Building Recovery By Improving Goals, Habits, and Thoughts
NCT ID: NCT01191788
Last Updated: 2022-10-18
Study Results
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View full resultsBasic Information
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COMPLETED
NA
299 participants
INTERVENTIONAL
2006-08-31
2010-03-31
Brief Summary
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Detailed Description
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We propose a 5-year quasi-experimental study with the following specific aims: Aim 1. To evaluate the effectiveness of group CBT for depression provided by AOD counselors in improving depressive symptoms and AOD outcomes, among clients being treated in public sector residential AOD treatment settings; Aim 2. To evaluate the cost-effectiveness of group CBT conducted by trained AOD counselors compared to usual care AOD treatment; Aim 3. To document the implementation of the intervention at each of the four sites, and to determine whether the AOD counselors are delivering the group CBT intervention with fidelity to the model, and whether treatment fidelity is a significant predictor of client outcomes.
We will enroll and follow 360 clients with Beck Depression Inventory-II (BDI-II) scores \> 17 who are being treated in a single public sector AOD treatment organization at four residential sites in LA County. Subjects will receive one of two conditions: (1) usual care residential AOD treatment (UC); (2) usual care AOD residential treatment plus a 16-session course of group CBT delivered by trained AOD counselors (CBT). Subjects will complete: (1) a baseline interview; (2) a post-treatment interview (at the conclusion of the CBT treatment) and (3) a follow-up interview (3 months after CBT treatment ends). Data will be analyzed using an intent-to-treat model. We will collect data on the service-level costs and health effects associated with UC and CBT, and will calculate the incremental cost per unit of depression and AOD improvement, compared to UC. . The implementation analysis will involve two related sets of activities: (1) a series of key informant interviews to provide a context in which to understand intervention implementation and (2) an assessment of treatment fidelity and it's relationship to client outcomes.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Group CBT
Clients received up to 16 sessions of group CBT for depression
Group Cognitive Behavioral Therapy
16 two hour sessions of group CBT
Group CBT for Depression
16 of group CBT for depression delivered in 2 hour groups for up to 8 weeks by a trained substance abuse treatment counselor
Comparison
Treatment as Usual comparison condition
Group Cognitive Behavioral Therapy
16 two hour sessions of group CBT
Interventions
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Group Cognitive Behavioral Therapy
16 two hour sessions of group CBT
Group CBT for Depression
16 of group CBT for depression delivered in 2 hour groups for up to 8 weeks by a trained substance abuse treatment counselor
Eligibility Criteria
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Inclusion Criteria
* score BDI\>17 at 2-4 weeks post-treatment entry
Exclusion Criteria
* screen positive for bipolar or schizophrenia
* non-English speaker
18 Years
ALL
Yes
Sponsors
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Behavioral Health Services, Inc.
INDUSTRY
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
NIH
RAND
OTHER
Responsible Party
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Principal Investigators
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Katherine Watkins, MD, MSHS
Role: PRINCIPAL_INVESTIGATOR
RAND
Locations
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Behavioral Health Services, Inc
Gardena, California, United States
Countries
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References
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Watkins KE, Hunter S, Hepner K, Paddock S, Zhou A, de la Cruz E. Group cognitive-behavioral therapy for clients with major depression in residential substance abuse treatment. Psychiatr Serv. 2012 Jun;63(6):608-11. doi: 10.1176/appi.ps.201100201.
Hunter SB, Witkiewitz K, Watkins KE, Paddock SM, Hepner KA. The moderating effects of group cognitive-behavioral therapy for depression among substance users. Psychol Addict Behav. 2012 Dec;26(4):906-16. doi: 10.1037/a0028158. Epub 2012 May 7.
Watkins KE, Hunter SB, Hepner KA, Paddock SM, de la Cruz E, Zhou AJ, Gilmore J. An effectiveness trial of group cognitive behavioral therapy for patients with persistent depressive symptoms in substance abuse treatment. Arch Gen Psychiatry. 2011 Jun;68(6):577-84. doi: 10.1001/archgenpsychiatry.2011.53.
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