' program over a period of 8 weeks. Primary outcomes will be retention in treatment and reduction in drug use over 8 weeks. Secondary outcomes include treatment utilization

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Substance Abuse

Interventions

Standard Treatment As Usual (TAU)BEHAVIORAL

Treatment normally offered at this primary care clinic

CBT4CBT programBEHAVIORAL

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Are 18 years of age or older. * Are applying for outpatient substance abuse treatment * Meet current DSM-IV criteria for cocaine, marijuana, opioid, alcohol or other stimulant use disorder * 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. Exclusion Criteria: * Have an untreated bipolar or schizophrenic disorder * Have a current legal case pending such that incarceration during the 8 week protocol is likely * Are in need of detoxification from alcohol, opioids or benzodiazepines

Locations (1)

Yale New Haven Hospital St Raphael's Campus

New Haven, Connecticut, United States

Outcomes

Primary Outcomes

retention in treatment

subjects returning for treatment at primary care unit and completing CBT4CBT program for those assigned

Time frame: 0 - 8 weeks

reduction in drug use

Using urine and breathalyzer screening for negative drug and alcohol testing

Time frame: 0 - 8 weeks

Data from ClinicalTrials.gov

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