Expanding Reach of Evidence-based Psychotherapy for Veterans With Co-occurring Anxiety and Substance Use Disorders.
The current study seeks to better understand how to improve access to evidence-based psychotherapy (EBP) for rural Veterans with co-occurring anxiety and substance use disorders (SUD) using a web-based cognitive behavioral therapy tool (VA Coordinated Anxiety Learning and Management, Substance Use Version; VA CALM-S).
Arms and Interventions
|Experimental: VA CALM-S
Active psychotherapy using VA CALM-S, a weekly (9-12 sessions) cognitive behavioral therapy addressing co-occurring anxiety and substance use disorders, using disorder specific and transdiagnostic tools.
Behavioral: VA Coordinated Anxiety Learning and Management- Substance Use Version
VA Coordinated Anxiety Learning and Management- Substance Use Version (VA CALM-S) is a cognitive behavior therapy (CBT) program that employs computer assistance to empower providers to deliver CBT with high fidelity. The computer program guides both providers and patients in a course of CBT, and in this study the content will focus on using transdiagnostic treatment elements to address co-occurring anxiety and substance use disorders.
|Active Comparator: Usual Care
Participants in usual care will engage with VA healthcare using standard procedures of their facility.
Behavioral: Usual care
Veterans will engage in VA care using the standard procedures of their facility.
Primary Outcome Measures
- Generalized Anxiety Disorder-7 [12 weeks]
Self report measure of anxiety symptoms (score range 0-21), higher scores indicate greater anxiety (i.e., poorer outcome).
Secondary Outcome Measures
- Substance use frequency [12 weeks]
Number of substance use days
current anxiety disorder diagnosis
current substance withdrawal such that medically supervised detoxification is necessary (determined by evaluation of substance use history and report of current symptoms),
Contacts and Locations
|1||Michael E DeBakey VAMC||Houston||Texas||United States||77030|
Sponsors and Collaborators
- Baylor College of Medicine
Study Documents (Full-Text)None provided.