SHADE (Self-Help for Alcohol and Other Drug Use and Depression)

Overview

Computer delivered intensive motivational treatment for people with comorbid addictive disorders and depression.

Link to commercial site here.

Delivery:
Computer-based
Clinician-assisted

Theoretical Approach:
Cognitive Therapy
Behavior Therapy
Motivational Interviewing (MI)

Target Substance(s):
Alcohol
Cannabis
Multiple substances
Comorbid depression

Target Outcome(s):
Depression
Substance use
Hazardous substance use

Ages:
Young Adult (18-30)
Adult (30+)

Genders:
Male
Female

Races/Ethnicities:
Australian-born
Other

Setting(s):
Outpatient clinical
General practices/primary health care
Non-government support agencies

Geographic Location(s):
Urban
Rural

Country:
Australia

Language:
English

Evaluations

Computer-based psychological treatment for comorbid depression and problematic alcohol and/or cannabis use: A randomized controlled trial of clinical efficacy.
Kay-Lambkin FJ, Baker AL, Lewin TJ, Carr VJ. Addiction. 2009. 104(3):378-88. PMID:19207345.
Summary: In this 3-month randomized controlled trial participants received: brief intervention (BI); random assignment to no further treatment (BI alone); or motivational interviewing and cognitive behavioral therapy (MI/CBT). The MI/CBT condition was either therapist delivered or computer-based, clinician-assisted. Assessment was through self-report and therapist evaluation. 69% completed all follow-up assessments with comparable rates across conditions. The computer-based treatment delivered significantly better overall substance use outcomes than other treatments.
Take-Away: Computer-based treatment (simultaneously targeting both depression and substance use) results in at least equivalent 12-month outcomes compared to clinician-led intervention.
Clinician-assisted computerized versus therapist-delivered treatment for depressive and addictive disorders: A randomized controlled trial.
Kay-Lambkin FJ, Baker AL, Kelly B, Lewin TJ. Medical Journal of Australia. 2011. 195(3):S44-50. PMID:21806518.
Summary: In this randomized controlled clinical trial participants received either therapist delivered cognitive behavior therapy and motivational intervention (CBT/MI), Clinician-assisted computerized treatment (CAC), or person-centered therapy (PCT –control) over nine weekly, 60 minute sessions. Over a 3 month period, CBT/MI was associated with better treatment response than PCT; CAC therapy associated with greater reduction in alcohol use than therapist –delivered treatment.
Take Away: Results support the use of integrated CBT/MI for people with depression and comorbid alcohol and drug use.

Program Reviews

Overview

Evaluations

Computer-based psychological treatment for comorbid depression and problematic alcohol and/or cannabis use: A randomized controlled trial of clinical efficacy.

Clinician-assisted computerized versus therapist-delivered treatment for depressive and addictive disorders: A randomized controlled trial.