- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03474588
CBT4CBT With Spanish Alcohol Users
Computer Based Training in CBT for Spanish-Speaking Alcohol Users
Specific aims are as follows:
- To adapt our existing CBT4CBT program for use with Spanish-speaking alcohol users in a web-based platform
- To conduct an 8-week randomized trial evaluating the feasibility and efficacy of adding CBT4CBT-Spanish to treatment as usual in a community based treatment program in a population of 90 Spanish-speaking individuals who meet current criteria for alcohol use disorder
- To evaluate the long-term durability and/or delayed emergence of treatment effects through a six month follow-up after termination of the study treatments. Given previous evidence regarding the durability of standard clinician-delivered CBT and computer-assisted CBT4CBT, we hypothesize that CBT4CBTSpanish will be significantly more effective than standard treatment alone through the follow-up.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The investigators will conduct a Stage 1 randomized clinical trial evaluating the program in which 90 Spanish-speaking individuals with alcohol use disorder will be randomized to (1) standard outpatient counseling at the Hispanic Clinic (ST; typically consisting of weekly individual and group supportive counseling) or (2) CBT4CBT-Spanish as an adjunct to ST. Other aspects of the trial will parallel those in the investogators completed trial of the English version of CBT4CBT-Alcohol to facilitate comparability across studies. Treatments will be delivered over an 8-week period with a 6-month follow-up to assess durability and/or delayed emergence of treatment effects. The primary outcome measure will be percent days of abstinence (PDA) by week. Secondary outcomes include percent heavy drinking days and number of individuals with no heavy drinking days in the last 4 weeks of treatment.
Participants will be 90 individuals seeking treatment for alcohol use at the Hispanic Clinic of CMHC. The clinic treats a heterogeneous population, where 42% of those in the co-occurring treatment program report alcohol as their principal substance related issue and 43% are women. As reported above, the investigators have demonstrated the ability to recruit, randomize, retain, and follow-up high numbers of closely related samples in this setting.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Connecticut
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Bridgeport, Connecticut, United States, 06511
- Midwestern Connecticut Council on Alcoholism (MCCA)
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New Haven, Connecticut, United States, 06511
- Cornell Scott - Hill Health Center
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New Haven, Connecticut, United States, 06511
- Hispanic Clinic of CMHC
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New Haven, Connecticut, United States, 06511
- Midwestern Connecticut Council on Alcoholism (MCCA)
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New Haven, Connecticut, United States, 06511
- Multi-Cultural Ambulatory Addiction Services (MAAS)
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Are 18 years of age or older.
- Are applying for outpatient alcohol treatment, with some alcohol use in the past 30 days
- Speak Spanish as their preferred or principal (most commonly spoken) language.
- Are sufficiently stable for 8 weeks of outpatient treatment
- Can commit to 8 weeks of treatment and are willing to be randomized to treatment
- Are willing to provide locator information for follow-up.
Exclusion Criteria:
- Have an untreated bipolar or schizophrenic disorder
- Have a current legal case pending such that incarceration during the 8 week protocol is likely
- Meet DSM-5 criteria for another current substance use disorder (other than nicotine).
Study Plan
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: Standard Treatment (ST)
This is the same as the treatment normally received at this clinic. This will be tailored to participants' needs, but generally includes individual and group therapy sessions and regular urine monitoring. Sessions will generally last for 1 hour one time per week for 8 weeks and include issues such as:
|
ST includes individual and group therapy sessions and regular urine monitoring.
Sessions will generally last for 1 hour one time per week for 8 weeks
|
Experimental: 2. Standard treatment (ST) PLUS web-based CBT4CBT
This is the same as the treatment normally received at this clinic. This will be tailored to participants' needs, but generally includes individual and group therapy sessions and regular urine monitoring. Sessions will generally last for 1 hour one time per week for 8 weeks and include issues such as:
Participants will have access the CBT4CBT website in Spanish as an add-on to treatment. In this treatment participants will work with a computerized program that teaches skills for stopping alcohol use and increasing coping skills, such as how to understand patterns of alcohol use, how to cope with cravings for alcohol, how to refuse offers of alcohol, and so on. |
Participants will have access to the CBT4CBT website in Spanish as an add-on to treatment.
In this treatment participants will work with a computerized program that teaches skills for stopping alcohol use and increasing coping skills, such as how to understand patterns of alcohol use, how to cope with cravings for alcohol, how to refuse offers of alcohol, and so on
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The primary outcome measure will be percent days of abstinence (PDA) by week
Time Frame: By week for 8 weeks
|
The primary outcome measure will be percent days of abstinence (PDA) by week
|
By week for 8 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Secondary outcomes include percent heavy drinking days
Time Frame: 8 weeks
|
Percent heavy drinking days during 8 weeks of trial
|
8 weeks
|
Number of individuals with no heavy drinking days in the last 4 weeks of treatment
Time Frame: last 4 weeks of treatment
|
Number of individuals with no heavy drinking days in the last 4 weeks of treatment
|
last 4 weeks of treatment
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Manuel Paris, PsyD, Yale University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2000020677
- R01AA025605 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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