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Trial registered on ANZCTR
Registration number
ACTRN12612000248864
Ethics application status
Not yet submitted
Date submitted
27/02/2012
Date registered
28/02/2012
Date last updated
28/02/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Efficacy of Eye Movement Desensitization Reprocessing (EMDR) to reduce craving in the treatment of substance dependency
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Scientific title
Comparing the efficacy of Eye Movement Desensitization Reprocessing (EMDR) and Mindfulness-Based Relapse Prevention (MBRP) to reduce craving for substances in individuals with substance dependency
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Secondary ID [1]
280039
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Nil
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Universal Trial Number (UTN)
U1111-1128-5388
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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:
Craving for alcohol or illicit drugs (substance dependency)
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Condition category
Condition code
Mental Health
286140
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Addiction
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Eye Movement Desensitization Reprocessing (EMDR) - EMDR is a form of psychotherapy that was developed by Francine Shapiro to resolve the development of trauma-related disorders caused by exposure to distressing events. The theory suggests that when distressing experiences occur they may overwhelm usual cognitive and neurological coping mechanisms. The memory and associated stimuli of the event are inadequately processed, and are dysfunctionally stored in an isolated memory network. The goal of EMDR therapy is to process these distressing memories, using dual attention stimuli (by way of bilateral stimulation e.g. eye movements, tones, or tapping), while triggering a physiological state that facilitates information processing, therefore reducing the distress and allowing clients to develop more adaptive coping mechanisms.
Duration of EMDR: 3 x 75min sessions over 2 or 3 consecutive weeks
Method of administration: one-on-one sessions with a clinician
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Intervention code [1]
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Rehabilitation
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Intervention code [2]
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Behaviour
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Intervention code [3]
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Treatment: Other
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Comparator / control treatment
Comparator (active) treatment: Mindfulness-Based Relapse Prevention (MBRP) - MBRP is a treatment approach developed at the Addictive Behaviors Research Center (University of Washington) for individuals in recovery for addictive behaviors. It integrates mindfulness meditation practices with traditional relapse prevention strategies. The program is designed specifically to help prevent or manage relapse for clients with alcohol and other substsance use problems through practices that foster increased awareness of triggers, habitual patterns, and automatic reactions.
Duration of MBRP: 3 x 75min sessions over 2 or 3 consecutive weeks
Method of administration: one-on-one sessions with a clinician
Placebo (control) treatment: Cognitive training to improve memory, attention, executive functioning, and problem solving skills.
Duration of cognitive training: 3 x 75min sessions over 2 or 3 consecutive weeks
Method of administration: one-on-one sessions with a clinician
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The primary measure of effectiveness is a statistically significant (p<.001) reduction in self-reported craving for alcohol and/or illicit drugs.
Instrument: Approach & Avoidance of Alcohol Questionnaire-Revised (AAAQ-R) - THe AAAQ-R is a 16-item self report measure that separately assesses inclinations to consume and to not consume substances.
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Assessment method [1]
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Timepoint [1]
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Baseline (pre-treatment), post-treatment, and 3-months post-treatment.
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Secondary outcome [1]
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Secondary outcome 1: Mindful awareness as assessed on the Freiburg Mindfulness Inventory (FMI), a 14-item self report assessment of the general construct of mindfulness.
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Assessment method [1]
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Timepoint [1]
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Baseline (pre-treatment), post-treatment, and 3-months post-treatment.
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Secondary outcome [2]
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Secondary outcome 2: Coping strategies utilized to avoid or to control drinking/drugging, as assessed on the Coping Behaviors Inventory (CBI), a 36-item self report tool.
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Assessment method [2]
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Timepoint [2]
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Baseline (pre-treatment), post-treatment, and 3-months post-treatment.
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Secondary outcome [3]
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Secondary outcome 3: Perceived confidence to abstain from alcohol and/or drug use in different situations, as assessed on the Alcohol Abstinence Self-Efficacy Scale - Alcohol and Drug versions (AASES/DASES). This is a 20-item self evaluation tool.
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Assessment method [3]
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Timepoint [3]
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Baseline (pre-treatment), post-treatment, and 3-months post-treatment.
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Eligibility
Key inclusion criteria
1. Participants must meet DSM-IV or ICD-10 diagnostic criteria for substance dependence
2. Willing to be contacted for follow-up
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Minimum age
18
Years
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Maximum age
No limit
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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
1. History of traumatic brain injury
2. Presence of organic brain disorders
3. On-going use of any substances
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Study design
Purpose of the study
Treatment
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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)
Allocation will involve treatment administrators contacting the holder of the allocation schedule who is off-site.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomization using computerized sequence generation.
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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
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/06/2012
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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
60
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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]
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University
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Name [1]
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Murdoch University
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Address [1]
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90 South Street
Murdoch WA 6150
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr. Chris Lee
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Address
School of Psychology
90 South Street
Murdoch WA 6150
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr. Marjorie Collins
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Address [1]
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School of Psychology
90 South Street
Murdoch WA 6150
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Country [1]
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Andrea Chong
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Address [1]
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23/6 Kintail Road
Applecross WA 6153
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Country [1]
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Ethics committee address [1]
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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16/03/2012
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
Eye Movement Desensitization and Reprocessing (EMDR) is a well-established first line psychological treatment for post-traumatic stress disorder. In the addictions field, it has been suggested that clients presenting with addictions have a concomitant history of trauma, and comorbidity rates of up to 75%. However, few studies to date have documented the use of EMDR in this area, and its efficacy as a treatment for addictions remains unclear and less well established in the literature. In the utility of EMDR for the treatment of alcohol dependency, the limited research available has suggested promising results in reducing craving for alcohol. The experience of craving for substances has been suggested by researchers to be one of the factors maintaining alcohol/drug use, as well as a precipitating factor for relapse. Implications for establishing the efficacy of EMDR in addiction treatment therefore includes the potential to improve existing relapse prevention programs, and consequently to reduce relapse rates. The current study aims to examine and evaluate the application of EMDR in the treatment of individuals with substance dependence. Specifically, the efficacy of an EMDR treatment that targets the experience of craving for substances will be investigated. Research questions for the study are as follows: 1. Is the application of EMDR in targeting craving effective as an adjunct to treatment for substance dependent individuals? 2. How does adding EMDR to a standardized treatment program for substance dependence compare to the: (a) addition of an active relapse prevention program (Mindfulness-based relapse prevention, MBRP)? and (b) addition of a program unassociated with craving and relapse prevention (cognitive rehabilitation)?
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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
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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
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Dr. Chris Lee
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Address
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Murdoch University - School of Psychology
90 South Street
Murdoch WA 6150
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Country
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Australia
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Phone
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+61 8 93606828
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Fax
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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. Chris Lee
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Address
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Murdoch University - School of Psychology
90 South Street
Murdoch WA 6150
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Country
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Australia
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Phone
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+61 8 93606828
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Fax
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Email
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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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