Zambia Common Elements Treatment Approach Pilot Study

Summary

This is a randomized controlled trial (RCT) evaluating the effectiveness of an alcohol brief intervention alone compared to the brief intervention plus an evidence-based psychotherapy (CETA) in reducing alcohol misuse and co-occurring mental health problems among persons with HIV in Zambia.

Conditions

• Alcohol Use Disorder
• Depression
• Post-traumatic Stress Disorder
• HIV/AIDS
• Substance Use Disorders

Interventions

BEHAVIORAL

Brief Intervention

The BI used in the trial combines motivational interviewing skills with cognitive behavioral therapy elements in order to assist clients with self identified substance misuse to begin to consider changing their rates of drinking and drug use. The intervention lasts 30 to 40 minutes and consists of 5 components including: 1) screening 2) identification and information on the impacts of substance misuse 3) talking about change and goal setting 4) understanding the primary reason for drinking 5) skill building with practice and 6) referral for services.

BEHAVIORAL

Common Elements Treatment Approach (CETA)

The Common Elements Treatment Approach, or CETA, is a transdiagnostic psychotherapy based on cognitive behavioral elements for mood, anxiety and trauma related problems, and for alcohol and substance misuse. CETA is based on the fact that most evidence-based mental health treatments (EBTs) consist of similar components. The objective of CETA is to provide a single training in a range of therapy components that are similar across EBTs and to then teach counselors how to design a specific course of treatment for each client based on the client's presenting problems.

Sponsors & Collaborators

• Centre for Infectious Disease Research in Zambia

  collaborator OTHER

• University of Alabama at Birmingham

  collaborator OTHER

• National Institute on Alcohol Abuse and Alcoholism (NIAAA)

  collaborator NIH

• Columbia University

  lead OTHER

Principal Investigators

• Jeremy C. Kane, PhD, MPH · Columbia University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-06-24

Primary Completion

2020-03-17

Completion

2020-03-17

Countries

• Zambia

Study Locations