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

基本信息

批准号：
9917674
负责人：
BRIAN D. KILUK
金额：
$ 50.63万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-05-01 至 2022-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9917674
关键词：
Abstinence Acculturation Address African American Alcohol abuse Alcohol or Other Drugs use 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 tool treatment as usual treatment effect treatment program treatment services

项目摘要

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.

酒精使用障碍是拉丁裔中的一个严重问题，拉丁裔是最大的少数族裔群体在美国。拉丁裔往往不太可能接受心理健康和药物滥用治疗服务水平高于非拉丁裔和非裔美国人，并且在临床和研究领域的代表性严重不足样品。为了解决改善获得经经验验证的疗法的机会的问题，我们开发了一种计算机辅助版认知行为疗法（Computer Based Training for Cognitive Behavioural）疗法，CBT4CBT），并已证明其作为标准门诊辅助疗法的有效性和持久性治疗。我们现在建议调整 CBT4CBT 计划，以供广泛的拉丁裔个人使用主要/首选语言是西班牙语的酒精使用障碍患者，并评估其在这方面的功效人口。如果发现 CBT4CBT 是一种有效的治疗辅助手段，那么它的价格将相对便宜并且易于在广泛的计划中传播和实施。因此，它也代表了在使循证疗法更广泛地应用于这一重要且重要的领域方面迈出了重要一步服务不足的人群，因此解决美国严重的健康差距问题也是 NIH 的优先事项。我们建议首先针对西班牙语调整我们的个性化、交互式、基于网络的培训计划 (CBT4CBT) 患有酒精使用障碍的说话者。其次，我们建议进行初始第一阶段随机评估在常规治疗中添加 CBT4CBT-西班牙酒精的可行性和功效的试验在 90 名符合当前条件的西班牙语人士中开展基于社区的治疗计划 DSM-5 酒精使用障碍标准。参与者将被随机分配到以下两种条件之一：（1）标准在康涅狄格州精神健康中心的西班牙裔诊所进行治疗 (ST)，或 (2) 可访问的 ST CBT4CBT-西班牙语-酒精计划。治疗效果的长期持久性和/或延迟出现将通过六个月的随访进行评估。