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Computer-Based Training in Cognitive Behavior Therapy (CBT4CBT)

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ClinicalTrials.gov Identifier: NCT01406899
Recruitment Status : Completed
First Posted : August 1, 2011
Last Update Posted : December 23, 2014
Sponsor:
Information provided by (Responsible Party):

Study Description
Brief Summary:
In this behavioral trial 80 substance abusing individuals will be randomly assigned to either treatment as usual in the substance abuse clinic of the Newington, CT VA hospital OR treatment as usual plus 8 hours of access to the 'CBT for CBT' computer program over a period of 8 weeks. Primary outcomes will be retention in treatment and reduction in substance use (percent days abstinent, confirmed by urine toxicology screens). The patients' ability to demonstrate coping skills through a computerized role-play evaluation will be a secondary outcome. A six-month follow-up will assess durability and/or delayed emergence of effects.

Condition or disease Intervention/treatment Phase
Substance-Related Disorders Behavioral: Computer Based Treatment Phase 1

Detailed Description:
This pilot study aims to evaluate the feasibility and effectiveness of adding a computer based training program in Cognitive Behavior Therapy ("CBT4CBT") for the treatment of addictions in a VA substance abuse outpatient clinic. Key secondary aims are to assess the impact of adding CBT4CBT to standard care on treatment attendance, engagement, retention, and to investigate if certain process measures are associated with substance use outcomes. Approximately 80 patients enrolled in the Newington Outpatient Substance Abuse Treatment Program (SATP) will be randomly assigned to either (A) treatment as usual, or (B) treatment as usual plus exposure to the CBT4CBT program.

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 80 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Computer-Assisted Cognitive Behavior Therapy for Veterans With Substance Use Disorder
Study Start Date : January 2010
Primary Completion Date : May 2013
Study Completion Date : December 2013

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arms and Interventions

Arm Intervention/treatment
No Intervention: Treatment as Usual
Standard treatment as usual (TAU) in the VA Connecticut Healthcare System substance abuse clinic consisting of individual and group therapy sessions and regular urine monitoring.
Experimental: Computer-based treatment
Standard treatment as usual (TAU) plus coping skills computer program. In addition to the individual and group therapy sessions (TAU), individuals will work with a computerized program that teaches skills for stopping substance use and increasing coping skills twice weekly for 8 weeks.
Behavioral: Computer Based Treatment
Standard treatment as usual (TAU) plus coping skills computer program. In addition to the individual and group therapy sessions (TAU), individuals will work with a computerized program that teaches skills for stopping substance use and increasing coping skills twice weekly for 8 weeks.
Other Name: Cognitive Behavioral Therapy


Outcome Measures

Primary Outcome Measures :
  1. Reduction in substance use [ Time Frame: 8 weeks ]
    percent days abstinent, confirmed by urine toxicology screens


Secondary Outcome Measures :
  1. Retention in treatment [ Time Frame: 6 months ]
    did patient continued to be enrolled in substance abuse treatment at follow-up


Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 18 years and older
  • Recent (within 3 months) substance use
  • meet current DSM-IV (Diagnostic and Statistical Manual-IV) criteria for substance use disorder
  • fluent in English or at least a 6th grade reading level
  • can commit to at least 8 weeks of treatment and willing to be randomized to treatment

Exclusion Criteria:

  • Unstable housing situation
  • Likelihood of going to prison during the intervention portion of study
  • Recent opiate or benzodiazepine prescription
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01406899


Locations
United States, Connecticut
Connecticut VA Healthcare System
Newington, Connecticut, United States, 06111
Sponsors and Collaborators
VA Connecticut Healthcare System
Investigators
Study Director: Kathleen Carroll, Ph.D. Yale University
More Information

Responsible Party: VA Connecticut Healthcare System
ClinicalTrials.gov Identifier: NCT01406899     History of Changes
Other Study ID Numbers: JC0008
First Posted: August 1, 2011    Key Record Dates
Last Update Posted: December 23, 2014
Last Verified: March 2012

Additional relevant MeSH terms:
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders