Table 2.
CBT (N=49) | TAU (N=50) | CBT4CBT w/monitoring (N=38) |
Contrast 1: CBT v TAU |
Contrast 2: CBT4CBT vs TAU |
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Variable | Mean | SD | Mean | SD | Mean | SD | f | P | p Eta2 | f | P | p Eta2 |
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General protocol adherence | ||||||||||||
Days in treatment (max=84) | 42.8 | 30.7 | 55.5 | 27.3 | 61.7 | 26.8 | 4.85 | .03 | 0.04 | 1.09 | .30 | 0.01 |
Number of urine specimens collected | 8 | 6.6 | 10.5 | 5.9 | 12 | 6.6 | 2.3 | .13 | 0.02 | 1.1 | .30 | 0.01 |
Total number of treatment sessionsa | 4.1 | 3.4 | 5.6 | 3.1 | 6.9 | 3.57 | 4.99 | .03 | 0.04 | 3.59 | .06 | 0.03 |
Treatment-specific adherence | ||||||||||||
Total individual sessions | 4.1 | 3.4 | 2.98 | 3.4 | NA | 2.53 | .12 | 0.03 | ||||
Total group sessions | NA | 2.6 | 3.2 | NA | ||||||||
Total monitoring sessions | NA | NA | 6.8 | 3.6 | ||||||||
Total CBT4CBT modules | NA | NA | 5.5 | 2.3 | ||||||||
Number of homework assignments completed | 2.8 | 2.5 | NA | 2.2 | 2.4 | 0.23 | .63 | 1.57 | 0.12 | .73 | 0.65 | |
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Serious adverse eventsb | N | % | N | % | N | % | WaldX2 | P | Exp (b) | Wald X2 | p | Exp (b) |
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# (%) Participants with 1 or more SAEs during treatment-substance use or psychiatric | 3 | 6.1 | 2 | 4.0 | 1 | 2.6 | .23 | .63 | 1.57 | .12 | .73 | .65 |
Participants with 1 or more SAEs during treatment medical | 2 | 4.1 | 1 | 2 | 3 | 7.9 | .35 | .55 | 2.09 | 1.49 | .22 | 4.20 |
Participants with 1 or more SAEs during follow-up-substance use or psychiatric | 1 | 2.7 | 1 | 2.3 | 3 | 8.6 | .01 | .91 | 1.17 | 1.35 | .25 | 3.94 |
Participants with 1 or more SAEs during follow-up-medical | 4 | 10.8 | 3 | 7 | 3 | 8.9 | .36 | .55 | 1.62 | .07 | .79 | 1.25 |
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Secondary substance use outcomes | Mean | SD | Mean | SD | Mean | SD | f | P | p Eta2 | f | p | p Eta2 |
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Percent of urine specimens negative for all drugs | 33.1 | 43.3 | 34.3 | 39.7 | 37 | 41.1 | 0.02 | .89 | .000 | 0.33 | .57 | .003 |
Percent cocaine-negative urine toxicology screens-all subjects | 86.3 | 30.2 | 74.9 | 36.8 | 90.7 | 21.9 | 2.98 | .09 | .024 | 5.45 | .02 | .043 |
Percent cocaine-negative urine toxicology screens, cocaine users only (n's are 9, 17, 11) | 63.6 | 46.2 | 39.4 | 37.3 | 75.3 | 34.4 | 2.29 | .14 | .060 | 5.73 | .02 | .140 |
Percent marijuana-negative urine toxicology screens-all subjects | 44.5 | 47.1 | 43.6 | 44.2 | 48.8 | 43.3 | 0.01 | .93 | .000 | 0.27 | .60 | .002 |
Percent marijuana-negative urine toxicology screens, marijuana users only (n's are 23, 19, 18) | 14.7 | 32.0 | 22.3 | 34.5 | 17.7 | 29.4 | 0.57 | .45 | .010 | 0.19 | .66 | .003 |
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Categorical outcomes, indicators of clinical significance | Number | % | Number | % | Number | % | Wald | p | Exp (b) | Wald | p | Exp(b) |
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Provided no drug-positive urine specimens, last 2 weeks of treatment | 9 | 18.4 | 9 | 18 | 13 | 34.2 | 0.00 | .96 | 1.030 | 3.00 | .09 | 2.370 |
Did not meet DSM-IV-R criteria for primary substance use diagnosis at 12 weeks (N's are 41, 47, 37) | 16 | 51.6 | 15 | 42.9 | 20 | 66.7 | 0.51 | .48 | .710 | 3.61 | .06 | .380 |
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Follow-up outcomes | Mean | SD | Mean | SD | Mean | SD | f | p | p Eta2 | f | p | p Eta2 |
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Percent days abstinent from drugs and alcohol (selfreport) Mean, SD | 61.4 | 35.7 | 67.3 | 34.3 | 75.2 | 30.9 | 0.55 | .46 | .005 | 1.00 | .32 | .009 |
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Urine specimen negative for all drugs (# negative/# collected) | % | % | % | WaldX2 | p | Exp(b) | Wald X2 | p | Exp (b) | |||
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One month follow-up (n=73) | 6/18 | 33.3 | 16/29 | 55.2 | 12/26 | 46.2 | 2.10 | .15 | 2.460 | 0.40 | .51 | 1.440 |
Three month follow-up (n=79) | 7/23 | 30.4 | 11/33 | 33.3 | 14/23 | 60.9 | 0.10 | .82 | 1.140 | 4.00 | .04 | 3.210 |
Six month follow-up (n=102) | 8/33 | 24.2 | 12/39 | 30.9 | 15/30 | 50.0 | 0.40 | .54 | 1.390 | 2.60 | .11 | .440 |
Clinician CBT offered up to 12 individual sessions, TAU offered up to 12 group sessions with individual sessions as needed. CBT4CBT offered 12 clinical monitoring sessions plus up to 7 CBT4CBT modules
SAE indicates any Serious Adverse Event resulting in death or leading to hospitalization.