Web-based CBT4CBT for Alcohol

Conditions

Alcohol Abuse or Dependence

Trial Phase

Phase 1

Trial Purpose and Description

Trial Purpose

The investigators are conducting a randomized clinical trial of our new web-based version of the CBT4CBT (Computer Based Training for Cognitive Behavioral Therapy) program specifically designed for alcohol to evaluate its effectiveness relative to standard outpatient counseling at the Substance Abuse Treatment Unit (SATU). The computer-based training program (CBT4CBT) 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.


Trial Description

Ninety alcohol using individuals seeking treatment at the Substance Abuse Treatment Unit (SATU) of the Connecticut Mental Health Center will be randomized to (1) standard outpatient counseling at SATU (typically consisting of weekly group counseling), (2) standard outpatient counseling plus web-based CBT, or (3) web-based CBT4CBT with minimal clinical monitoring. Treatments will be delivered over an 8-week period with a six-month follow-up after termination of the study treatments. The primary outcome measures will be reduction in alcohol use (frequency of alcohol use by time, confirmed by urine toxicology screens and breathalyzers). Secondary outcomes will include treatment utilization and cost, several measures intended to detect whether web-based CBT4CBT retains key characteristics of traditional clinician-administered CBT (e.g., acquisition of coping skills, use of change strategies), participant characteristics which will be evaluated as potential moderators of outcome, as well as participant satisfaction and treatment credibility.


Participation Guidelines

Age:
18 Years - 70 Years
Gender:
Both

Eligibility Criteria


Inclusion Criteria:

- Are 18 years of age or older.

- Are applying for outpatient, non-agonist substance abuse treatment at SATU.

- Meet current DSM-IV criteria for alcohol abuse or dependence.

- 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 for follow-up.

- Are fluent in English and have a 6th grader or higher reading level

Exclusion Criteria:

- Have an untreated bipolar or schizophrenic disorder.

- Who have a current legal case pending such that incarceration during 8-week protocol
is likely.

- Are physically dependent on alcohol, opioids or benzodiazepines

Sponsor:
National Institute on Drug Abuse (NIDA)
Yale University
Dates:
November 2012
Last Updated:
January 10, 2014
Study HIC#:
1204010157

Clinicaltrials.gov ID: NCT01615497