RecruitingNot ApplicableNCT05821634

Personalizing Treatment Delivery

Digital Phenotyping of Anxiety and Anxiety-Related Alcohol Comorbidity and Treatment

Sponsor

Rutgers, The State University of New Jersey

Enrollment

81 participants

Start Date

Oct 21, 2024

Study Type

INTERVENTIONAL

Conditions

Anxiety Disorders and Symptoms PTSD and Trauma-related Symptoms Alcohol; Use, Problem; Alcohol Use Disorder

Summary

Anxiety and anxiety-related disorders frequently co-occur with alcohol use problems resulting in an enormous humanitarian and economic cost to society. The proposed research will use digital technology to examine person-specific risk factors predicting problematic alcohol use in individuals vulnerable to anxiety and anxiety-related disorders and will use this information to design a personalized intervention for individuals seeking psychological treatment. Results from this research will integrate output from novel and innovative digital technology methods into psychotherapy, advancing research on personalized treatment and prevention efforts.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria6

Access to a smart phone
Between 18 and 65 years
Clinically significant anxiety or trauma-related symptoms
Alcohol use problems
Interest in telehealth counseling
Anticipated New Jersey or New York residence for the duration of the study

Exclusion Criteria4

Currently receiving counseling
Psychiatric medication that is not currently at a stable dose (or is not anticipated to remain at a stable dose for the duration of the study)
Demonstrated indicators of more intensive or acute care
Temporary residence within the state of New Jersey or New York or out-of-state residence from the state of New Jersey or New York

Interventions

BEHAVIORALPersonalized intervention condition: Cognitive behavioral therapy skills

An 11-session cognitive behavioral therapy (CBT) skills based intervention will be delivered to participants randomized to the personalized intervention. Influential constructs will be identified using the person specific digital phenotyping model, targeted using CBT skills, and tracked across sessions.

BEHAVIORALTherapeutic control condition: Cognitive behavioral therapy skills

Participants randomized to this condition will receive an 11-session CBT skills based treatment targeting a non-personalized construct selected from the person-specific digital phenotyping model.

BEHAVIORALTracking control condition: Supportive counseling

Participants randomized to this condition will receive 11 supportive counseling sessions that are non-directive in nature (providing support and validation for non-acute weekly stressors). Participants will continue digital phenotyping, controlling for the effect of counseling and digital phenotyping.