Expanding Reach of Evidence-based Psychotherapy for Veterans With Co-occurring Anxiety and Substance Use Disorders.

Baylor College of Medicine

Status: Completed

Conditions: Substance Use Disorders; Anxiety Disorders

Treatments: Behavioral: Usual care; Behavioral: VA Coordinated Anxiety Learning and Management- Substance Use Version

Study type: Interventional

Funder types: Other

Identifiers

NCT05372185

H-48017

Details and patient eligibility

About

The current study seeks to better understand how to improve access to evidence-based psychotherapy (EBP) for rural Veterans with co-occurring anxiety and substance use disorders (SUD) using a web-based cognitive behavioral therapy tool (VA Coordinated Anxiety Learning and Management, Substance Use Version; VA CALM-S).

Enrollment: 26 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• current anxiety disorder diagnosis
• current SUD

Exclusion criteria

• current substance withdrawal such that medically supervised detoxification is necessary (determined by evaluation of substance use history and report of current symptoms),
• acute suicidality
• current delusions/hallucinations.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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26 participants in 2 patient groups

VA CALM-S

Experimental group

Description:

Active psychotherapy using VA CALM-S, a weekly (9-12 sessions) cognitive behavioral therapy addressing co-occurring anxiety and substance use disorders, using disorder specific and transdiagnostic tools.

Treatment:

Behavioral: VA Coordinated Anxiety Learning and Management- Substance Use Version

Usual Care

Active Comparator group

Description:

Participants in usual care will engage with VA healthcare using standard procedures of their facility.

Treatment:

Behavioral: Usual care