Viewing Study NCT00298792



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Study NCT ID: NCT00298792
Status: COMPLETED
Last Update Posted: 2009-04-15
First Post: 2006-03-01

Brief Title: Individualized Treatment Program for Alcohol Problems
Sponsor: National Institute on Alcohol Abuse and Alcoholism NIAAA
Organization: National Institute on Alcohol Abuse and Alcoholism NIAAA

Study Overview

Official Title: Individualized Treatment Program for Alcohol Problems
Status: COMPLETED
Status Verified Date: 2009-04
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: IATP
Brief Summary: The purpose of this study is to determine if a treatment for alcohol dependence that is specifically tailored to patients patterns of drinking and coping strategies can result in better outcomes than more standardized treatments
Detailed Description: Despite the popularity of Cognitive-Behavioral Treatment CBT in substance use disorders recent findings have indicated that CBT may be no more effective than other less theoretically driven treatments and that CBT treatments often fail to result in coping skills acquisition In order to explore the possibility that current manual-driven modes of CBT delivery may not be adequate to successfully teach coping skills we are proposing a pilot project for the development of an individualized assessment and cognitive-behavioral treatment program IATP for alcohol-dependent persons in which experience sampling conducted via random calls to cell-phones is used to provide data to create individualized treatment plans Data collected during experience sampling will include momentary assessments of patients cognitions affects and coping behaviors with respect to drinking

Participants will be 112 men and women meeting criteria for alcohol dependence who will be randomly assigned to either a standard packaged manual-driven cognitive-behavioral treatment program PCBT like that used in Project MATCH or to IATP Patients in both treatments will be asked to engage in experience sampling for two weeks prior to treatment and for another two weeks after treatment has ended in order to compare in-vivo measures of coping skills utilization pre- and posttreatment between the two groups Therapy will be conducted over 12 sessions in both treatments In IATP the information gathered from experience sampling will form the basis of a functional analysis of patients drinking and drinking urges during the monitoring period Cognitive appraisals moods and coping responses will be evaluated as antecedents and consequences of drinking behavior Therapists will use the information to address specific cognitions affects and behaviors that are adaptive and maladaptive and will work with the patient to substitute adaptive coping tactics instead In PCBT the experience sampling data will not be specifically used in therapy but will still provide in-vivo measures of drinking and coping skills It is hypothesized that IATP will yield significantly better coping skills acquisition than will PCBT and that change in coping skills will predict better posttreatment outcomes for IATP These results would have implications for our delivery of treatment and for the validity of coping skills training for alcohol addiction

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
NIH grant 1 R21 AA14202 None None None