Recovery Through Inhibitory Learning, Self-Efficacy Building, Problem Solving, and Community Building
Purpose
This is a two-part study to develop and test a brief, virtual therapy program for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people who have experienced trauma and use alcohol. Phase 1: You'll be invited to share your perspective to help make the program relevant, inclusive, and affirming. Phase 2: You may have the opportunity to try the adapted program by receiving free virtual therapy with LGBTQ+-affirming therapists.
Conditions
- Alcohol Use Disorder (AUD)
- PTSD
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Criteria
Aim 1: Sexual Minority Women and Transgender and Gender Diverse Individuals -Not meeting
inclusion criteria
Aim 1: Providers
-Not meeting inclusion criteria
Aim 2: Sexual Minority Women and Transgender and Gender Diverse Individuals
- Not meeting inclusion criteria OR any of the following:
- Reporting current mental health treatment ≥1 day/month
- Receiving Cognitive Behavioral Therapy (CBT) in the past 3 months (note:
participants are not ineligible if they seek concomitant care after enrollment)
- Reporting current alcohol or drug use disorder treatment, except mutual self-help
(e.g., Alcoholics Anonymous) or current PTSD/trauma-focused treatment
- Need for alcohol detoxification, defined as score ≥15 on the adapted self-report
Clinical Institute Withdrawal Assessment for Alcohol - Revised (CIWA-Ar)
- Active psychosis, defined as score ≥1 on the psychosis subscale of the Behavior and
Symptom Identification Scale - Revised (BASIS-R)
- Active mania, defined as score ≥6 on the Altman Self-Rating Mania Scale (ASRM)
- Active suicidality, defined as score ≥22 on the Suicidal Ideation Attributes Scale
(SIDAS)
- Currently legally mandated to attend treatment
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Intervention Model Description
- The overall objective of this project is to adapt and pilot test a remotely delivered alcohol-focused cognitive behavioral therapy (CBT) intervention and trauma-focused expressive writing (EW) intervention addressing social determinants of unhealthy alcohol use and traumatic stress among sexual minority women (SMW; e.g., lesbian, bisexual) and transgender and gender-diverse (TGD) people. The Recovery through Inhibitory Learning, Self-Efficacy Building, Problem-Solving, and Community Building (RISE) intervention will integrate adapted CBT modules on assertiveness, problem-solving in high-risk situations, and connecting with others-shown to reduce unhealthy alcohol use-with a brief EW intervention tailored to SMW and TGD people. The four specific Unified Protocol (CBT) modules that will be adapted for the current study are 1) Psychoeducation, goal setting, motivational enhancement; 2) Mindful emotional awareness; 3) Cognitive flexibility; and 4) Countering emotional-driven behaviors.
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental RISE |
Description: Participants receive the RISE intervention, a remotely delivered CBT + Expressive Writing program. Intervention: Behavioral: RISE (CBT + Expressive Writing) |
|
|
Other Control: Wait-List Control |
Participants are placed on a wait-list and offered the RISE intervention after the study period. |
|
Recruiting Locations
More Details
- Status
- Recruiting
- Sponsor
- University of Rhode Island
