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Trial registered on ANZCTR
Registration number
ACTRN12611000169943
Ethics application status
Approved
Date submitted
11/02/2011
Date registered
11/02/2011
Date last updated
11/02/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Brief Cognitive-Behavioural Therapy (CBT) for Young People with Cannabis Problems
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Scientific title
Brief CBT for Cannabis use in Young People with Co-occurring Mental Health Disorders
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Secondary ID [1]
253557
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Mental Health
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Cannabis Use
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Condition category
Condition code
Mental Health
259264
259264
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0
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Addiction
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Mental Health
259265
259265
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention involved three 50 minute one-on-one weekly sessions of motivational interviewing enhanced CBT. Session one involved a discussion of a personalised feedback report which was based on the data gathered from assessment. This feedback was delivered in a motivational interviewing style which aimed to explore ambivalence and promote problem recognition and enhanced motivation to change.
Clinical sessions two and three focused predominantly on CBT skill building. Session two focused on understanding the concept of how situations, thoughts, feelings, physical sensations, emotions and behaviours interact and goal setting. Motivational interviewing was used, when applicable. Session three primarily aimed to review prior skills learnt, examine homework outcomes, maintain/build motivation to change cannabis use behaviours, and train in additional coping skills (e.g. managing cravings, dealing with rationalizations, and relapse prevention).
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Intervention code [1]
257988
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Treatment: Other
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Intervention code [2]
257989
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Behaviour
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Comparator / control treatment
Participants were randomly allocated to an immediate treatment group (IT) commencing the week following the baseline assessment or a delayed treatment control group (DTC). The delayed treatment group was offered the treatment after the completion of the 3 month follow-up assessment.
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Control group
Active
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Outcomes
Primary outcome [1]
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The primary outcome was cannabis use measured by conducting a Timeline Followback interview.
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Assessment method [1]
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Timepoint [1]
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Baseline, 1 and 3 month follow up interviews
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Primary outcome [2]
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Cannabis related problems as measured by the Cannabis Problems Questionnaire, Sheehan Disability Scale, and Severity of Dependence Scale
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Assessment method [2]
262110
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Timepoint [2]
262110
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Baseline, 1 and 3 month follow up interviews
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Secondary outcome [1]
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Psychological distress as measured by the Depression, Anxiety, and Stress Scale
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Assessment method [1]
273121
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Timepoint [1]
273121
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Baseline, 1 and 3 month follow up interviews
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Eligibility
Key inclusion criteria
Aged between 14 and 29 years inclusive, have used Cannabis in the past month, current mental health diagnosis, and fluent in English.
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Minimum age
14
Years
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Maximum age
29
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
More than weekly use of other illicit drugs
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants were initially screened for eligibility and referral into the study via the routine BMRI intake process.
The numbers of those who were ineligible or who did not consent to be assessed for participation in a randomized
trial were noted to enable adequate CONSORT reporting of participant flow through the study. Appropriate referral
was provided as part of the standard BMRI intake procedure.
At the first meeting between participant and clinician further screening was conducted to ensure eligibility. The
nature of the study (including the randomization process) was explained to the participant. Following the description of the study, the participant was taken through the participant information and consent form which
detailed their rights as a participant, the voluntary nature of their participation and the limits of confidentiality.
Participant’s questions were answered and written informed consent obtained. Randomisation then occurred through the use of a random number generation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation envelopes were prepared by an independent researcher with the aid of random number
generator software.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
258447
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Government body
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Name [1]
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Department of Health & Ageing
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Address [1]
258447
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GPO Box 9848
Canberra ACT 2601
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Country [1]
258447
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Australia
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Primary sponsor type
University
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Name
University of New South Wales
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Address
National Drug & Alcohol Research Centre
University of New South Wales
Randwick Campus
R1, 22-32 King Street
Randwick NSW 2031
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Sydney
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Address [1]
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Brain & Mind Research Institute
University of Sydney
100 Mallett Street
Camperdown NSW 2050
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Country [1]
257592
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
260432
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University of New South Wales Human Research Ethics Committee
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Ethics committee address [1]
260432
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UNSW Research Services Rupert Myers Building, Level 3 The University of New South Wales NSW 2052
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Ethics committee country [1]
260432
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Australia
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Date submitted for ethics approval [1]
260432
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01/11/2008
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Approval date [1]
260432
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13/11/2008
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Ethics approval number [1]
260432
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08243
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Summary
Brief summary
The study aimed to evaluate a brief intervention for a young population of cannabis users with comorbid mental health disorders. It was intended that this would serve as an adjunct to treatment-as-usual for the mental health disorder, with the goal to reduce cannabis use behaviour and to reduce disability associated with cannabis use. The intervention involved a motivational interviewing (MI) enhanced CBT treatment. The brief MI-enhanced CBT intervention was evaluated by comparison to a delayed treatment control (DTC) condition. The DTC group was offered the treatment after the completion of the 3 month follow-up assessment. Approximately one week after baseline assessment, the treatment group commenced their first of three weekly sessions, which lasted approximately one hour. Session one involved a discussion of a personalised feedback report which was based on the data gathered from assessment. This feedback was delivered in a motivational interviewing style which aimed to explore ambivalence and promote problem recognition and enhanced motivation to change. Clinical sessions two and three focused predominantly on CBT skill building. Session two focused on understanding the concept of how situations, thoughts, feelings, physical sensations, emotions and behaviours interact and goal setting. Motivational interviewing was used, when applicable. Session three primarily aimed to review prior skills learnt, examine homework outcomes, maintain/build motivation to change cannabis use behaviours, and train in additional coping skills (e.g. managing cravings, dealing with rationalizations, and relapse prevention). Follow-up assessments were conducted at 1- and 3-months post-baseline. These follow-up interviews were conducted by an independent research officer. The DTC group was offered the treatment after they completed the 3-month follow-up.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
32181
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
15428
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Dr Melissa Norberg
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Address
15428
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National Drug & Alcohol Research Centre
Univerty of New South Wales
Randwick Campus
R1, 22-32 King Street
Randwick NSW 2031
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Country
15428
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Australia
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Phone
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+61 2 9385 0260
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Fax
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+61 2 9385 0201
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Melissa Norberg
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Address
6356
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National Drug & Alcohol Research Centre
University of New South Wales
Randwick Campus
R1, 22-32 King Street
Randwick NSW 2031
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Country
6356
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Australia
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Phone
6356
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+61 2 9385 0260
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Fax
6356
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+61 2 9385 0201
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Email
6356
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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