The goal of this clinical trial is to test the feasibility \& acceptability of an integrated CM-PST intervention (in K99 phase) and preliminary efficacy (in R00 phase), vs. CM alone, to improve treatment efficacy and inform about neural mechanisms of treatment effects in young adults with Alcohol Use Disorder (AUD). The aims are as follows: K99 Aim: Test feasibility \& acceptability of a developed CM-PST, by meeting these benchmarks: 2a Feasibility: enroll 20 participants in the new CM-PST in a single-arm pre- and post-study, and retain ≥85% at wk 12. 2b Deliver CM-PST at ≥90% fidelity to intervention protocol. 2c Acceptability to participants: Achieve mean score ≥3 on Client Satisfaction Scale Questionnaire and satisfaction from semi-structured interviews. R00 Aim 1) Test preliminary efficacy of CM-PST in a 2-arm pilot RCT: Male/female young adults (aged18-24) who meet AUD criteria will be randomized to CM-PST or CM-only control, and assessed at baseline (0), 3, and 6 months. Primary study endpoint will be 3 months. R00 Aim 2 (Exploratory) Explore potential neural mechanisms of CM-PST effects, by fMRI scanning \& analyses of core regions of the brain circuits regulating positive affect (ventral striatum), negative affect (amygdala), and cognitive control (dorsolateral prefrontal cortex), and connectivity between these core regions.
Study Design Formative (K99 Phase), we will test feasibility \& acceptability of integrated CM-PST. To test CM-PST, we will recruit/enroll 20 participants in a single-arm pre/post study. Participants who meet eligibility will be invited to our clinical lab at UIC for informed consent and baseline measures. Consenting participants will receive CM-PST intervention via videoconferences such as zoom, in 8 CM-PST individual sessions, every week for sessions 1-4 and every other week for sessions 5-8, over 12 weeks. Participants will complete the Client Satisfaction Scale survey after each session and 3 mo. post-intervention, to quantify their overall experiences with this new CM-PST. Preliminary efficacy trial (R00 Phase). This will be a 2-arm Randomized control trial in young adults aged 18-24 yr who meet AUD criteria. Prospective participants who respond to our advertisements will be screened by phone for eligibility and to determine their AUD diagnostic status and severity (mild, moderate, severe). Participants who meet eligibility will be invited to our UIC clinical lab for informed consent, baseline self-report measures, urine alcohol screening, and baseline fMRI, and then randomized to either CM-PST (42 participants) or CM-only (42 participants) control group. All participants will complete follow-up assessments at 3 \& 6 months with blinded outcome assessors.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
104
CM-PST is a tailored behavioral intervention that enables young adults with AUD to successfully manage and overcome everyday life challenges influencing their alcohol intake.
CM is a behavior therapy that rewards individuals for evidence of positive change (alcohol abstinence).
University of Illinois at Chicago
Chicago, Illinois, United States
RECRUITINGAlcohol abstinence.
Participants will be monitored for 6 months to assess alcohol abstinence by blood alcohol content.
Time frame: Up to 6months
Change in AUD severity at 3 months.
Measured by Alcohol Use Disorder and Associated Disabilities Interview Schedule-5. Change in AUD severity from baseline to 3 months.
Time frame: Baseline, 3months.
Change in AUD severity at 6 months.
Measured by Alcohol Use Disorder and Associated Disabilities Interview Schedule-5. Change in AUD severity from baseline to 6 months.
Time frame: Baseline, 6months.
Change in AUD screening status.
Measured by AUDIT. Participants will be monitored for up to 6 months. This is the number of participants who screen positive for AUD.
Time frame: Up to 6months.
Change in Alcohol-related negative consequences at 3 months.
Measured by Rutgers Alcohol Problem Index (RAPI).
Time frame: Baseline, 3 months.
Change in Alcohol-related negative consequences at 6 months.
Measured by Rutgers Alcohol Problem Index (RAPI).
Time frame: Baseline, 6 months.
Change in Alcohol use at 3 months.
Measured by 90-day Timeline Followback (TLFB).
Time frame: Baseline, 3 months.
Change in Alcohol use at 6 months.
Measured by 90-day Timeline Followback (TLFB).
Time frame: Baseline, 6 months.
Change in Drug use at 3 months.
Measured by 90-day Timeline Followback (TLFB).
Time frame: Baseline, 3 months.
Change in Drug use at 6 months.
Measured by 90-day Timeline Followback (TLFB).
Time frame: Baseline, 6 months.
Change in Reasons for drinking at 3 months.
Measured by Drinking Motives Questionnaire Revised (DMQ-R).
Time frame: Baseline, 3 months
Change in Reasons for drinking at 6 months.
Measured by Drinking Motives Questionnaire Revised (DMQ-R).
Time frame: Baseline, 6 months
Change in negative affect at 3 months.
Measured by Positive and Negative Affect Schedule (PANAS).
Time frame: Baseline, 3 months
Change in negative affect at 6 months.
Measured by Positive and Negative Affect Schedule (PANAS).
Time frame: Baseline, 6 months
Change in positive affect at 3 months.
Measured by Positive and Negative Affect Schedule (PANAS).
Time frame: Baseline, 3 months
Change in positive affect at 6 months.
Measured by Positive and Negative Affect Schedule (PANAS).
Time frame: Baseline, 6 months
Change in Neural target engagement of positive affect. affect (ventral striatum), negative affect (amygdala), and cognitive control (dorsolateral prefrontal cortex).
Measured by Functional magnetic resonance imaging (fMRI).
Time frame: Baseline, 3 months.
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