AABM to Decrease Problem Drinking and Impulsivity in Veterans With AUD: A Pilot Study
AABM
Alcohol Approach Bias Modification to Decrease Problem Drinking and Impulsivity in Veterans With AUD: A Pilot Study
1 other identifier
interventional
32
1 country
1
Brief Summary
The proposed study is a pilot prospective, parallel groups, randomized, double blind, sham training-controlled, 9-session (over 3 weeks) clinical trial of AABM in 32 male and female veterans entering treatment for AUD at the VA Medical Center at San Francisco, California, between ages 18-65. The study consists of screening, 3-week AABM training, Week-4 post-test, and Week-12 follow-up. Assessment of inhibitory control, alcohol approach bias and craving will be administered at baseline and Week-4. Immediately following screening, patients will be randomly assigned to receive 9 sessions of real or sham AABM training (16 subjects each) taking place over three weeks. Following the 3 weeks of training, patients will complete a Week-4 post-test which includes assessment of alcohol approach bias, inhibitory control, and craving and a Week-12 follow-up assessing drinking behavior.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2016
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 5, 2015
CompletedFirst Posted
Study publicly available on registry
November 9, 2015
CompletedStudy Start
First participant enrolled
January 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 7, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
February 7, 2018
CompletedJune 18, 2024
December 1, 2018
2.1 years
November 5, 2015
June 14, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
retainment
Number of participants completing the 9 sessions of AABM or sham training divided by the total number of participants randomized to start AABM or sham training.
4 weeks
Secondary Outcomes (2)
Drinks per week (DPW)
4 weeks
Heavy Drinking Days Per Week (HDD)
4 weeks
Other Outcomes (1)
Executive Function
4 weeks
Study Arms (2)
AABM Training
EXPERIMENTALImmediately following screening, patients will be randomly assigned to receive 9 sessions of real AABM training (16 subjects each) taking place over three weeks.
Sham Training
SHAM COMPARATORImmediately following screening, patients will be randomly assigned to receive 9 sessions of sham training (16 subjects each) taking place over three weeks.
Interventions
The investigators will use a training version of the Alcohol Approach-Avoidance Task (AAT), in which patients are asked to respond to the format of presented pictures, irrespective of the pictures' content. Pushing a presented picture away will decrease picture size, whereas pulling a picture closer will increase size. There are 2 categories of pictures; 20 different alcoholic and 20 different non-alcoholic beverages. Training effect is achieved by presenting alcohol pictures in push format only and non-alcoholic drinks in pull format only. Two hundred training trials are presented per session.
Sham training is identical to AABM training, except pictures are presented randomly in both formats.
Eligibility Criteria
You may qualify if:
- Male and female veterans eligible for VA services.
- Ages 18-65
- Must meet criteria for current (not in remission) AUD using the Diagnostic Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
- Must report "at-risk" or "heavy" drinking by NIH/NIAAA (National Institute on Health/National Institute on Alcohol Abuse and Alcoholism) criteria (\>3 drinks/day or \>7/week for women; \>4 drinks/day or \>14/week for men) for at least one week in the last 90 days.
- Must express a desire to reduce, stop or abstain from alcohol use.
- Must be enrolled in AUD treatment at the San Francisco Veterans Affairs Health Care System.
You may not qualify if:
- Psychotic disorders, bipolar disorder, dementia, or other psychiatric or medical condition judged to be unstable.
- Concurrent participation in another AUD treatment study.
- Needing acute medical detoxification from alcohol based on a score ≥ 12 on the Clinical Institute Withdrawal Assessment of Alcohol Scale (CIWA-AD).
- Subjects legally mandated to participate in an alcohol treatment program.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
VA Medical Center San Francisco
San Francisco, California, 94121, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 5, 2015
First Posted
November 9, 2015
Study Start
January 1, 2016
Primary Completion
February 7, 2018
Study Completion
February 7, 2018
Last Updated
June 18, 2024
Record last verified: 2018-12