CBT for Spanish Speakers

Overview

The investigators are conducting a randomized clinical trial of our new web-based version of the CBT4CBT (Computer Based Training for Cognitive Behavioral Therapy) in Spanish. This program specifically designed for Spanish-speaking substance users to evaluate its effectiveness relative to standard outpatient counseling at the Hispanic Clinic. The computer-based training program (CBT4CBT) 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 use treatment.

Full Title of Study: “Computer Based Training in CBT for Spanish-speaking Substance Users”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: None (Open Label)
  • Study Primary Completion Date: August 2017

Detailed Description

100 Spanish-speaking substance using individuals seeking treatment at the Hispanic Clinic of the Connecticut Mental Health Center will be randomized to (1) standard outpatient counseling at the Hispanic Clinic (typically consisting of weekly group counseling), OR (2) CBT4CBT plus standard outpatient counseling. Treatments will be delivered over an 8-week period with a six-month follow-up after termination of the study treatments. The primary outcome measures will be reduction in substance use (frequency of substance use by time, confirmed by urine toxicology screens and breathalyzers). Secondary outcomes will include treatment utilization and cost, several measures intended to detect whether web-based CBT4CBT retains key characteristics of traditional clinician-administered CBT (e.g., acquisition of coping skills, use of change strategies), participant characteristics which will be evaluated as potential moderators of outcome, as well as participant satisfaction and treatment credibility.

Interventions

  • Behavioral: Standard Treatment as Usual
    • Treatment normally offered at this clinic which could include individual or group substance use counseling sessions one time per week lasting one hour each time.
  • Behavioral: CBT4CBT plus Standard treatment as usual
    • Subjects work with a computerized program in Spanish that teaches skills for stopping substance use and increasing coping skills. Computerized sessions are one time per week and last about one hour per session. Plus Standard treatment as usual

Arms, Groups and Cohorts

  • Active Comparator: Standard Treatment as Usual
    • Treatment that would normally be received at the clinic typically consisting of individual or group counseling sessions focusing on substance abuse.
  • Experimental: CBT4CBT plus Standard treatment as usual
    • A computerized program that teaches skills for stopping substance use by increasing coping skills such as how to understand patterns of drug use, coping with cravings, etc. plus standard treatment as usual.

Clinical Trial Outcome Measures

Primary Measures

  • Reduction in substance use
    • Time Frame: 8 weeks
    • Reduction in substance use will be measured by Time Line Follow back self report and urine toxicology screening

Secondary Measures

  • Subjects ability to demonstrate coping skills through a computerized role-playing evaluation and homework
    • Time Frame: 8 weeks
    • Computerized role-playing will be used to demonstrate ability to use learned coping skills in various settings.

Participating in This Clinical Trial

Inclusion Criteria

  • Are 18 years of age or older. – Are applying for outpatient, non-agonist substance abuse treatment at the Hispanic Clinic. – Meet current DSM-IV criteria for cocaine, marijuana, opioid, alcohol or other stimulant abuse or dependence. – 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. – Speak Spanish as their preferred or principal (most commonly spoken)language Exclusion Criteria:

  • Have an untreated bipolar or schizophrenic disorder. – Who have a current legal case pending such that incarceration during 8-week protocol is likely. – Are physically dependent on alcohol, opioids or benzodiazepines

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 65 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Yale University
  • Collaborator
    • National Institute on Drug Abuse (NIDA)
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Kathleen Carroll, PhD, Principal Investigator, Yale University

Clinical trials entries are delivered from the US National Institutes of Health and are not reviewed separately by this site. Please see the identifier information above for retrieving further details from the government database.

At TrialBulletin.com, we keep tabs on over 200,000 clinical trials in the US and abroad, using medical data supplied directly by the US National Institutes of Health. Please see the About and Contact page for details.