Ignite Creation Date:
2024-07-17 @ 11:37 AM
Last Modification Date:
2024-10-26 @ 3:32 PM
Study NCT ID:
NCT06462131
Status:
RECRUITING
Last Update Posted:
2024-06-17
First Post:
2024-06-03
Brief Title:
Culturally Adapted Group Cognitive Behavior Therapy CaGCBT-SUDs for Substance Use Disorders and Their Caregivers
Sponsor:
National University of Modern Languages
Organization:
National University of Modern Languages
Study Overview
Official Title:
Effectiveness of Culturally Adapted Group Cognitive Behavior Therapy on Adults With Substance Use Disorders and Their Caregivers A Randomized Control Trial From Pakistan
Status:
RECRUITING
Status Verified Date:
2024-06
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:
CaGCBT-SUDs
Brief Summary:
Pakistan is facing a massive rise in drug abuse According to recent estimates there are 67 million drug abusers of which 425 million are drug dependents who need long-term treatments in residential setups Despite these shocking statistics there is a severe lack of evidence-based treatment preventive measures and drug indictment policies Consequently the number of drug dependents continues to increase at an alarming rate of 40000 per year making Pakistan one of the most drug-affected countries in the world The ever-increasing rise in drug abuse can be devastating for a country such as Pakistan where the youth population aged 30 years makes up a substantial 64 of the total population It not only affects the individuals physical and mental health but also casts devastating effects on the psycho-social and economic aspects of their lives Adults with Substance Use Disorders SUDs usually come across aggravated interpersonal and family problems loss of productivity and unemployment poverty and crimes overall financial problems deaths and accidents Furthermore it also destroys the norms morality worth and dignity of the persons well-being and effectiveness in the growth of society Numerous studies in Pakistan showed a lack of evidence-based treatment altogether for adults suffering from SUDs Thus effective interventions for SUDs that also meet the clinical reality of open treatment groups are much needed to reduce the treatment gap Further the implementation of evidence-based approaches like Cognitive Behavior Therapy CBT has an advantage with SUDs clients who are motivated The proposed project aims at the cultural adaptation of CBT-based group intervention for adults with substance use disorders SUDs in Pakistan by employing a Quasi-Experimental research design followed by Randomized Control Trials to test its effectiveness in Pakistan
Detailed Description:
Substance use has life-long impacts not only on an individual life but on their families as well Research indicates a surge in substance use disorders in the last two decades across the globe and Pakistan has no exception UNDPs report on drugsubstance use indicates alarming prevalence rates Furthermore the research identifies that substance use disorder has unfavorable effects individuals quality of life and well-being SUD places significant strain on family members and involving family caregivers in the treatment plan for opioid addiction has led to negative outcomes for the caregiver such as depression and caregiver burden Several researchers found that families of individuals with SUDs experience economic burden social isolation psychological strain shame embarrassment guilt self-blame marital problems and threats to their physical health Therefore it is important to treat SUDs as well as the burden of caregiving
Many treatment modules have been developed to treat SUDs Among them group therapy was found more effective than individual therapy CSAT lists five effective group therapy models 1 psychoeducational groups 2 skill development groups 3 cognitive-behavior or problem-solving groups 4 support groups and 5 interpersonal groups Furthermore a lot of treatment modules for SUDs have been in practice Among them group therapy was found to be most effective in treating psychiatric or psychological issues Furthermore group CBT was found as effective as individual CBT Cognitive therapy attempts to reduce excessive emotional reactions and self-defeating behaviors that are prevalent in adults with substance use disorders by modifying faulty and erroneous thinking and maladaptive beliefs that underlie these reactions CBT for SUDs developed by Liese Beck is based on a collaborative trust-building active based on open-ended questions to a large degree highly structured and focused approach that gives more advantages to this therapy as compared to other therapy modalities
Cognitive Behavior Therapy helps adults with substance use disorders to overcome their problems leading to emotional distress and helps them to visualize in a broader perspective their dependence on drugs of their choice for pleasure or relief of discomfort Moreover CBT also helps to reduce the intensity and frequency of the urges by addressing their underlying beliefs and teaching them relevant techniques to not only control and manage their urges but also help them remain abstinent from the use of drugs manage their daily life problems and thus have a more enjoyable and fulfilling life
