Evidence map›Paper›PMID 27488212›Full record

Trial reportAlcoholism, clinical and experimental research2016

Randomized Trial of Computerized Cognitive Behavioral Therapy for Alcohol Use Disorders: Efficacy as a Virtual Stand-Alone and Treatment Add-On Compared with Standard Outpatient Treatment.

Brian D Kiluk, Kathleen A Devore, Matthew B Buck, Charla Nich, Tami L Frankforter, Donna M LaPaglia, Brian T Yates, Melissa A Gordon, Kathleen M Carroll

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Alcoholism, clinical and experimental research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03845205 (Alcohol Treatment Outcomes Following Early vs. Standard Liver Transplant for Severe Alcoholic Hepatitis), which is not on this map. Cited by 47 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03845205 narecruitingnot on this mapstarted 2020, after this paper: background citation

Alcohol Treatment Outcomes Following Early vs. Standard Liver Transplant for Severe Alcoholic Hepatitis (SAH)

TypeinterventionalSponsorJohns Hopkins UniversityRan2020 to 2027Enrolled200ConditionsAlcohol Use Disorder, Alcoholic HepatitisArmsIntegrated AUD Treatment
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  4. Digital interventions in mental health: evidence syntheses and economic modelling.Health technology assessment (Winchester, England) · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Brian D KilukYale University School of Medicine, New Haven, Connecticut.
Kathleen A DevoreYale University School of Medicine, New Haven, Connecticut.
Matthew B BuckYale University School of Medicine, New Haven, Connecticut.
Charla NichYale University School of Medicine, New Haven, Connecticut.
Tami L FrankforterYale University School of Medicine, New Haven, Connecticut.
Donna M LaPagliaYale University School of Medicine, New Haven, Connecticut.
Brian T YatesDepartment of Psychology, American University, Washington, District of Columbia.
Melissa A GordonYale University School of Medicine, New Haven, Connecticut.
Kathleen M CarrollYale University School of Medicine, New Haven, Connecticut.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
TSF to enhance treatment of cocaine dependenceP50DA009241 · NIDA · YALE UNIVERSITY · PI CARROLL, KATHLEEN M. · 1994 to 2018
$40.5M
Computer-Based Training in Cognitve Behavioral TherapyR01DA015969 · NIDA · YALE UNIVERSITY · PI CARROLL, KATHLEEN M. · 2002 to 2015
$2.8M
A Stage I Study of Computer Based Training in CBT for Alcohol Use DisordersR21AA021405 · NIAAA · YALE UNIVERSITY · PI CARROLL, KATHLEEN M. · 2012 to 2013
$358k
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS R21 AA021405NIDA NIH HHS P50 DA009241NIDA NIH HHS R01 DA015969
6 · The paper itself

Abstract

backgroundCognitive behavioral therapy (CBT) is an evidence-based treatment for alcohol use disorders (AUDs), yet is rarely implemented with high fidelity in clinical practice. Computer-based delivery of CBT offers the potential to address dissemination challenges, but to date there have been no evaluations of a web-based CBT program for alcohol use within a clinical sample.

methodsThis study randomized treatment-seeking individuals with a current AUD to 1 of 3 treatments at a community outpatient facility: (i) standard treatment as usual (TAU); (ii) TAU plus on-site access to a computerized CBT targeting alcohol use (TAU + CBT4CBT); or (iii) CBT4CBT plus brief weekly clinical monitoring (CBT4CBT + monitoring). Participant alcohol use was assessed weekly during an 8-week treatment period, as well as 1, 3, and 6 months after treatment.

resultsSixty-eight individuals (65% male; 54% African American) were randomized (TAU = 22; TAU + CBT4CBT = 22; CBT4CBT + monitoring = 24). There were significantly higher rates of treatment completion among participants assigned to 1 of the CBT4CBT conditions compared to TAU (Wald = 6.86, p < 0.01). Significant reductions in alcohol use were found across all conditions within treatment, with participants assigned to TAU + CBT4CBT demonstrating greater increases in percentage of days abstinent (PDA) compared to TAU, t(536.4) = 2.68, p < 0.01, d = 0.71, 95% CI (0.60, 3.91), for the full sample. Preliminary findings suggest the estimated costs of all self-reported AUD-related services utilized by participants were considerably lower for those assigned to CBT4CBT conditions compared to TAU, both within treatment and during follow-up.

conclusionsThis trial demonstrated the safety, feasibility, and preliminary efficacy of web-based CBT4CBT targeting alcohol use. CBT4CBT was superior to TAU at increasing PDA when delivered as an add-on, and it was not significantly different from TAU or TAU + CBT4CBT when delivered with clinical monitoring only.

Indexed as

AdultAlcohol-Related DisordersAmbulatory CareCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedSubstance Abuse Treatment CentersTherapy, Computer-AssistedTreatment OutcomeVirtual Reality Exposure TherapyAlcohol Use DisordersCBT4CBTComputer-Delivered Treatment

Identifiers

PMID27488212
PMCPMC5008977

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.