2021
A pilot economic evaluation of computerized cognitive behavioral therapy for alcohol use disorder as an addition and alternative to traditional therapy
Kacmarek CN, Yates BT, Nich C, Kiluk BD. A pilot economic evaluation of computerized cognitive behavioral therapy for alcohol use disorder as an addition and alternative to traditional therapy. Alcohol Clinical And Experimental Research 2021, 45: 1109-1121. PMID: 33730384, PMCID: PMC8131237, DOI: 10.1111/acer.14601.Peer-Reviewed Original ResearchConceptsAlcohol use disorderIncremental cost-effective ratioCognitive behavioral therapyStandard outpatient treatmentPilot economic evaluationOutpatient treatmentTreatment costsUse disordersDrinking daysBehavioral therapyComputerized cognitive behavioral therapyEvidence-based treatmentsOutpatient treatment facilitiesTotal treatment costsCost of treatmentCost-effective ratioComputer-delivered interventionNet benefit analysisHealthcare utilizationCost-effective additionClinical trialsTreatment protocolCriminal justice involvementTraditional therapiesTreatment terminationTo the Editor: Our response to “Substance use improvement depends on Race/Ethnicity: Outpatient treatment disparities observed in a large US national sample”
Jordan A, Nich C, Babuscio T, Quainoo S, Carroll K. To the Editor: Our response to “Substance use improvement depends on Race/Ethnicity: Outpatient treatment disparities observed in a large US national sample”. Drug And Alcohol Dependence 2021, 223: 108670. PMID: 33812693, DOI: 10.1016/j.drugalcdep.2021.108670.Peer-Reviewed Original Research
2018
Randomized Clinical Trial of Computerized and Clinician-Delivered CBT in Comparison With Standard Outpatient Treatment for Substance Use Disorders: Primary Within-Treatment and Follow-Up Outcomes
Kiluk BD, Nich C, Buck MB, Devore KA, Frankforter TL, LaPaglia DM, Muvvala SB, Carroll KM. Randomized Clinical Trial of Computerized and Clinician-Delivered CBT in Comparison With Standard Outpatient Treatment for Substance Use Disorders: Primary Within-Treatment and Follow-Up Outcomes. American Journal Of Psychiatry 2018, 175: 853-863. PMID: 29792052, PMCID: PMC6120780, DOI: 10.1176/appi.ajp.2018.17090978.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapySubstance use disordersComputer-based cognitive behavioral therapyUse disordersMinimal clinical monitoringTreatment-seeking populationTreatment-seeking outpatientsDSM-IV-TR criteriaCBT groupFrequency of substanceStandard outpatient careCBT4CBTStand-alone treatmentDiverse sampleStandard outpatient treatmentCurrent substance use disorderBehavioral conceptsBetter learningSubstance abuseHeterogeneous sampleUp OutcomesHigh dropout ratePrevious trialsSix-month followClinical trials
2016
Randomized Trial of Computerized Cognitive Behavioral Therapy for Alcohol Use Disorders: Efficacy as a Virtual Stand‐Alone and Treatment Add‐On Compared with Standard Outpatient Treatment
Kiluk BD, Devore KA, Buck MB, Nich C, Frankforter TL, LaPaglia DM, Yates BT, Gordon MA, Carroll KM. Randomized Trial of Computerized Cognitive Behavioral Therapy for Alcohol Use Disorders: Efficacy as a Virtual Stand‐Alone and Treatment Add‐On Compared with Standard Outpatient Treatment. Alcohol Clinical And Experimental Research 2016, 40: 1991-2000. PMID: 27488212, PMCID: PMC5008977, DOI: 10.1111/acer.13162.Peer-Reviewed Original ResearchConceptsAlcohol use disorderCognitive behavioral therapyComputerized cognitive behavioral therapyAlcohol useUse disordersClinical monitoringBehavioral therapyCurrent alcohol use disorderStandard outpatient treatmentEvidence-based treatmentsWeb-based CBT programPercentage of daysRandomized trialsPreliminary efficacyStandard treatmentOutpatient treatmentTreatment completionTreatment periodOutpatient facilitiesParticipants' alcohol useClinical practiceCBT4CBTCBT programTreatment-seeking individualsClinical samplesThe effectiveness and cost of clinical supervision for motivational interviewing: A randomized controlled trial