The following research project is based on the Cognitive-behavioral Model of problem-solving because it is a goal-directed approach that focuses on the current position of patients and mainly targets the patients maladaptive cognitive behavioral and emotional patterns Additionally CBT techniques and planning of treatment particularly target the patients core beliefs If the patients illogical beliefs change into logical and rational beliefs the patient starts to believe that he can cope with his problems and that his problems are manageable Core beliefs underlying assumptions and even the content of automatic thoughts vary across cultures Cultural and sub-cultural backgrounds also influence beliefs about well-being causes of illness and its cure help-seeking behaviors healing systems and even the healers The group therapy for SUDs has been developed in the West therefore by culturally adapting the intervention benefits can be broadened in areas other than the West In Pakistan CBT has been culturally adapted for internalizing disorders such as depression and anxiety There is a dearth of research that focuses on cultural adaptation of Group CBT especially for individuals diagnosed with SUDs
Keeping in the backdrop to the premise our focal point of the study would be to culturally adapt group CBT for Substance Use Disorders by Liese and Beck and to check its effectiveness on adults with substance use disorders Further to check the effectiveness of culturally adapted CBT to treat depression and anxiety symptoms in the caregivers of SUDs in Pakistan
Many treatment modules have been developed to treat SUDs Among them group therapy was found more effective than individual therapy CSAT lists five effective group therapy models 1 psychoeducational groups 2 skill development groups 3 cognitive-behavior or problem-solving groups 4 support groups and 5 interpersonal groups Furthermore a lot of treatment modules for SUDs have been in practice Among them group therapy was found to be most effective in treating psychiatric or psychological issues Furthermore group CBT was found as effective as individual CBT Cognitive therapy attempts to reduce excessive emotional reactions and self-defeating behaviors that are prevalent in adults with substance use disorders by modifying faulty and erroneous thinking and maladaptive beliefs that underlie these reactions CBT for SUDs developed by Liese Beck is based on a collaborative trust-building active based on open-ended questions to a large degree highly structured and focused approach that gives more advantages to this therapy as compared to other therapy modalities
Cognitive Behavior Therapy helps adults with substance use disorders to overcome their problems leading to emotional distress and helps them to visualize in a broader perspective their dependence on drugs of their choice for pleasure or relief of discomfort Moreover CBT also helps to reduce the intensity and frequency of the urges by addressing their underlying beliefs and teaching them relevant techniques to not only control and manage their urges but also help them remain abstinent from the use of drugs manage their daily life problems and thus have a more enjoyable and fulfilling life
The following research project is based on the Cognitive-behavioral Model of problem-solving because it is a goal-directed approach that focuses on the current position of patients and mainly targets the patients maladaptive cognitive behavioral and emotional patterns Additionally CBT techniques and planning of treatment particularly target the patients core beliefs If the patients illogical beliefs change into logical and rational beliefs the patient starts to believe that he can cope with his problems and that his problems are manageable Core beliefs underlying assumptions and even the content of automatic thoughts vary across cultures Cultural and sub-cultural backgrounds also influence beliefs about well-being causes of illness and its cure help-seeking behaviors healing systems and even the healers The group therapy for SUDs has been developed in the West therefore by culturally adapting the intervention benefits can be broadened in areas other than the West In Pakistan CBT has been culturally adapted for internalizing disorders such as depression and anxiety There is a dearth of research that focuses on cultural adaptation of Group CBT especially for individuals diagnosed with SUDs
Keeping in the backdrop to the premise our focal point of the study would be to culturally adapt group CBT for Substance Use Disorders by Liese and Beck and to check its effectiveness on adults with substance use disorders Further to check the effectiveness of culturally adapted CBT to treat depression and anxiety symptoms in the caregivers of SUDs in Pakistan
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None