Study protocol: a randomized controlled trial of a computer-based depression and substance abuse intervention for people attending residential substance abuse treatment

Kelly, Peter J., Kay-Lambkin, Frances J., Baker, Amanda L., Deane, Frank P., Brooks, Adam C., Mitchell, Alexandra, Marshall, Sarah, Whittington, Meredith and Dingle, Genevieve A. (2012) Study protocol: a randomized controlled trial of a computer-based depression and substance abuse intervention for people attending residential substance abuse treatment. BMC Public Health, 12 1: 113-1-113-9. doi:10.1186/1471-2458-12-113

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Author Kelly, Peter J.
Kay-Lambkin, Frances J.
Baker, Amanda L.
Deane, Frank P.
Brooks, Adam C.
Mitchell, Alexandra
Marshall, Sarah
Whittington, Meredith
Dingle, Genevieve A.
Title Study protocol: a randomized controlled trial of a computer-based depression and substance abuse intervention for people attending residential substance abuse treatment
Journal name BMC Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2012-02
Sub-type Article (original research)
DOI 10.1186/1471-2458-12-113
Open Access Status DOI
Volume 12
Issue 1
Start page 113-1
End page 113-9
Total pages 9
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2013
Language eng
Formatted abstract
Background:
A large proportion of people attending residential alcohol and other substance abuse treatment have a co-occurring mental illness. Empirical evidence suggests that it is important to treat both the substance abuse problem and co-occurring mental illness concurrently and in an integrated fashion. However, the majority of residential alcohol and other substance abuse services do not address mental illness in a systematic way. It is likely that computer delivered interventions could improve the ability of substance abuse services to address co-occurring mental illness. This protocol describes a study in which we will assess the effectiveness of adding a computer delivered depression and substance abuse intervention for people who are attending residential alcohol and other substance abuse treatment.

Methods/Design.
Participants will be recruited from residential rehabilitation programs operated by the Australian Salvation Army. All participants who satisfy the diagnostic criteria for an alcohol or other substance dependence disorder will be asked to participate in the study. After completion of a baseline assessment, participants will be randomly assigned to either a computer delivered substance abuse and depression intervention (treatment condition) or to a computer-delivered typing tutorial (active control condition). All participants will continue to complete The Salvation Army residential program, a predominantly 12-step based treatment facility. Randomisation will be stratified by gender (Male, Female), length of time the participant has been in the program at the commencement of the study (4 weeks or less, 4 weeks or more), and use of anti-depressant medication (currently prescribed medication, not prescribed medication). Participants in both conditions will complete computer sessions twice per week, over a five-week period. Research staff blind to treatment allocation will complete the assessments at baseline, and then 3, 6, 9, and 12 months post intervention. Participants will also complete weekly self-report measures during the treatment period.

Discussion.
This study will provide comprehensive data on the effect of introducing a computer delivered, cognitive behavioral therapy based co-morbidity treatment program within a residential substance abuse setting. If shown to be effective, this intervention can be disseminated within other residential substance abuse programs.
Keyword Cognitive-Behavioral Therapy
Addiction Severity Index
Use Disorders
Mental-Health
Timeline Followback
Coping Skills
Drug-Users
Alcohol
Management
Efficacy
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article number 113, Published: 10 February 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Psychology Publications
 
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