Martino S, Paris M, Añez L, Nich C, Canning-Ball M, Hunkele K, Olmstead TA, Carroll KM. The effectiveness and cost of clinical supervision for motivational interviewing: A randomized controlled trial. Journal Of Substance Use And Addiction Treatment 2016, 68: 11-23. PMID: 27431042, PMCID: PMC4955716, DOI: 10.1016/j.jsat.2016.04.005.Peer-Reviewed Original ResearchConceptsOutpatient substance abuse programsSubstance abuse programsEvidence-based practiceHybrid type 2Substance abstinenceSubstance use differencesType 2CliniciansAbuse programsMotivational interviewingGreater increaseMI strategiesTrialsClinical supervisionMI performanceMIAClient retentionAbstinence
2012
Combining cognitive behavioral therapy and contingency management to enhance their effects in treating cannabis dependence: less can be more, more or less
Carroll KM, Nich C, LaPaglia DM, Peters EN, Easton CJ, Petry NM. Combining cognitive behavioral therapy and contingency management to enhance their effects in treating cannabis dependence: less can be more, more or less. Addiction 2012, 107: 1650-1659. PMID: 22404223, PMCID: PMC3509418, DOI: 10.1111/j.1360-0443.2012.03877.x.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyContingency managementHomework completionTime-line follow-back methodTreatment-seeking young adultsCannabis dependenceAddition of CBTSession attendanceOut-patient treatment programDays of cannabisCannabis treatment outcomesCBT outcomeBehavioral therapyAbstinence conditionSkills trainingRandom effects regression analysisAlone conditionCriminal justice systemUrine specimensTreatment programYoung adultsWeekly urineEffects regression analysisJustice systemAbstinence
2011
Mentorship for Alcohol Problems (MAP): A Peer to Peer Modular Intervention for Outpatients
Tracy K, Burton M, Miescher A, Galanter M, Babuscio T, Frankforter T, Nich C, Rounsaville B. Mentorship for Alcohol Problems (MAP): A Peer to Peer Modular Intervention for Outpatients. Alcohol And Alcoholism 2011, 47: 42-47. PMID: 22045903, PMCID: PMC3243439, DOI: 10.1093/alcalc/agr136.Peer-Reviewed Original ResearchConceptsOutpatient alcohol treatment programTreatment programSubstance useAlcohol problemsCommunity treatment programsAlcohol use disorderAlcohol treatment programsDelivery of treatmentReduction of alcoholStage IModular interventionNew interventionsPatient interestBiological measuresInterventionFocus groupsUtilizing Peer Mentorship to Engage High Recidivism Substance-Abusing Patients in Treatment
Tracy K, Burton M, Nich C, Rounsaville B. Utilizing Peer Mentorship to Engage High Recidivism Substance-Abusing Patients in Treatment. The American Journal Of Drug And Alcohol Abuse 2011, 37: 525-531. PMID: 21851202, DOI: 10.3109/00952990.2011.600385.Peer-Reviewed Original ResearchConceptsSubstance-using patientsSubstance abuse patientsSubstance use disordersPrimary outcomeOutpatient treatmentOutpatient appointmentsLack of attendanceTreatment appointmentsHospital settingPast diagnosisUse disordersTreatment attendanceSubstance abusePatientsTreatmentHigh recidivismPeer mentorshipTauAddiction problemsAppointmentsAttendance
2010
Quality versus quantity: acquisition of coping skills following computerized cognitive–behavioral therapy for substance use disorders
Kiluk BD, Nich C, Babuscio T, Carroll KM. Quality versus quantity: acquisition of coping skills following computerized cognitive–behavioral therapy for substance use disorders. Addiction 2010, 105: 2120-2127. PMID: 20854334, PMCID: PMC2975828, DOI: 10.1111/j.1360-0443.2010.03076.x.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyComputerized CBT programEffects of CBTComputerized cognitive behavioral therapySubstance use disordersEffect of treatmentSubstance use outcomesRole-play taskTreatment completionHigh riskPrimary drugUse disordersAverage ageCommunity settingsBehavioral therapyPatient treatmentSubstance dependenceAlcohol useCBT programSubstance useUse outcomesComputerized versionParticipants' durationSignificant increaseTreatmentTreatment process, alliance and outcome in brief versus extended treatments for marijuana dependence
