Computer-Based Training in Cognitive Behavior Therapy (CBT4CBT)

Yale University

Status and phase: Completed; Phase 1

Conditions: Cocaine Abuse

Treatments: Other: Treatment as usual (TAU); Behavioral: CBT for CBT

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00350610

0207017894

DA015969

Details and patient eligibility

About

The computer-based training program (CBT for CBT) 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.

Full description

In this behavioral trial 120 methadone maintained cocaine abusing individuals will be randomly assigned to either treatment as usual in a community-based clinic 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 cocaine 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.

Enrollment: 100 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 18 years and older
• methadone maintained for at least 3 months
• meet current DSM-IV criteria for cocaine use disorder
• fluent in English or at least a6th grade reading level
• can commit to at least 8 weeks of treatment and willing to be randomized to treatment

Exclusion criteria

• untreated bipolar or schizophrenic disorder
• current legal case pending (pending incarceration during 8 weeks of study)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

1

Active Comparator group

Description:

Standard treatment as usual (TAU) in a community based clinic consisting of individual and group therapy sessions and regular urine monitoring.

Treatment:

Other: Treatment as usual (TAU)

2

Experimental group

Description:

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 cocaine use and increasing coping skills twice weekly for 8 weeks.

Treatment:

Other: Treatment as usual (TAU)

Behavioral: CBT for CBT