The purpose of this study is to compare the efficacy and cost-effectiveness of a Computer-based Training for Cognitive Behavioural Therapy (CBT4CBT) to treatment as usual in outpatients seeking treatment for substance use disorder.
Fifty-two adult outpatients seeking treatment for substance use disorder from the Centre for Addiction and Mental Health Addictions Program will be randomized to receive either a computer-based training for cognitive behavioural therapy or treatment as usual for eight weeks. Participants will complete interviews, questionnaires, and other assessments (urine toxicology and physiological assessments) at week 0, at week 8, and at 6 month follow-up). Measures will assess alcohol and drug consumption, substance use disorder symptoms and associated features, quality of life, and healthcare costs.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
49
Interactive content organized into seven modules, illustrating real-life scenarios associated with common risky situations, which illustrate the application of targeted skills and strategies
Treatment as usual will include standard psychosocial care determined to be appropriate or necessary, on an individual patient basis.
Campbell Family Mental Health Research Institute, CAMH
Toronto, Ontario, Canada
Timeline Follow-Back (TLFB)
Frequency (days) of substance use over the past 30 days
Time frame: 30 days
Urine Toxicology Screen
Determine substance use in past 30 days
Time frame: 30 days
Addiction Severity Index (ASI)
Substance Use Disorder symptom severity Subscale scores are calculated for 7 domains (medical, employment/support status, alcohol, drug, legal, family/social and psychological). Subscale scores are summed scores ranging from 0-1 with higher scores indicating greater problem severity.
Time frame: 30 days
WHO Quality of Life (WHOQOL-BREF)
Quality of Life Subscale scores are calculated for 4 domains (physical health, psychological, social relationships and environment) and for "overall" and "general health" quality of life. Subscale scores have a range of 0 to 100 with higher scores indicating greater quality of life.
Time frame: 4 weeks
Program and Client Costs-Substance Abuse Treatment (PACC-SAT)
Healthcare Costs
Time frame: 7 days
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