Recovery Through Inhibitory Learning, Self-Efficacy Building, Problem Solving, and Community Building
Developing a Telehealth Intervention for Alcohol and Trauma Among LGBTQ+ People
University of Rhode Island
80 participants
Nov 30, 2025
INTERVENTIONAL
Conditions
Summary
This is a two-part study to develop and test a brief, virtual therapy program for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people who have experienced trauma and use alcohol. Phase 1: You'll be invited to share your perspective to help make the program relevant, inclusive, and affirming. Phase 2: You may have the opportunity to try the adapted program by receiving free virtual therapy with LGBTQ+-affirming therapists.
Eligibility
Inclusion Criteria10
- Aim 1: Providers
- Aim 2: Sexual Minority Women and Transgender and Gender Diverse Individuals
- Reporting current mental health treatment ≥1 day/month
- Receiving Cognitive Behavioral Therapy (CBT) in the past 3 months (note: participants are not ineligible if they seek concomitant care after enrollment)
- Reporting current alcohol or drug use disorder treatment, except mutual self-help (e.g., Alcoholics Anonymous) or current PTSD/trauma-focused treatment
- Need for alcohol detoxification, defined as score ≥15 on the adapted self-report Clinical Institute Withdrawal Assessment for Alcohol - Revised (CIWA-Ar)
- Active psychosis, defined as score ≥1 on the psychosis subscale of the Behavior and Symptom Identification Scale - Revised (BASIS-R)
- Active mania, defined as score ≥6 on the Altman Self-Rating Mania Scale (ASRM)
- Active suicidality, defined as score ≥22 on the Suicidal Ideation Attributes Scale (SIDAS)
- Currently legally mandated to attend treatment
Interventions
This study will test a remotely delivered intervention combining Cognitive Behavioral Therapy (CBT) and Expressive Writing (EW) to address unhealthy alcohol use and traumatic stress among sexual minority women (SMW; e.g., lesbian, bisexual women) and transgender and gender-diverse (TGD) individuals. The intervention, called Recovery through Inhibitory Learning, Self-Efficacy Building, Problem-Solving, and Community Building (RISE), integrates CBT modules on assertiveness, problem-solving in high-risk situations, and building social connections with a brief EW program tailored to SMW and TGD participants. Four modules from the Unified Protocol (UP), a transdiagnostic CBT approach, will be adapted: (1) psychoeducation, goal setting, and motivational enhancement; (2) mindful emotional awareness; (3) cognitive flexibility; and (4) countering emotion-driven behaviors.
Participants assigned to the wait-list will not receive active treatment during the study period but will be offered the RISE intervention afterward.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT07217795