CBT4CBT for Women in Residential Treatment for Substance Use Disorders
| Status: | Recruiting |
|---|---|
| Conditions: | Psychiatric, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 11/4/2018 |
| Start Date: | October 4, 2018 |
| End Date: | July 1, 2019 |
| Contact: | Sydney Kelpin |
| Email: | kelpinss@mymail.vcu.edu |
| Phone: | 804-972-0288 |
A Randomized Trial of CBT4CBT for Women in Residential Treatment for Substance Use Disorders
This project examines computer-delivered cognitive-behavioral intervention (CBT4CBT) as an
adjunct to residential treatment for women with substance use disorders (SUD). The project
will conduct a 2-arm randomized clinical trial (RCT) comparing post-discharge relapse rates
for treatment as usual (TAU) with access to the CBT4CBT program vs. TAU in a residential
sample of women with SUDs.
adjunct to residential treatment for women with substance use disorders (SUD). The project
will conduct a 2-arm randomized clinical trial (RCT) comparing post-discharge relapse rates
for treatment as usual (TAU) with access to the CBT4CBT program vs. TAU in a residential
sample of women with SUDs.
Women with substance use disorders face unique barriers to substance use treatment, and as a
result, are less likely to seek treatment for substance use than their male counterparts.
Women's residential treatment settings have been shown to have higher rates of treatment
completion and better outcomes; however, relapse rates for substance use are high, with
estimates ranging from 40-60%. Cognitive behavioral therapy (CBT) has been identified as an
evidence-based treatment known to improve relapse rates by teaching clients how to recognize
and respond to their cues for substance use. Women may particularly benefit from CBT, as
their relapse risk factors include depression, interpersonal stress, and relationship
conflict.
Despite the effectiveness of CBT, its dissemination is hindered due to limited availability
of trained clinicians, cost, and limited resources. Computer-based training for cognitive
behavioral therapy (CBT4CBT) offers an opportunity to improve the quality and reach of
treatment services that is both feasible and cost-effective. Studies to date have
demonstrated the utility of CBT4CBT in outpatient settings; however, it has not yet been
evaluated as an adjunct to residential treatment for SUDs.
The specific aims are to: 1) Examine feasibility for use of CBT4CBT in a residential
treatment program for women with SUDs; 2) Conduct a small RCT comparing TAU with access to
the CBT4CBT program (CBT4CBT; intervention) vs. treatment as usual (TAU; control) using
relapse rates and days of use as primary treatment outcomes; 3) Exploratory analyses will
identify other correlates (e.g., coping strategies, depression) of relapse at 4 and 12 weeks
post-discharge.
result, are less likely to seek treatment for substance use than their male counterparts.
Women's residential treatment settings have been shown to have higher rates of treatment
completion and better outcomes; however, relapse rates for substance use are high, with
estimates ranging from 40-60%. Cognitive behavioral therapy (CBT) has been identified as an
evidence-based treatment known to improve relapse rates by teaching clients how to recognize
and respond to their cues for substance use. Women may particularly benefit from CBT, as
their relapse risk factors include depression, interpersonal stress, and relationship
conflict.
Despite the effectiveness of CBT, its dissemination is hindered due to limited availability
of trained clinicians, cost, and limited resources. Computer-based training for cognitive
behavioral therapy (CBT4CBT) offers an opportunity to improve the quality and reach of
treatment services that is both feasible and cost-effective. Studies to date have
demonstrated the utility of CBT4CBT in outpatient settings; however, it has not yet been
evaluated as an adjunct to residential treatment for SUDs.
The specific aims are to: 1) Examine feasibility for use of CBT4CBT in a residential
treatment program for women with SUDs; 2) Conduct a small RCT comparing TAU with access to
the CBT4CBT program (CBT4CBT; intervention) vs. treatment as usual (TAU; control) using
relapse rates and days of use as primary treatment outcomes; 3) Exploratory analyses will
identify other correlates (e.g., coping strategies, depression) of relapse at 4 and 12 weeks
post-discharge.
Inclusion Criteria:
- ≥18 years of age
- Female
- Meet DSM-5 criteria for a SUD (current)
- Own a smartphone
- Can return to facility for the 4 and 12-week follow-up visits.
Exclusion Criteria:
- Pregnant
- Cognitive or psychiatric impairment
- Language barriers that preclude informed consent
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Virginia Commonwealth University Since our founding as a medical school in 1838, Virginia Commonwealth University...
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