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CompletedNo phase

Adapting and Piloting Behavioral Activation for Veterans With Alcohol Use Disorder and Posttraumatic Stress Disorder

Key facts

Who runs it
RTI International
Where
Durham, United StatesSee the site
Trial code
Status
Completed
People taking part
10 people enrolled
Started
17 Jan 2025
Ended
6 Oct 2025
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Behavioral Activation (BA)
  • Relapse Prevention (RP)
Record updated
9 June 2026

Who can take part

Age
18 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

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Who can take part

  • Be a U.S. veteran,
  • Be at least 18 years old,
  • Meet Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for current AUD,
  • Report 3+ heavy drinking days (5+ drinks for men/4+ drinks for women) or 1+ heavy drinking week (15+ drinks men/8+ drinks women) in the past 30 days,
  • Meet DSM-5 criteria for current PTSD or satisfy the definition of current subthreshold PTSD (i.e., up to one of symptom clusters B-E may fall below diagnostic threshold),
  • Be fluent and literate in English, and
  • Be able to provide voluntary, informed consent to participate

Who cannot take part

  • Prior inpatient alcohol withdrawal management,
  • Psychotropic (including alcohol abstinence) medication changes within 30 days of study enrollment or plans to change medications during the study,
  • Lifetime alcohol withdrawal-related seizures, delirium, or hallucinations,
  • Current DSM-5 severe drug use disorder (DUD) except for severe tobacco use disorder,
  • Current/planned non-study BA for any disorder during the study, or
  • Current mania/hypomania or current psychosis,
  • Current/planned evidence-based psychotherapy for AUD, PTSD, or DUD during the study

Where in United States

  • Duke University School of MedicineDurham, United States

About the trial

What the trial wants to find out

The goal of this clinical trial is to compare an adaptation of Behavioral Activation, a behavioral intervention, to Relapse Prevention treatment, another behavioral intervention, in a sample of U.S. military veterans with co-occurring alcohol use disorder (AUD) and posttraumatic stress disorder (PTSD).

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The primary aims of this study are to:

1. Adapt Behavioral Activation to treat veterans with AUD/PTSD, 2. Evaluate the feasibility, acceptability, and preliminary effects of Behavioral Activation for AUD/PTSD, and 3. Explore geospatial analysis as a new method for measuring AUD/PTSD recovery.

Participants will complete self-report and interview measures immediately before and immediately after treatment. Participants will also be asked to participate in passive geospatial assessment for 14-day periods immediately before and immediately after treatment. Participants will be randomized to treatment condition, which involves 8 sessions of either Behavioral Activation or Relapse Prevention, delivered individually by a trained study therapist.

The 2 groups in the trial

  • Behavioral Activation (BA)Treatment being tested

    Individual psychotherapy

  • Relapse Prevention (RP)Existing treatment, for comparison

    Individual psychotherapy

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Adapting and Piloting Behavioral Activation for Veterans With Co-Occurring AUD and Posttraumatic Stress Disorder
Record updated
9 June 2026