Acceptability and Feasibility of Cognitive Behavioral Therapy for Treatment-Seeking (CBT-TS) With Deaf Individuals

University of Rochester

Status

Completed

Conditions

Post Traumatic Stress Disorder

Mental Health Issue

Insomnia

Depression

Anxiety

Alcohol Use Disorder

Treatments

Behavioral: Cognitive Behavioral Therapy for Treatment Seeking (CBT-TS)

Study type

Interventional

Funder types

Other

Identifiers

NCT05520190

STUDY00007447

Details and patient eligibility

About

The current study aims to assess the acceptability and feasibility of an adapted version of Cognitive Behavioral Therapy for Treatment Seeking (CBT-TS) for use with signing Deaf adults. This is a Stage 1A intervention refinement study consisting of a single-arm open pilot trial. Thirty Deaf adults with clinically significant symptoms of alcohol use disorder (AUD), post-traumatic stress disorder (PTSD), depression, anxiety, and/or insomnia, who are not currently engaged in treatment will be recruited from across the United States. All subjects will complete a baseline assessment of their behavioral health symptoms, perceptions towards treatment, and intent to seek treatment prior to engaging in the adapted CBT-TS intervention. The primary clinical outcome, assessed at one-month follow-up, will be whether subjects scheduled professional treatment. Secondary outcomes include changes in subjects' perceptions towards treatment, intentions to seek treatment, and symptom severity from baseline. During the one-month, follow-up assessment subjects will also complete a client satisfaction survey and open-ended questions to provide feedback about the CBT-TS intervention.

Enrollment

42 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

18 years of age or older
self-identify as Deaf or hard-of-hearing (any degree of hearing loss)
primary method of communication is ASL or PSE
positive screen for one or more behavioral health disorders including: AUD (AUDIT > 16 and alcohol use in the past 30 days exceeds the limit for low-risk drinking established by the NIAAA), PTSD (PCL-5 > 31), depression (PHQ-9 > 10), anxiety (GAD-7 > 10), or insomnia (ISI > 15)
no current behavioral health treatment per standardized self-report
access to video chat technology with internet and webcam.

Exclusion criteria

unable to communicate with the researcher in ASL or PSE
current alcohol withdrawal necessitating medical evaluation
current psychiatric impairment necessitating emergency services or inpatient admission (i.e., imminent danger of harm to self or others)
unable to comprehend the nature of the study
currently receiving behavioral health treatment for their symptoms.