A Randomized Controlled Trial of Digital CBT to Treat Addiction: Digital RITch®CBT vs. Standard CBT
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ClinicalTrials.gov Identifier: NCT05943171 |
Recruitment Status :
Not yet recruiting
First Posted : July 13, 2023
Last Update Posted : July 13, 2023
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Tracking Information | |||||||||||||||||||||
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First Submitted Date ICMJE | July 5, 2023 | ||||||||||||||||||||
First Posted Date ICMJE | July 13, 2023 | ||||||||||||||||||||
Last Update Posted Date | July 13, 2023 | ||||||||||||||||||||
Estimated Study Start Date ICMJE | September 1, 2023 | ||||||||||||||||||||
Estimated Primary Completion Date | May 1, 2024 (Final data collection date for primary outcome measure) | ||||||||||||||||||||
Current Primary Outcome Measures ICMJE |
Substance Use Cravings [ Time Frame: 84 days of treatment ] Self-reported cravings across 84 days as measured by the AUC/DUC
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Original Primary Outcome Measures ICMJE | Same as current | ||||||||||||||||||||
Change History | No Changes Posted | ||||||||||||||||||||
Current Secondary Outcome Measures ICMJE |
Substance Use [ Time Frame: 84 days ] Self report substance use across 84 days as measured by the Timeline Follow Back and verified by objective indicators of substance use (breathalyzer and urine toxicology screens)
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Original Secondary Outcome Measures ICMJE | Same as current | ||||||||||||||||||||
Current Other Pre-specified Outcome Measures | Not Provided | ||||||||||||||||||||
Original Other Pre-specified Outcome Measures | Not Provided | ||||||||||||||||||||
Descriptive Information | |||||||||||||||||||||
Brief Title ICMJE | A Randomized Controlled Trial of Digital CBT to Treat Addiction: Digital RITch®CBT vs. Standard CBT | ||||||||||||||||||||
Official Title ICMJE | A Randomized Controlled Trial of A Digital, Self-Guided, Avatar Assisted- Cognitive Behavioral Therapy Platform to Treat Addiction: RITch®CBT vs. Treatment As Usual | ||||||||||||||||||||
Brief Summary | Substance Use Disorders continue to increase across the United States with significant adverse effects resulting in more than $700 billion annually (NIDA, 2017) with high co-occurring rates of IPV. The negative consequences are devastating to families and society. This team has developed a digital, interactive platform, RITch®CBT for the convenience of participants' within their own home & with out of session practice exercises. We propose to conduct a Phase I and II Study: UG3 (Phase I) and UH3 (Phase II) in collaboration with the FDA regarding ongoing feedback and regulatory processes. In Phase I, we propose a feasibility study, a randomized controlled trial to test the efficacy of RITch®CBT (n=20) among SUD-IPV diverse male clients entering addiction treatment comparing it to face to face 1:1 CBT (TAU, n=20). If efficacious, a Phase II (UH3, n=80) trial will be conducted to test the effectiveness of RITch®CBT among SUD-IPV compared to TAU (n=80) in reducing addiction and IPV. | ||||||||||||||||||||
Detailed Description | We propose to conduct a feasibility study across years 1-2 in collaboration with FDA's clinical data validation requirements to test the efficacy related endpoints of RITch®CBT by conducting a randomized trial. A total of 40 ethnically diverse male participants entering a substance abuse treatment facility, who meet current DSM-V criteria for substance dependence and have histories of IPV will be randomized to either "self-guided" 1:1 digital RITch®CBT Therapy (n=20) or 1:1 Standard CBT Therapy (n=20, non-digitized, 1:1 talk CBT). Each 60-minute session will occur 1x/week across 12 weeks of treatment.
