Computer-Based Training for Cognitive Behavioural Therapy for Substance Use Disorder: A Randomized Controlled Trial Including Quantitative and Qualitative Health and Economic Outcomes: Formation informatisée pour la thérapie cognitivo-comportementale pour les troubles liés à l'usage de substances : un essai randomisé contrôlé y compris les résultats quantitatifs et qualitatifs en matière de santé et d’économie-Reference-Cited by-同舟云学术

Computer-Based Training for Cognitive Behavioural Therapy for Substance Use Disorder: A Randomized Controlled Trial Including Quantitative and Qualitative Health and Economic Outcomes: Formation informatisée pour la thérapie cognitivo-comportementale pour les troubles liés à l'usage de substances : un essai randomisé contrôlé y compris les résultats quantitatifs et qualitatifs en matière de santé et d’économie

Published:2024-05-24 Issue: Volume: Page:
ISSN:0706-7437
Container-title:The Canadian Journal of Psychiatry
language:en
Short-container-title:Can J Psychiatry

Author:

Patel Alina¹²,Corman Michael³⁴,de Oliveira Claire¹⁵⁶,Mason Joyce⁵,Somé Nibene⁶⁷⁸^ORCID,Downie Danielle¹²,Jain Esha¹,Patterson Michelle⁹,Cunningham John A.²⁵¹⁰^ORCID,George Tony P.¹¹¹^ORCID,Le Foll Bernard¹⁵¹¹¹²¹³,Quilty Lena C.¹¹¹^ORCID

Affiliation:

1. Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada

2. Department of Psychology, University of Toronto, Ontario, Canada

3. School of Culture, Media, and Society, University of the Fraser Valley, Abbotsford, British Columbia, Canada

4. University Studies, Northern Lakes College, Alberta, Canada

5. Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada

6. Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada

7. Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada

8. Institute of Evaluative Sciences, Toronto, Ontario, Canada

9. University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada

10. Department of Addictions Sciences, Kings College London, London, UK

11. Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada

12. Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada

13. Waypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada

Abstract

Objectives Heavy alcohol and drug use is reported by a substantial number of Canadians; yet, only a minority of those experiencing substance use difficulties access specialized services. Computer-Based Training for Cognitive Behavioural Therapy (CBT4CBT) offers a low-cost method to deliver accessible and high-quality CBT for substance use difficulties. To date, CBT4CBT has primarily been evaluated in terms of quantitative outcomes within substance use disorder (SUD) samples in the United States. A comparison between CBT4CBT versus standard care for SUDs in a Canadian sample is critical to evaluate its potential for health services in Canada. We conducted a randomized controlled trial of CBT4CBT versus standard care for SUD. Methods Adults seeking outpatient treatment for SUD ( N = 50) were randomly assigned to receive either CBT4CBT or treatment-as-usual (TAU) for 8 weeks. Measures of substance use and associated harms and quality of life were completed before and after treatment and at 6-month follow-up. Qualitative interviews were administered after treatment and at follow-up, and healthcare utilization and costs were extracted for the entire study period. Results Participants exhibited improvements on the primary outcome as well as several secondary outcomes; however, there were no differences between groups. A cost-effectiveness analysis found lower healthcare costs in CBT4CBT versus TAU in a subsample analysis, but more days of substance use in CBT4CBT. Qualitative analyses highlighted the benefits and challenges of CBT4CBT. Discussion Findings supported an overall improvement in clinical outcomes. Further investigation is warranted to identify opportunities for implementation of CBT4CBT in tertiary care settings. Trial Registration: https://clinicaltrials.gov/ct2/show/NCT03767907

Funder

CAMH Foundation

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/07067437241255100

Reference36 articles.

1. The Costs of Alcohol, Illegal Drugs, and Tobacco in Canada, 2002

2. Lost in translation? Moving contingency management and cognitive behavioral therapy into clinical practice

3. Internet interventions for adult illicit substance users: a meta-analysis

4. Computer-Assisted Delivery of Cognitive-Behavioral Therapy for Addiction: A Randomized Trial of CBT4CBT