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Trial registered on ANZCTR
Registration number
ACTRN12611000618954
Ethics application status
Approved
Date submitted
27/05/2011
Date registered
16/06/2011
Date last updated
23/07/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Enhancing residential substance abuse treatment with computer interventions
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Scientific title
A randomised trial of a computer-based depression intervention for individuals attending a residential substance abuse program.
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Secondary ID [1]
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Nil
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Universal Trial Number (UTN)
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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:
Alcohol and substance abuse
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Depression
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Condition category
Condition code
Mental Health
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0
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Addiction
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Mental Health
268239
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Computer delivered motivational interviewing and cognitive behavioural therapy (SHADE therapy: Self-Help for Alcohol and other drug use and Depression). Individuals in this condition will complete 2 x 50 minute sessions of the SHADE program each week, over a period of 5 weeks.
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Intervention code [1]
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Rehabilitation
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Intervention code [2]
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Treatment: Other
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Intervention code [3]
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Behaviour
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Comparator / control treatment
A computer delivered touch typing skills program (Type Master Pro). Individuals in this condition will complete 2 x 50 minute sessions of the Type Master Pro each week, over a period of 5 weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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Opiate Treatment Index (OTI)
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Assessment method [1]
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Timepoint [1]
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3 months
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Primary outcome [2]
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Beck Depression Inventory (BDI-II)
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Assessment method [2]
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Timepoint [2]
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5 weeks and 3 months
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Secondary outcome [1]
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Dysfunctional Attitudes Questionnaire
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Assessment method [1]
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Timepoint [1]
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5 weeks and 3 months
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Secondary outcome [2]
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Drug Taking Confidence Questionnaire (DTCQ)
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Assessment method [2]
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Timepoint [2]
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5 weeks and 3 months
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Secondary outcome [3]
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Drug Risk Response Test (DRRT)
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Assessment method [3]
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Timepoint [3]
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5 week and 3 months
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Secondary outcome [4]
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Ways of Responding (WOR)
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Assessment method [4]
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Timepoint [4]
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5 weeks and 3 months
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Secondary outcome [5]
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PENN Alcohol Cravings Questionnaire
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Assessment method [5]
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Timepoint [5]
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5 weeks and 3 months
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Eligibility
Key inclusion criteria
All participants attending The Salvation Army William Booth Program will be asked to participate. All participants will have an alcohol or other substance abuse disorder. Previous surveys of The Salvation Army program indicates that approximately 50% of participants report a previous mental health diagnosis.
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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
Significant acquired brain injury
People who's primary language is other than english
People who are acutely suicidal
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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)
Participants will be in the first 3-weeks of the William Booth Program. They will complete a structured interview with a research assistant. At the completion of the interview they will be randomly allocated to one of the conditions (1) Treatment (SHADE) or (2) Active Control (Type Master Pro). .
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
All participants upon entry to the study will be given a unique numerical code. This unique code will have previously been randomly assigned a treatment allocation using a random numbers table. The treatment assignment will be written on a piece of paper, and inserted into a blank envelope with the unique participant code written on the front of the envelope. Upon completion of the
initial assessment, the participant will be asked to open the relevant envelope (the one with their unique code entered on the front) to reveal their treatment allocation. The randomisation procedure will stratify for both gender and whether the person is currently taking antidepressant
medication to ensure the proportion of males & females, and individuals with a history of depression is consistent across the two groups. Randomisation will be blocked so that the distribution of participants across treatment conditions will be maintained regardless of the final sample size.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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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
Completed
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Date of first participant enrolment
Anticipated
11/04/2011
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Actual
4/03/2011
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Date of last participant enrolment
Anticipated
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Actual
3/12/2012
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Date of last data collection
Anticipated
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Actual
3/12/2012
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Sample size
Target
200
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Accrual to date
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Final
189
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Recruitment postcode(s) [1]
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2000 - Sydney
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Recruitment postcode(s) [2]
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4059 - Red Hill
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Australian Rotary Health
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Address [1]
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PO Box 3455
Parramatta, NSW 2124
Australia
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The University of Wollongong
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Address
Wollongong Campus
Wollongong, NSW
2522
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of New South Wales
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Address [1]
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UNSW KENSINGTON CAMPUS
SYDNEY, NSW
2052
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Country [1]
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Australia
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Secondary sponsor category [2]
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University
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Name [2]
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University of Newcastle
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Address [2]
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Callaghan Campus
Callaghan, NSW
2308
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Country [2]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Wollongong Human Research Ethics Committee
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Ethics committee address [1]
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Wollongong Campus University of Wollongong Wollongong, NSW 2522
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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24/03/2011
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Ethics approval number [1]
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HE09/091
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Summary
Brief summary
It is extremely common for individuals with substance abuse disorders to also have co-occurring mental health problems. Approximately 60% of participants at Australian residential rehabilitation services report a previous mental health diagnosis, with depressive disorders being the most common. Individuals with co-occurring mental health problems typically have a poorer treatment response and higher rates of relapse. Integrated treatment approaches are recommended for residential substance abuse programs, where both the person’s substance abuse and co-occurring mental health problems are concurrently addressed. However, the majority of residential substance abuse services still primarily target the person’s substance abuse problems. One approach to improve treatment is to utilise computer-based self-help programs. Benefits of computer-based approaches to residential settings include: a) the low costs associated with delivering the intervention; b) it doesn’t require additional staff members or training; and c) participants can continue to access the program should they leave the facility early. There is a growing body of literature supporting the usefulness of computer delivered interventions for mental health problems. Additionally, computer-based interventions have been recommended as a way to improve the use of evidence based approaches within routine care. However, only limited controlled dissemination research has been conducted in this area. The aim of the present study is to examine the effectiveness of using a computer delivered comorbidity treatment program for individuals attending long-term residential substance abuse programs. The study will be conducted as a real-world randomized trial, where the Treatment Condition will complete the computer-delivered intervention in addition to treatment as usual.
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Trial website
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Trial related presentations / publications
Kelly, P. J., Kay-Lambkin, F. J., Baker, A. L., Deane, F. P., Brooks, A. C., Mitchell, A., Marshall, S., Whittington, M., & Dingle, G. A. (2012). Study protocol: A randomized controlled trial of a computer-based depression and substance abuse intervention for people attending residential substance abuse treatment. BMC Public Health. doi:10.1186/1471-2458-12-113.
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Public notes
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Contacts
Principal investigator
Name
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Dr Peter Kelly
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Address
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Northfields Avenue,
School of Psychology,
University of Wollongong
NSW, Australia 2500
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Country
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Australia
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Phone
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+61 2 42 39 23 82
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Peter Kelly
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Address
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School of Psychology
Wollongong Campus
University of Wollongong
NSW, 2522
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Country
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Australia
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Phone
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+61 2 42 39 2382
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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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Peter Kelly
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Address
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School of Psychology
Wollongong Campus
University of Wollongong
NSW, 2522
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Country
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Australia
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Phone
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+61 2 42 39 2382
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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
Source
Title
Year of Publication
DOI
Embase
Study protocol: a randomized controlled trial of a computer-based depression and substance abuse intervention for people attending residential substance abuse treatment.
2012
https://dx.doi.org/10.1186/1471-2458-12-113
N.B. These documents automatically identified may not have been verified by the study sponsor.
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