A digital cognitive behavioral therapy program culturally adapted for Spanish-speaking individuals with alcohol use disorder: a stage 1 randomized clinical trial

Background: , to community-based outpatient care for alcohol use disorder. Methods: We conducted a 2-arm, unblinded, parallel-group randomized clinical trial among 51 primary Spanish-speaking adults seeking outpatient treatment for alcohol use. Participants were randomly assigned to either standard treatment (ST), or ST plus access to the CBT4CBT-SA program. Frequency of alcohol use was measured during an 8-week treatment period, and at monthly intervals at 1-, 3-, and 6-month follow-up. The primary outcome was the percentage of days abstinent (PDA) from alcohol by week during the 8-week period. Other outcomes included change in consequences from alcohol, coping strategies, and knowledge of CBT concepts. Results: = .01). While there was a subsequent reduction in negative consequences from alcohol during the treatment period, it did not differ by treatment condition. Conclusion: This culturally adapted, web-based version of CBT targeting alcohol use for Spanish speakers appeared acceptable with preliminary efficacy at improving alcohol use outcomes when added to standard outpatient treatment. Future studies are warranted to evaluate efficacy in a larger sample and with differing levels of clinical support.