Overcoming Addictions: A Randomized Clinical Trial of a Web Application Based on SMART Recovery

February 24, 2014 updated by: Behavior Therapy Associates, LLP

The objective of this research project is to develop, evaluate, and disseminate an Internet-based (web) application for SMART Recovery: Overcoming Addictions (OA). OA will be based on the four point cognitive-behavioral program for SMART Recovery (www.smartrecovery.org). The goal of the OA program is to help users learn cognitive and behavioral skills to abstain from drinking, drug use, and problem gambling.

The investigators will evaluate the effectiveness of the OA web application for heavy drinkers in a randomized clinical trial (RCT) with follow-ups at 3- and 6-months.

The study design has three conditions: 1) participation in face-to-face SMART Recovery meetings alone; 2) use of the OA web application as a stand-alone intervention; and 3) combining the OA web application with participation in face-to-face SMART Recovery meetings.

Study Hypotheses:

  1. All three groups will reduce their alcohol consumption, drug use (if any), and alcohol/drug-related problems relative to their baseline levels at the 3- and 6-month post-baseline assessments.
  2. The OA only group (Experimental group 1) will show a greater reductions in drinking, drug use (if any), and alcohol/drug-related problems relative to the face-to-face only (Control) group.
  3. The OA + face-to-face group (Experimental group 2) will have better outcomes on drinking and drug use variables compared to the Control group.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

189

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • New Mexico
      • Albuquerque, New Mexico, United States, 87112
        • Behavior Therapy Associates, LLP

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

16 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Minimum age 18.
  2. Positive response to quantity/frequency screening questions regarding heavy drinking in the previous 90 days.
  3. An Alcohol Use Disorders Identification Test (AUDIT) score of 8+.
  4. Is a new member of SMART Recovery(i.e., just joining or joined within the last 4 weeks).
  5. Has a computer at home with Internet access.
  6. Has a primary focus on abstaining from drinking.

Exclusion Criteria:

  1. Court mandated 1st time DWI offenders.
  2. Current diagnosis of drug dependence or consider themselves to be drug dependent.
  3. Current evidence of uncontrolled psychosis or bipolar disorder.
  4. Evidence of significant cognitive impairment from brain dysfunction.
  5. English reading level below the 8th grade.
  6. Unwilling or unable to be available for 3 and 6 month post-baseline assessments.
  7. Unwilling or unable to provide one Significant Other (SO) for corroboration of participant's self-report of drinking and drug use (if any).

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Face-to-face SMART Recovery meetings
Participants in this arm will be asked to attend face-to-face SMART Recovery meetings.
Behavioral: SMART Recovery face-to-face meetings
Attending these meetings at least weekly in frequency
Experimental: Overcoming Addictions web app
Participants in this condition will use the Overcoming Addictions web application and not attend face-to-face SMART Recovery meetings.
Behavioral: Overcoming Addictions web application
Logging into and using the web application at least weekly during the course of the study
Experimental: Web app + meetings
Participants in this condition will be asked to use both the Overcoming Addictions web application and attend face-to-face SMART Recovery meetings.
Behavioral: SMART Recovery face-to-face meetings
Attending these meetings at least weekly in frequency
Behavioral: Overcoming Addictions web application
Logging into and using the web application at least weekly during the course of the study

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Quantity/frequency of alcohol use: Form 90
Time Frame: 3 months
Quantity/frequency of alcohol use over the course of 90 days prior to the baseline assessment.
3 months
Quantity/frequency of alcohol use: Form 90
Time Frame: 6 months
Quantity/frequency of alcohol use over the course of 90 days from 3-6 months from the baseline assessment.
6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Quantity and frequency of alcohol and drug related problems using the Inventory of Drug (and Alcohol) Use Consequences (InDuC)
Time Frame: 3 months
The quantity and frequency of alcohol and drug related problems in the 90 days from the baseline assessment.
3 months
Quantity and frequency of alcohol and drug related problems using the Inventory of Drug (and Alcohol) Use Consequences (InDuC)
Time Frame: 6 months
The quantity and frequency of alcohol and drug related problems over the course of 90 days from 3-6 months from the baseline assessment.
6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Behavior Therapy Associates, LLP

Collaborators

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Investigators

  • Principal Investigator: Reid K Hester, Ph.D., Behavior Therapy Associates, LLP

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

September 1, 2011

Primary Completion (Actual)

June 1, 2013

Study Completion (Actual)

June 1, 2013

Study Registration Dates

First Submitted

July 5, 2011

First Submitted That Met QC Criteria

July 6, 2011

First Posted (Estimate)

July 8, 2011

Study Record Updates

Last Update Posted (Estimate)

February 25, 2014

Last Update Submitted That Met QC Criteria

February 24, 2014

Last Verified

February 1, 2014

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • SRWebCourseRCT
  • 2R44AA016237 (U.S. NIH Grant/Contract)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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