Implementation of Two Transdiagnostic Interventions Based on Emotional Regulation (DBT and UP) for Alcohol Addiction

Summary

The aim of this study is to evaluate the dissemination and implementation process of two transdiagnostic psychological interventions (Dialectical Behavioral Therapy for Substance Use Disorders-DBT-SUD and Unified Protocol-UP) to treat alcohol addiction by mental health practitioners in the Spanish National Health System. The main questions this study aims to answer are:

Are there differences before and after receiving DBT-SUD and UP training in the attitudes toward evidence-based psychological treatments (EBPTs), level of burnout and organizational climate and readiness to implement the interventions in mental health practitioners working with alcohol addiction?

What is the degree of acceptability and intention to use the interventions in clinical practice with people with alcohol addiction of the practitioners after each training (DBT-SUD and UP)?

In what degree the implementation outcomes (adoption, reach, appropriateness, feasibility, fidelity, sustainability) will be achieved by the practitioners implementing DBT-SUD and UP in clinical practice?

What are the main barriers and facilitators that practitioners will encounter during the process of implementing DBT-SUD and UP in clinical practice?

What variables will predict a successful implementation considering previous characteristics of the professionals and the organizational outcomes?

The study comprises two phases. In the first phase, mental health professionals working on addiction services of the Spanish National Health System will be randomly assigned to receive training in one intervention and then the other (DBT-SUD and UP) and will be evaluated before and after each training. In the second phase, participants will be randomly assigned to implement one intervention first and then the other in their workplaces with people with alcohol addiction and will be also assessed before and after the implementation. Qualitative and quantitate outcome measures will be analyzed using a Mixed- Methods-Design.

Conditions

• Implementation Science

Interventions

BEHAVIORAL

Dialectical Behavior Therapy for Substance Use Disorder (DBT-SUD)

In phase 1, DBT online training will consist of the following contents: Block 1 1.1. Introduction to the key concepts 1.2. DBT-SUD program 1.3. Why DBT for alcohol addiction? 1.4. Proposed content for the group intervention. Block 2 2.1. DBT skills training modules In phase 2, DBT-SUD intervention will consist of about the following sessions: GOALS OF SKILLS TRAINING AND MINDFULNESS: S1: Goals of skills training; Observing, Describing and Participating S2: Non-judgmentally, One-mindfulness, Effectively DISTRESS TOLERANCE: S3: Crisis Survival skills S4: Crisis Survival and Radical Acceptance ADDICTION SKILLS: S5: Dialectical Abstinence. S6: Clear Mind S7: Burning Bridges-Building New Bridges S8: Community Reinforcement EMOTIONAL REGULATION: S9: Identifying emotions and model of emotion S10: Check the facts. Opposing Action S11: Problem Solving. Reducing vulnerability S12: Self-management and rehabilitation

BEHAVIORAL

Unified Protocol (UP)

In phase 1, the UP training will have following contents: Block 1 1.1. Introduction to key concepts 1.2. Why UP for alcohol addiction? 1.3. Dimensional assessment and case formulation. 1.4. Main characteristics of UP Block 2 2.1. Modules of UP In phase 2, UP intervention will consist of: MOTIVATION: S1: Motivation enhancement for treatment UNDERSTANDING EMOTIONS: S2: Understanding and model of emotions S3: Tracking emotional responses MINDFULNESS: S4: Emotion awareness COGNITIVE FLEXIBILITY: S5: Cognitive reappraisal to increase thinking flexibility EMOTION DRIVEN BEHAVIORS: S6: Emotional avoidance S7: Emotion-driven behaviors and alternative action AWARENESS AND TOLERANCE: S8: Tolerance of physical sensations EMOTIONAL EXPOSURE: S9: Interoceptive and situational emotion exposure S10: Exposure practice RELAPSE PREVENTION: S11: Relapse prevention S12: Review of progress

Sponsors & Collaborators

• Ministerio de Sanidad, Servicios Sociales e Igualdad

  collaborator OTHER_GOV

• Universidad de Zaragoza

  lead OTHER

Principal Investigators

• María Vicenta Navarro Haro, PhD · Universidad de Zaragoza

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2024-02-01

Primary Completion

2025-06-30

Completion

2025-12-31

Countries

• Spain

Study Locations