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Michelle Patterson

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  • OS24 - Evolving Approaches to Patient Care (ID 29)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 6/07/2017, 10:30 AM - 12:00 PM, Room 201CD
    • OS24.04 - Computer Based Training for Cognitive Behavioral Therapy (CBT4CBT) (ID 97)

      Michelle Patterson, University of Prince Edward Island, Centre for Health and Community Research; Charlottetown/CA

      • Abstract
      • Slides

      Purpose/Objectives: Created by Dr. Kathleen Carroll at the Yale School of Medicine, CBT4CBT is a revolutionary new substance abuse treatment program that is currently being rolled out in the United States. Introductory trials conducted among urban populations in major US cities have demonstrated CBT4CBT’s effectiveness in providing a meaningful treatment option for challenging populations at moderately low cost and with lasting effects. A recent collaboration between Dr. Carroll and Drs. Juergen Krause and Michelle Patterson of the Centre for Health and Community Research (CHCR) at UPEI will bring this innovative treatment program to Canada for the first time. Using Prince Edward Island as a gateway, CBT4CBT is currently being implemented and evaluated in sub-populations of high-need individuals as part of a CIHR funded pilot and will subsequently be rolled out across Canada.

      Methodology/Approach: The pilot program aims to determine the effectiveness and efficacy of this computer-based treatment option for addiction therapy within specific rural Canadian populations. This trial utilizes a similar methodological approach as the trials performed in urban communities of the United States, with participants at each trial site being randomly assigned to one of two groups, both including ‘treatment as usual’ (standard counseling) but with one group additionally having access to the CBT4CBT tool. This simple ‘add-on’ design has been shown to be effective at determining the extent to which CBT4CBT confers specific benefits over current standard practices.

      Finding/Results: CBT4CBT is offered at trial sites in PEI and New Brunswick which have been selected as representative of high-needs populations who may benefit from improved addiction treatment options and support. The trial populations include First Nations, youth (age 18-24), post-secondary students, individuals maintained on methadone, and individuals transitioning out of inpatient facilities. Preliminary results from each of these populations will be discussed.

      Conclusion/Implication/Recommendations: A larger-scale implementation of CBT4CBT across Canada will offer an innovative and in-demand therapeutic option for individuals struggling with substance abuse. A roll-out plan for the implementation of CBT4CBT across Canada is under development, and a list of priority revisions and enhancements for future iterations the program is being established and compiled.

      140 Character Summary: CBT4CBT is currently being evaluated in sub-populations of high-need individuals as part of a CIHR funded pilot and will subsequently be rolled out across Canada.

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