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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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VA CALM-S | Experimental | 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. |
|
| Usual Care | Active Comparator | Participants in usual care will engage with VA healthcare using standard procedures of their facility. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VA Coordinated Anxiety Learning and Management- Substance Use Version | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Generalized Anxiety Disorder-7 | Self report measure of anxiety symptoms (score range 0-21), higher scores indicate greater anxiety (i.e., poorer outcome). | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Substance use frequency | Number of substance use days | 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Michael E DeBakey VAMC | Houston | Texas | 77030 | United States |
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|
| Usual care | Behavioral | Veterans will engage in VA care using the standard procedures of their facility. |
|
| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D064419 | Chemically-Induced Disorders |
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