2019
DOI: 10.1007/s40614-019-00205-2
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Computerized Cognitive Behavioral Therapy for Substance Use Disorders: A Summary of the Evidence and Potential Mechanisms of Behavior Change

Abstract: Cognitive-behavioral therapy (CBT) is one of the most evaluated behavioral interventions for substance use disorders, with considerable empirical evidence supporting its efficacy. However, despite CBT's strong support from efficacy trials, broad dissemination and implementation have been challenging. Furthermore, there remains limited understanding regarding CBT's mechanisms of behavior change; the theory-driven assumption that individuals acquire new skills for coping with triggers for substance use has notor… Show more

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Cited by 14 publications
(14 citation statements)
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“…COVID-19 has challenged researchers and clinicians globally trying to conduct research studies and provide health care as many visits have transitioned from in-person to virtual [ 51 , 52 ]. The use of virtual platforms such as CBT4CBT or virtual coaching provides a new opportunity to provide care and conduct research using fewer resources and reducing the amount of in-person contact [ 53 ]. As the use of technological tools advance and become easier to implement in care and research, it is important to utilize these new tools in vulnerable populations so that we do not exacerbate health disparities in a population who already have suffered diminished health care.…”
Section: Discussionmentioning
confidence: 99%
“…COVID-19 has challenged researchers and clinicians globally trying to conduct research studies and provide health care as many visits have transitioned from in-person to virtual [ 51 , 52 ]. The use of virtual platforms such as CBT4CBT or virtual coaching provides a new opportunity to provide care and conduct research using fewer resources and reducing the amount of in-person contact [ 53 ]. As the use of technological tools advance and become easier to implement in care and research, it is important to utilize these new tools in vulnerable populations so that we do not exacerbate health disparities in a population who already have suffered diminished health care.…”
Section: Discussionmentioning
confidence: 99%
“…This pragmatic approach prioritises patient safety and has been applied in recent randomised controlled trials of online CBT in substance use. 11 …”
Section: Methods and Analysismentioning
confidence: 99%
“…This pragmatic approach prioritises patient safety and has been applied in recent randomised controlled trials of online CBT in substance use. 11 Experimental condition A: BFO BFO is an online intervention designed to provide support to adults struggling with substance use. BFO enables individuals to access tailored clinical content specific to their needs, while maintaining anonymity.…”
Section: Interventionsmentioning
confidence: 99%
“…The CBT mechanism of behavior change with the most support that also overlaps with AUD etiologic and maintenance mechanisms, per the ETOH Framework, includes improved coping skills (negative valence and emotionality: coping in Table 1; Kiluk, 2019; Kiluk et al, 2010; Roos et al, 2020). However, it is important to note that there has been some mixed evidence in support of coping skills as a mechanism of behavior change in CBT (Longabaugh & Magill, 2011; Magill et al, 2020; Morgenstern & Longabaugh, 2000), which may be partially due to the quality and breadth of coping skills in a given study (Kiluk et al, 2010; Witkiewitz et al, 2018).…”
Section: Cognitive Behavioral Therapy For Audmentioning
confidence: 99%