Gibbons CJ, Nich C, Steinberg K, Roffman RA, Corvino J, Babor TF, Carroll KM. Treatment process, alliance and outcome in brief versus extended treatments for marijuana dependence. Addiction 2010, 105: 1799-1808. PMID: 20840200, PMCID: PMC3422659, DOI: 10.1111/j.1360-0443.2010.03047.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAnalysis of VarianceClinical CompetenceClinical ProtocolsCognitive Behavioral TherapyData Interpretation, StatisticalFemaleGuideline AdherenceHumansMaleMarijuana AbuseMotivationOutcome and Process Assessment, Health CarePhysician-Patient RelationsPsychometricsPsychotherapy, BriefRegression AnalysisTime Factors
2008
Enduring effects of a computer-assisted training program for cognitive behavioral therapy: A 6-month follow-up of CBT4CBT
Carroll KM, Ball SA, Martino S, Nich C, Babuscio TA, Rounsaville BJ. Enduring effects of a computer-assisted training program for cognitive behavioral therapy: A 6-month follow-up of CBT4CBT. Drug And Alcohol Dependence 2008, 100: 178-181. PMID: 19041197, PMCID: PMC2742309, DOI: 10.1016/j.drugalcdep.2008.09.015.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyBehavioral therapyComputer-assisted training programSubstance dependenceComputer-based trainingSubstance use outcomesComputer-assisted versionDrug useEnduring effectCBT4CBTUse outcomesRandomized clinical trialsTreatment retentionDurability of effectTraining programOutpatient communityStudy treatmentStandard treatmentOutpatient treatmentClinical trialsTreatment conditionsParticipantsSignificant differencesTreatmentRegression analysisCommunity program therapist adherence and competence in motivational enhancement therapy
Martino S, Ball SA, Nich C, Frankforter TL, Carroll KM. Community program therapist adherence and competence in motivational enhancement therapy. Drug And Alcohol Dependence 2008, 96: 37-48. PMID: 18328638, PMCID: PMC2692429, DOI: 10.1016/j.drugalcdep.2008.01.020.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude of Health PersonnelClinical CompetenceCognitive Behavioral TherapyCommunity Mental Health ServicesDirective CounselingEducationFemaleHumansMaleMotivationPatient Acceptance of Health CarePatient ComplianceProfessional-Patient RelationsSubstance Abuse Treatment CentersSubstance-Related DisordersTeachingTreatment OutcomeConceptsMotivational enhancement therapyUsual sessionEnhancement therapyTreatment programClinical supervisionClient treatment outcomesExpert-led workshopsCommunity treatment programsTherapist adherenceClient motivationMotivational interviewingDrug counselingAddiction treatment programsSkill factorsIndependent ratingsSession changesWorkshop trainingAdequate fidelityCompetence itemsStandard counselingTherapistsTreatment adherenceSessionsCompetenceCommunity programs
1994
One-Year Follow-up of Psychotherapy and Pharmacotherapy for Cocaine Dependence: Delayed Emergence of Psychotherapy Effects
Carroll KM, Rounsaville BJ, Nich C, Gordon LT, Wirtz PW, Gawin F. One-Year Follow-up of Psychotherapy and Pharmacotherapy for Cocaine Dependence: Delayed Emergence of Psychotherapy Effects. JAMA Psychiatry 1994, 51: 989-997. PMID: 7979888, DOI: 10.1001/archpsyc.1994.03950120061010.Peer-Reviewed Original ResearchConceptsCognitive-behavioral relapse preventionRelapse preventionAmbulatory cocaine abusersCocaine dependenceSupportive clinical managementCoping skillsCocaine usePsychotherapy effectsLess cocaine useSubstance abusersPsychotherapyFull sampleCocaine abusersEffects regression modelsRandom effects regression modelsAbusersOutpatient treatmentOne-year followPosttreatment levelsSubject implementationTime effectsPharmacotherapySkillsAbstinenceRelative abilityPsychotherapy and Pharmacotherapy for Ambulatory Cocaine Abusers
Carroll KM, Rounsaville BJ, Gordon LT, Nich C, Jatlow P, Bisighini RM, Gawin FH. Psychotherapy and Pharmacotherapy for Ambulatory Cocaine Abusers. JAMA Psychiatry 1994, 51: 177-187. PMID: 8122955, DOI: 10.1001/archpsyc.1994.03950030013002.Peer-Reviewed Original ResearchConceptsClinical managementCocaine useCocaine abusersRelapse preventionAmbulatory cocaine abusersWeeks of treatmentForm of treatmentHigh-severity patientsInitiation trialsAbstinence initiationBaseline severityClinical trialsEffective treatmentTreatment retentionBetter outcomesCocaine abusePharmacotherapyDepressed subjectsPlaceboDesipramine hydrochlorideSpecialized treatmentDesipraminePreventionGreater reductionDistinct subgroups