Computer-Based Training in Cognitive Behavior Therapy

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Computer-Based Training in Cognitive Behavior Therapy

Conditions
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Cocaine Abuse

Intervention / Treatment
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* Other: Treatment as usual (TAU)
* Behavioral: CBT for CBT


Participation Criteria
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Eligibility Criteria
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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)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 1<br>Standard treatment as usual (TAU) in a community based clinic consisting of individual and group therapy sessions and regular urine monitoring. | Other: Treatment as usual (TAU)<br>* Standard treatment as usual in a community based treatment setting<br>|
| Experimental: 2<br>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. | Other: Treatment as usual (TAU)<br>* Standard treatment as usual in a community based treatment setting<br>Behavioral: CBT for CBT<br>* Standard treatment as usual (TAU) plus computer based therapy using CBT<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| reduction in drug use |  | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| patients ability to demonstrate coping skills through a computerized role-playing evaluation |  | 8 weeks | 
| retention in treatment |  | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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drug abuse therapy, cognitive behavior therapy, computer assisted instruction, educational resource design and development