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Study Type ICMJE | Interventional | ||||||||||||||||||||
Study Phase ICMJE | Not Applicable | ||||||||||||||||||||
Study Design ICMJE | Allocation: Randomized Intervention Model: Single Group Assignment Intervention Model Description: Randomized to either Digital Avatar Assisted CBT or Human Administered CBT Masking: None (Open Label)Primary Purpose: Treatment |
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Condition ICMJE |
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Intervention ICMJE | Device: Cognitive Behavioral Therapy
All participants will receive Cognitive Behavioral Therapy. They will be randomized to either Digital RITch®CBT or Standard CBT
Other Names:
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Study Arms ICMJE |
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Publications * | Easton CJ, Crane CA, Mandel D. A Randomized Controlled Trial Assessing the Efficacy of Cognitive Behavioral Therapy for Substance-Dependent Domestic Violence Offenders: An Integrated Substance Abuse-Domestic Violence Treatment Approach (SADV). J Marital Fam Ther. 2018 Jul;44(3):483-498. doi: 10.1111/jmft.12260. Epub 2017 Nov 6. | ||||||||||||||||||||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | |||||||||||||||||||||
Recruitment Status ICMJE | Not yet recruiting | ||||||||||||||||||||
Estimated Enrollment ICMJE |
40 | ||||||||||||||||||||
Original Estimated Enrollment ICMJE | Same as current | ||||||||||||||||||||
Estimated Study Completion Date ICMJE | August 31, 2024 | ||||||||||||||||||||
Estimated Primary Completion Date | May 1, 2024 (Final data collection date for primary outcome measure) | ||||||||||||||||||||
Eligibility Criteria ICMJE | Inclusion Criteria: Participants between the ages of 18-65 will be 40 men entering outpatient treatment who (1) meet current DSM-V criteria substance dependence (and use alcohol and/or stimulants within the 30 days prior to the screening session); (2) report verbal aggression, conflict/aggression in a current intimate relationship (e.g., yelling, screaming, pushing, slapping) within 30 days prior to screening; and (3) can read English at a 6th grade level. Exclusion Criteria: Participants will be excluded if they: 1) Are currently in withdrawal from substance and in need of detoxification (such individuals may be re-evaluated following detoxification); 2) Have cognitive impairment (a mini mental state score <25); 3) Have psychomotor epilepsy (e.g. impulsivity or rage related symptoms secondary to a seizure disorder, as this medical diagnosis is likely to be a confound in the proposed study); 4) Have major medical complications such as a head injury/trauma, or HIV dementia that may also be a confound in the study interventions; 5) Are currently receiving either substance abuse or IPV treatment elsewhere; 6.) Have a lifetime history of any psychotic or bipolar disorder; or 7) Are currently suicidal or homicidal or 8) severe violence (punching, chocking, use of weapons). |
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Sex/Gender ICMJE |
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Ages ICMJE | 18 Years to 65 Years (Adult, Older Adult) | ||||||||||||||||||||
Accepts Healthy Volunteers ICMJE | Yes | ||||||||||||||||||||
Contacts ICMJE |
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Listed Location Countries ICMJE | Not Provided | ||||||||||||||||||||
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Administrative Information | |||||||||||||||||||||
NCT Number ICMJE | NCT05943171 | ||||||||||||||||||||
Other Study ID Numbers ICMJE | UG3DA057042( U.S. NIH Grant/Contract ) | ||||||||||||||||||||
Has Data Monitoring Committee | Yes | ||||||||||||||||||||
U.S. FDA-regulated Product |
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IPD Sharing Statement ICMJE |
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Current Responsible Party | Dr. Caroline Easton, Rochester Institute of Technology | ||||||||||||||||||||
Original Responsible Party | Same as current | ||||||||||||||||||||
Current Study Sponsor ICMJE | Rochester Institute of Technology | ||||||||||||||||||||
Original Study Sponsor ICMJE | Same as current | ||||||||||||||||||||
Collaborators ICMJE | Not Provided | ||||||||||||||||||||
Investigators ICMJE |
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PRS Account | Rochester Institute of Technology | ||||||||||||||||||||
Verification Date | July 2023 | ||||||||||||||||||||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |