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.
Primary Outcome Measures:
- reduction in drug use [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- patients ability to demonstrate coping skills through a computerized role-playing evaluation [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
- retention in treatment [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: |
120 |
| Study Start Date: |
November 2007 |
| Estimated Study Completion Date: |
December 2009 |
| Estimated Primary Completion Date: |
December 2009 (Final data collection date for primary outcome measure) |
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1: No Intervention
Standard treatment as usual (TAU) in a community based clinic consisting of individual and group therapy sessions and regular urine monitoring.
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Other: Treatment as usual (TAU)
Standard treatment as usual in a community based treatment setting
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2: Experimental
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.
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Behavioral: CBT for CBT
Standard treatment as usual (TAU) plus computer based therapy using CBT
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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.
Purpose
