Online Cognitive Behavioural Therapy for Addiction: Efficacy and Cost-Effectiveness in a Pragmatic Clinical Trial
1 other identifier
interventional
49
1 country
1
Brief Summary
The purpose of this study is to compare the efficacy and cost-effectiveness of a Computer-based Training for Cognitive Behavioural Therapy (CBT4CBT) to treatment as usual in outpatients seeking treatment for substance use disorder.
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 Oct 2018
Longer than P75 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
Study Start
First participant enrolled
October 1, 2018
CompletedFirst Submitted
Initial submission to the registry
December 5, 2018
CompletedFirst Posted
Study publicly available on registry
December 7, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2021
CompletedJuly 20, 2022
July 1, 2022
1.7 years
December 5, 2018
July 19, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Timeline Follow-Back (TLFB)
Frequency (days) of substance use over the past 30 days
30 days
Secondary Outcomes (4)
Urine Toxicology Screen
30 days
Addiction Severity Index (ASI)
30 days
WHO Quality of Life (WHOQOL-BREF)
4 weeks
Program and Client Costs-Substance Abuse Treatment (PACC-SAT)
7 days
Study Arms (2)
Online Cognitive Behavioural Therapy
EXPERIMENTALComputer-based training for cognitive behavioural therapy (CBT4CBT) consists of seven modules, and includes a series of interactive videos presenting characters portrayed by professional actors struggling with real-life situations. These characters first experience a common risky situation or problem and then demonstrate the application of a targeted skill. The program further comprises games and interactive exercises to teach and model effective use of skills and strategies.
Treatment as Usual
ACTIVE COMPARATORTreatment as usual consists of weekly group and/or individual psychotherapy as determined by the clinical team. Psychotherapy will include structured relapse prevention, include cognitive and behavioural techniques, motivational enhancement, mindfulness, and specialized topics (e.g., vocational training, rainbow services) as appropriate.
Interventions
Interactive content organized into seven modules, illustrating real-life scenarios associated with common risky situations, which illustrate the application of targeted skills and strategies
Treatment as usual will include standard psychosocial care determined to be appropriate or necessary, on an individual patient basis.
Eligibility Criteria
You may qualify if:
- years of age or older
- Fluency in English
- Understanding and willingness to comply with study requirements
- Meet diagnostic criteria for current substance use disorder
- Have used substance in the past 30 days
- Treatment-seeking for substance misuse
You may not qualify if:
- Unable to read at sixth grade level
- Untreated or unstable severe psychiatric or medical disorder
- Acute suicidal or homicidal ideation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Campbell Family Mental Health Research Institute, CAMH
Toronto, Ontario, M5S 2S1, Canada
Related Publications (1)
Patel A, Corman M, de Oliveira C, Mason J, Some N, Downie D, Jain E, Patterson M, Cunningham JA, George TP, Le Foll B, Quilty LC. Computer-Based Training for Cognitive Behavioural Therapy for Substance Use Disorder: A Randomized Controlled Trial Including Quantitative and Qualitative Health and Economic Outcomes: Formation informatisee pour la therapie cognitivo-comportementale pour les troubles lies a l'usage de substances : un essai randomise controle y compris les resultats quantitatifs et qualitatifs en matiere de sante et d'economie. Can J Psychiatry. 2025 Jan;70(1):9-20. doi: 10.1177/07067437241255100. Epub 2024 May 24.
PMID: 38783836DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lena C. Quilty, PhD
Campbell Family Mental Health Research Institute, CAMH
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior Scientist
Study Record Dates
First Submitted
December 5, 2018
First Posted
December 7, 2018
Study Start
October 1, 2018
Primary Completion
June 30, 2020
Study Completion
December 31, 2021
Last Updated
July 20, 2022
Record last verified: 2022-07
Data Sharing
- IPD Sharing
- Will not share