Effect of CBT Microinterventions on Mechanisms of Behavior Change Among Adults With AUD
NCT ID: NCT03661853
Last Updated: 2021-01-27
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
83 participants
INTERVENTIONAL
2018-08-08
2019-07-26
Brief Summary
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Detailed Description
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Specific Aim 1. To isolate and preliminarily assess the impact of specific CBT microinterventions on potentially malleable hypothesized mechanisms of change in drinking using a novel laboratory paradigm and conducted by a translational science team.
Specific Aim 2. To test specificity of CBT interventions' effect on particular Mechanisms of Behavioral Change, the investigators will test each microintervention's effects on all three purported mechanisms (as stated in "Brief Summary".)
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Control
This microintervention is intended to control for the effect of nonspecific therapy factors such as therapeutic alliance, time spent with a therapist, talking about alcohol, and/or effects related to assessment reactivity, and consists of 60 minutes of psycho-education on alcohol and drugs. The therapist will talk about historical and scientific information on different types of alcohol and drugs and will not overlap with CBT treatment. The participants will not be encouraged to personalize this information, make any behavioral changes, or do homework. The control does not have any active interventions that would specifically target or affect our outcome variables.
Control
60 minute psycho-education on alcohol and drugs.
Functional Analysis
Functional Analysis (FA) is a core intervention in Cognitive Behavioral Therapy (CBT) for AUD, and helps to "break the chain" of events (external and internal) that lead from cue (trigger) to alcohol use to consequences of use. The FA microintervention teaches the patient to think and behave in new, more controlled ways in response to triggers, to identify maladaptive, impulsive behavior chains and to replace them with more deliberate ones.
Functional Analysis
Component of standard CBT that helps to "break the chain" of events (external and internal) that lead from cue (trigger) to alcohol use to consequences of use.
Cognitive Restructuring
Cognitive Restructuring of Thoughts About Alcohol (CR) is a core technique in CBT to help patients identify "automatic" (habituated) thoughts that happen quickly and are often not noticed, and change automatic thoughts occurring in response to alcohol triggers.
Cognitive Restructuring
CR is used to to help identify and change automatic, habituated thoughts that occur in response to alcohol triggers.
Dealing with Cravings
Dealing with Cravings (DC) is designed to directly target the reward and arousal systems, helping the patient accept the nature of cravings as time limited and deflated by continued abstinence so that craving is no longer associated with urgency. DC also teaches skills to reduce cravings by conjuring images such as a spider floating in a glass of wine, or of older versions of oneself sitting alone and dejected in a bar. Distraction techniques and breathing skills to reduce physiological arousal occurring in response to alcohol cues are also taught.
Dealing With Cravings
DC is used reduce cravings for alcohol by conjuring negative images associated with alcohol, teaching distraction techniques, and teaching breathing techniques to reduce physiological arousal.
Interventions
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Control
60 minute psycho-education on alcohol and drugs.
Functional Analysis
Component of standard CBT that helps to "break the chain" of events (external and internal) that lead from cue (trigger) to alcohol use to consequences of use.
Cognitive Restructuring
CR is used to to help identify and change automatic, habituated thoughts that occur in response to alcohol triggers.
Dealing With Cravings
DC is used reduce cravings for alcohol by conjuring negative images associated with alcohol, teaching distraction techniques, and teaching breathing techniques to reduce physiological arousal.
Eligibility Criteria
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Inclusion Criteria
* Current Alcohol Use Disorder (AUD) Diagnosis
* Drank Alcohol within 60 days prior to telephone screen
* Able to read and understand English at the 7th grade education level
Exclusion Criteria
* Participant has a head injury with symptoms in the last 30 days
* Current inpatient or outpatient treatment for AUD or Drug use Disorder (DUD)
18 Years
ALL
No
Sponsors
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National Institute on Alcohol Abuse and Alcoholism (NIAAA)
NIH
University of Massachusetts, Worcester
OTHER
Responsible Party
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Elizabeth Epstein
Principal Investigator
Principal Investigators
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Elizabeth Epstein, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Massachusetts, Worcester
Locations
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Elizabeth E Epstein
Worcester, Massachusetts, United States
Countries
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Other Identifiers
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IRB ID: H00011382
Identifier Type: -
Identifier Source: org_study_id
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