Delivering Treatment in DUI Programs to Reduce Alcohol-Related Disparities

Alcohol Abuse Clinical Trial

Official title:

Delivering Treatment in DUI Programs to Reduce Alcohol-Related Disparities

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02588703
• Other study ID #: R01MD007762
• Status: Completed
• Phase: Phase 2
• Start date: October 2015
• Est. completion date: April 2020

Study information

• Verified date: April 2020
• Source: RAND
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The current study evaluates the efficacy of Cognitive Behavioral Therapy (CBT) in DUI programs for individuals with a first-time offense. Investigators will utilize a two-group randomized design where individuals enrolled in a DUI program with a first-time conviction will be randomized to Cognitive Behavioral Therapy (CBT; n=150) or Usual Care (UC; n=150). Participants will be assessed at baseline, immediately post-treatment, and 6-months post-treatment. Recidivism data will also be collected using administrative data two years post-treatment.

Description:

Enormous unmet needs for alcohol treatment exist among individuals convicted of driving under the influence (DUI) since up to 43% recidivate and 67% meet criteria for alcohol dependence. Investigators will test whether delivering a cognitive behavioral treatment (CBT) for alcohol use disorders (AUDs) as part of a mandated DUI program improves health outcomes, and reduces alcohol use, alcohol-related problems and injuries, and DUI recidivism compared to usual care. The study has the potential to promote the public welfare by providing treatment to individuals with a DUI conviction, while focusing on Latinos, who are disproportionately less likely to access treatment and more likely to be arrested for a DUI, to have higher rates of recidivism, and to die in alcohol-related crashes than their white counterparts. The study is innovative because it would be the first to address effectiveness of treatment for AUDs embedded within a DUI program. Investigators will conduct a randomized trial of a 9-session group-based CBT (n=150) as compared to group-based usual care (UC; n=150) immediately after and 6 months after the end of treatment. Short-term outcomes include alcohol use (rates of heavy drinking, percent days abstinent), alcohol use-related self-efficacy, and intent to drink and drive. Investigators will also examine whether race/ethnicity, gender, acculturation, and alcohol situational norms predict our primary treatment outcomes (rates of heavy drinking, percent days abstinent) and DUI recidivism (alcohol-related violations).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 351
• Est. completion date: April 2020
• Est. primary completion date: July 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 21 Years and older

Eligibility

Inclusion Criteria:

• meets criteria for at-risk drinking,

• 21 years+,

• English speaking,

• current client in 3-month DUI program

Exclusion Criteria:

• under 21,

• does not speak English,

• does not meet criteria for at-risk drinking

Related Conditions & MeSH terms

• Alcohol Abuse
• Alcoholism

Intervention

Behavioral:
• Cognitive Behavioral Therapy
Coping Skills Treatment
• Usual Care
Existing DUI program group counseling

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
RAND

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	heavy drinking (Survey)	frequency of 5 drinks per day for men and 4 drinks per day for women	6 months
Secondary	DUI Behaviors and Attitudes (Survey)		6 months