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

• 批准号: 10155377
• 负责人: BRIAN D. KILUK
• 金额: $ 48.57万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-05-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10155377
• 关键词: Abstinence; Acculturation; Address; African American; Alcohol abuse; 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; substance use; tool; treatment as usual; treatment effect; treatment program; treatment services

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美洲人的一个严重问题，他们是最大的少数民族群体

项目成果

Computer-based training for cognitive behavioral therapy for Spanish-speaking substance users: adaptation and satisfaction.

基于计算机的西班牙语药物使用者认知行为治疗培训：适应和满意度。

• DOI: 10.1080/15332640.2022.2086194
• 发表时间: 2022
• 期刊: Journal of ethnicity in substance abuse
• 影响因子: 1.3
• 作者: Silva,MichelleA;Añez,LuisM;Carroll,KathleenM;Jaramillo,Yudilyn;Kiluk,BrianD;Frankforter,Tami;Ball,SamuelA;Gordon,MelissaA;Paris,Manuel
• 通讯作者: Paris,Manuel