Overcoming Addictions: A Randomized Clinical Trial of a Web Application Based on SMART Recovery

NCT ID: NCT01389297

Last Updated: 2014-02-25

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 189 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2011-09-30
• Study Completion Date: 2013-06-30

Brief Summary

The objective of this research project is to develop, evaluate, and disseminate an Internet-based (web) application for SMART Recovery: Overcoming Addictions (OA). OA will be based on the four point cognitive-behavioral program for SMART Recovery (www.smartrecovery.org). The goal of the OA program is to help users learn cognitive and behavioral skills to abstain from drinking, drug use, and problem gambling.

The investigators will evaluate the effectiveness of the OA web application for heavy drinkers in a randomized clinical trial (RCT) with follow-ups at 3- and 6-months.

The study design has three conditions: 1) participation in face-to-face SMART Recovery meetings alone; 2) use of the OA web application as a stand-alone intervention; and 3) combining the OA web application with participation in face-to-face SMART Recovery meetings.

Study Hypotheses:

1. All three groups will reduce their alcohol consumption, drug use (if any), and alcohol/drug-related problems relative to their baseline levels at the 3- and 6-month post-baseline assessments.

2. The OA only group (Experimental group 1) will show a greater reductions in drinking, drug use (if any), and alcohol/drug-related problems relative to the face-to-face only (Control) group.

3. The OA + face-to-face group (Experimental group 2) will have better outcomes on drinking and drug use variables compared to the Control group.

Conditions

Alcoholism

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Face-to-face SMART Recovery meetings

Participants in this arm will be asked to attend face-to-face SMART Recovery meetings.

Group Type: ACTIVE_COMPARATOR

SMART Recovery face-to-face meetings

Intervention Type: BEHAVIORAL

Attending these meetings at least weekly in frequency

Overcoming Addictions web app

Participants in this condition will use the Overcoming Addictions web application and not attend face-to-face SMART Recovery meetings.

Group Type: EXPERIMENTAL

Overcoming Addictions web application

Intervention Type: BEHAVIORAL

Logging into and using the web application at least weekly during the course of the study

Web app + meetings

Participants in this condition will be asked to use both the Overcoming Addictions web application and attend face-to-face SMART Recovery meetings.

Group Type: EXPERIMENTAL

SMART Recovery face-to-face meetings

Intervention Type: BEHAVIORAL

Attending these meetings at least weekly in frequency

Overcoming Addictions web application

Intervention Type: BEHAVIORAL

Logging into and using the web application at least weekly during the course of the study

Interventions

SMART Recovery face-to-face meetings

Attending these meetings at least weekly in frequency

Intervention Type: BEHAVIORAL

Overcoming Addictions web application

Logging into and using the web application at least weekly during the course of the study

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

1. Minimum age 18.

2. Positive response to quantity/frequency screening questions regarding heavy drinking in the previous 90 days.

3. An Alcohol Use Disorders Identification Test (AUDIT) score of 8+.

4. Is a new member of SMART Recovery(i.e., just joining or joined within the last 4 weeks).

5. Has a computer at home with Internet access.

6. Has a primary focus on abstaining from drinking.

Exclusion Criteria

1. Court mandated 1st time DWI offenders.

2. Current diagnosis of drug dependence or consider themselves to be drug dependent.

3. Current evidence of uncontrolled psychosis or bipolar disorder.

4. Evidence of significant cognitive impairment from brain dysfunction.

5. English reading level below the 8th grade.

6. Unwilling or unable to be available for 3 and 6 month post-baseline assessments.

7. Unwilling or unable to provide one Significant Other (SO) for corroboration of participant's self-report of drinking and drug use (if any).

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

NIH

Sponsor Role: collaborator

Behavior Therapy Associates, LLP

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Reid K Hester, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Behavior Therapy Associates, LLP

Locations

Behavior Therapy Associates, LLP

Albuquerque, New Mexico, United States

Countries

United States

References

Campbell W, Hester RK, Lenberg KL, Delaney HD. Overcoming Addictions, a Web-Based Application, and SMART Recovery, an Online and In-Person Mutual Help Group for Problem Drinkers, Part 2: Six-Month Outcomes of a Randomized Controlled Trial and Qualitative Feedback From Participants. J Med Internet Res. 2016 Oct 4;18(10):e262. doi: 10.2196/jmir.5508.

Reference Type: DERIVED

PMID: 27701064 (View on PubMed)

Hester RK, Lenberg KL, Campbell W, Delaney HD. Overcoming Addictions, a Web-based application, and SMART Recovery, an online and in-person mutual help group for problem drinkers, part 1: three-month outcomes of a randomized controlled trial. J Med Internet Res. 2013 Jul 11;15(7):e134. doi: 10.2196/jmir.2565.

Reference Type: DERIVED

PMID: 23846588 (View on PubMed)

Other Identifiers

2R44AA016237

Identifier Type: NIH

Identifier Source: secondary_id

View Link

SRWebCourseRCT

Identifier Type: -

Identifier Source: org_study_id