Computer Training in CBT for Spanish-speaking Alcohol Users

为西班牙语酒精使用者提供 CBT 计算机培训

• 批准号: 10155377
• 负责人: BRIAN D. KILUK
• 金额: $ 48.57万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-05-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10155377
• 关键词: Abstinence; Acculturation; Address; African American; Alcohol abuse; Alcohols; Ambulatory Care; Area; Clinic; Clinical Research; Clinical Trials; Cognition; Cognitive Therapy; Computer Assisted; Computers; Connecticut; Counseling; DSM-V; Decision Making; E-learning; Evidence based practice; Evidence based treatment; Exercise; Goals; HIV risk; Heavy Drinking; Hispanics; Improve Access; Individual; Institute of Medicine (U.S.); Intervention; Language; Latino; Mediator of activation protein; Medical; Mental Health; Methods; Minority Groups; Narration; National Institute on Alcohol Abuse and Alcoholism; Online Systems; Outcome; Outcome Measure; Participant; Population; Prediction of Response to Therapy; Problem Solving; Randomized; Randomized Clinical Trials; Risk Reduction; Sampling; Target Populations; Training; Training Programs; Translations; Underserved Population; United States; United States National Institutes of Health; Videotape; Voice; Work; adverse outcome; alcohol use disorder; bilingualism; community based treatment; comparative; coping; cost effectiveness; craving; drinking; ethnic minority population; evidence base; experience; follow-up; health disparity; improved; literacy; meetings; mental health center; novel; primary outcome; programs; psychosocial; randomized trial; secondary outcome; service utilization; skills; standard care; substance abuse treatment; substance use; tool; treatment as usual; treatment effect; treatment program; treatment services; Abstinence; Acculturation; Address; African American; Alcohol abuse; Alcohols; Ambulatory Care; Area; Clinic; Clinical Research; Clinical Trials; Cognition; Cognitive Therapy; Computer Assisted; Computers; Connecticut; Counseling; DSM-V; Decision Making; E-learning; Evidence based practice; Evidence based treatment; Exercise; Goals; HIV risk; Heavy Drinking; Hispanics; Improve Access; Individual; Institute of Medicine (U.S.); Intervention; Language; Latino; Mediator of activation protein; Medical; Mental Health; Methods; Minority Groups; Narration; National Institute on Alcohol Abuse and Alcoholism; Online Systems; Outcome; Outcome Measure; Participant; Population; Prediction of Response to Therapy; Problem Solving; Randomized; Randomized Clinical Trials; Risk Reduction; Sampling; Target Populations; Training; Training Programs; Translations; Underserved Population; United States; United States National Institutes of Health; Videotape; Voice; Work; adverse outcome; alcohol use disorder; bilingualism; community based treatment; comparative; coping; cost effectiveness; craving; drinking; ethnic minority population; evidence base; experience; follow-up; health disparity; improved; literacy; meetings; mental health center; novel; primary outcome; programs; psychosocial; randomized trial; secondary outcome; service utilization; skills; standard care; substance abuse treatment; substance use; tool; treatment as usual; treatment effect; treatment program; treatment services

Alcohol use disorders are a significant problem among Latinos, who represent the largest ethnic minority group in the United States. Latinos tend to be less likely to receive mental health and substance abuse treatment services than non-Latinos and African Americans, and are highly underrepresented in clinical and research samples. To address the issue of improving access to empirically validated therapies, we have developed a computer-assisted version of cognitive behavioral therapy (Computer Based Training for Cognitive Behavioral Therapy, CBT4CBT) and have demonstrated its efficacy and durability as an adjunct to standard outpatient treatment. We now propose to adapt the CBT4CBT program for use with a broad range of Latino individuals with alcohol use disorders whose principal/preferred language is Spanish and to evaluate its efficacy in this population. If CBT4CBT is found to be an effective adjunct to treatment, it would be comparatively inexpensive and straightforward to disseminate and implement in a wide range of programs. It would thus also represent a significant step in making evidence-based therapies more broadly available to this important and underserved population and hence to address a critical health disparity in the US and an NIH priority. We propose to, first, adapt our individualized, interactive, web-based training program (CBT4CBT) for Spanish- speaking individuals with alcohol use disorders. Second, we propose to conduct an initial Stage 1 randomized trial evaluating the feasibility and efficacy of adding CBT4CBT-Spanish-Alcohol to treatment as usual in a community based treatment program in a population of 90 Spanish-speaking individuals who meet current DSM-5 criteria for alcohol use disorder. Participants will be randomized to one of two conditions: (1) standard treatment (ST) at the Hispanic Clinic of the Connecticut Mental Health Center, or (2) ST with access to the CBT4CBT-Spanish-Alcohol program. The long-term durability and/or delayed emergence of treatment effects will be evaluated through a six month follow-up.

饮酒障碍是拉丁美洲人的重大问题，他们代表了最大的少数民族群体 在美国。拉丁美洲人往往不太可能接受心理健康和药物滥用治疗 服务比非拉丁诺斯和非裔美国人，在临床和研究中的人数不足 样品。为了解决改善获得经验验证疗法的问题的问题，我们已经开发了一个 认知行为疗法的计算机辅助版本（基于计算机的认知行为培训 治疗，CBT4CBT），并证明了其作为标准门诊的辅助性的功效和耐用性 治疗。现在，我们建议调整CBT4CBT程序，以与广泛的拉丁裔使用 使用饮酒障碍，其主语言是西班牙语，并在此评估其功效 人口。如果发现CBT4CBT是治疗的有效辅助手段，则相对便宜 直接在各种程序中传播和实施。因此，它也代表了 在使循证疗法中更广泛地获得这一重要的和 服务不足的人口，因此解决了美国的重要健康差异和NIH的优先事项。 我们首先提议适应我们个性化的，互动的，基于网络的培训计划（CBT4CBT）的西班牙语 - 说饮酒障碍的人。其次，我们建议进行初始阶段1随机进行 试验评估在像往常的A 90个讲西班牙语的人的基于社区的治疗计划 DSM-5酒精使用障碍标准。参与者将被随机分为两个条件之一：（1）标准 康涅狄格州心理健康中心的西班牙诊所的治疗（ST），或（2）ST CBT4CBT-Spanish-Alcohol计划。治疗效果的长期耐用性和/或延迟出现 将通过六个月的随访进行评估。