Culturally Adapted, Web-Based Cognitive Behavioral Therapy for Spanish-Speaking Individuals With Substance Use Disorders: A Randomized Clinical Trial

Autor:	Tami L. Frankforter, Yudilyn Jaramillo, Manuel Paris, Brian D. Kiluk, Kathleen A. Devore, Charla Nich, Samuel A. Ball, Michelle A. Silva, Kathleen M. Carroll, Luis Añez-Nava, Melissa A. Gordon
Rok vydání:	2018
Předmět:	Adult Male Substance-Related Disorders AJPH Open-Themed Research medicine.medical_treatment MEDLINE Spanish speaking law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law mental disorders medicine Humans Web application 030212 general & internal medicine Internet Cognitive Behavioral Therapy business.industry Public Health Environmental and Occupational Health Cognition Hispanic or Latino Culturally Competent Care 030227 psychiatry Cognitive behavioral therapy Connecticut Treatment Outcome Female Substance use business Psychology Clinical psychology
Zdroj:	American Journal of Public Health. 108:1535-1542
ISSN:	1541-0048 0090-0036
DOI:	10.2105/ajph.2018.304571
Popis:	Objectives. To evaluate whether adding Web-based cognitive behavioral treatment (CBT) to standard outpatient psychiatric or addiction treatment improved substance use outcomes. Methods. We conducted a randomized clinical trial in New Haven, Connecticut, between 2014 and 2017 comparing 8 weeks of standard outpatient treatment to the same treatment with access to a culturally adapted version of Web-based CBT with a 6-month follow-up. Participants were 92 treatment-seeking individuals with Spanish as their primary language and current substance use disorder, with few other restrictions. Results. Treatment completion and data availability were high (98% of the randomized sample). For the primary outcome (change in frequency of primary substance used), there was a significant effect of treatment condition by time (t 1, 718 = −2.64; 95% confidence interval = −0.61, 0.09; P = .01), indicating significantly greater reductions for those assigned to Web CBT, which were durable through the 6-month follow-up. The knowledge test indicated significantly greater increases for those assigned to Web CBT. Conclusions. Adding a culturally adapted version of Web-based CBT to standard treatment improved substance use outcomes. Public Health Implications. This approach has high potential to address health disparities by providing an easily accessible, inexpensive form of evidence-based treatment to a range of Latinos with substance use disorders.
Databáze:	OpenAIRE
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