Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study

Antonio Verdejo-Garcia; Tara Rezapour; Emily Giddens; Arash Khojasteh Zonoozi; Parnian Rafei; Jamie Berry; Alfonso Caracuel; Marc L Copersino; Matt Field; Eric L Garland; Valentina Lorenzetti; Leandro Malloy-Diniz; Victoria Manning; Ely M Marceau; David L Pennington; Justin C Strickland; Reinout Wiers; Rahia Fairhead; Alexandra Anderson; Morris Bell; Wouter J Boendermaker; Samantha Brooks; Raimondo Bruno; Salvatore Campanella; Janna Cousijn; W Miles Cox; Andrew C Dean; Karen D Ersche; Ingmar Franken; Brett Froeliger; Pedro Gamito; Thomas E Gladwin; Priscila D Goncalves; Katrijn Houben; Joanna Jacobus; Andrew Jones; Anne M Kaag; Johannes Lindenmeyer; Elly McGrath; Talia Nardo; Jorge Oliveira; Charlotte R Pennington; Kelsey Perrykkad; Hugh Piercy; Claudia I Rupp; Mieke H J Schulte; Lindsay M Squeglia; Petra Staiger; Dan J Stein; Jeff Stein; Maria Stein; William W.  Stoops; Mary Sweeney; Katie  Witkiewitz; Stephen P. Woods; Richard Yi; Min Zhao; Hamed Ekhtiari

doi:10.1111/add.16109

Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study

Antonio Verdejo-Garcia
, Tara Rezapour
, Emily Giddens
, Arash Khojasteh Zonoozi
, Parnian Rafei
, Jamie Berry
, Alfonso Caracuel
, Marc L Copersino
, Matt Field
, Eric L Garland
, Valentina Lorenzetti
, Leandro Malloy-Diniz
, Victoria Manning
, Ely M Marceau
, David L Pennington
, Justin C Strickland
, Reinout Wiers
, Rahia Fairhead
, Alexandra Anderson
, Morris Bell

Wouter J Boendermaker, Samantha Brooks, Raimondo Bruno, Salvatore Campanella, Janna Cousijn, W Miles Cox, Andrew C Dean, Karen D Ersche, Ingmar Franken, Brett Froeliger, Pedro Gamito, Thomas E Gladwin, Priscila D Goncalves, Katrijn Houben, Joanna Jacobus, Andrew Jones, Anne M Kaag, Johannes Lindenmeyer, Elly McGrath, Talia Nardo, Jorge Oliveira, Charlotte R Pennington, Kelsey Perrykkad, Hugh Piercy, Claudia I Rupp, Mieke H J Schulte, Lindsay M Squeglia, Petra Staiger, Dan J Stein, Jeff Stein, Maria Stein, William W. Stoops, Mary Sweeney, Katie Witkiewitz, Stephen P. Woods, Richard Yi, Min Zhao, Hamed Ekhtiari

Ysgol Seicoleg a Gwyddor Chwaraeon

Monash University
Institute for Cognitive Science Studies
Tehran University of Medical Sciences
Macquarrie University
Brain and Behavior Research Center
McLean Hospital and Harvard Medical School
Sheffield University
Utah State University
Australian Catholic University
Federal University of Minas Gerais
University of Wollongong, Wollongong, NSW, Australia
University of California, San Diego
The Johns Hopkins University School of Medicine
Amsterdam University Medical Centers
Yale University School of Medicine
University of Tasmania
ULB Neuroscience Institute (UNI)
Erasmus University Rotterdam
University of California, Los Angeles
Institute of Criminology, University of Cambridge, Cambridge
University of Missouri, USA
Lusófona University
No affiliation/independent researcher
Columbia University Mailman School of Public Health
Maastricht University, Netherlands
Liverpool University
Neuro and Developmental Psychology
Salus Klinik Lindow
Manchester University
Aston University
Medical University Innsbruck
Medical University of South Carolina
Deaking University, Warrnambool, Victoria
University of Cape Town
Fralin Biomedical Research Institute at Virginial Tech
Bern University
University of Kentucky
Greater Baltimore Medical Center, Baltimore, USA
The University of New Mexico
University of Houston
University of Kansas
Shanghai University
University of Minnesota, USA
Centre for Public Health, Liverpool John Moores University

Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid

68 Wedi eu Llwytho i Lawr (Pure)

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AIMS: Substance use disorders (SUD) are associated with cognitive deficits that are not always addressed in current treatments, and this hampers recovery. Cognitive training and remediation interventions are well suited to fill the gap for managing cognitive deficits in SUD. We aimed to reach consensus on recommendations for developing and applying these interventions.

DESIGN, SETTING AND PARTICIPANTS: We used a Delphi approach with two sequential phases: survey development and iterative surveying of experts. This was an on-line study. During survey development, we engaged a group of 15 experts from a working group of the International Society of Addiction Medicine (Steering Committee). During the surveying process, we engaged a larger pool of experts (n = 54) identified via recommendations from the Steering Committee and a systematic review.

MEASUREMENTS: Survey with 67 items covering four key areas of intervention development: targets, intervention approaches, active ingredients and modes of delivery.

FINDINGS: Across two iterative rounds (98% retention rate), the experts reached a consensus on 50 items including: (i) implicit biases, positive affect, arousal, executive functions and social processing as key targets of interventions; (ii) cognitive bias modification, contingency management, emotion regulation training and cognitive remediation as preferred approaches; (iii) practice, feedback, difficulty-titration, bias modification, goal-setting, strategy learning and meta-awareness as active ingredients; and (iv) both addiction treatment work-force and specialized neuropsychologists facilitating delivery, together with novel digital-based delivery modalities.

CONCLUSIONS: Expert recommendations on cognitive training and remediation for substance use disorders highlight the relevance of targeting implicit biases, reward, emotion regulation and higher-order cognitive skills via well-validated intervention approaches qualified with mechanistic techniques and flexible delivery options.

Iaith wreiddiol	Saesneg
Tudalennau (o-i)	935-951
Nifer y tudalennau	17
Cyfnodolyn	Addiction
Cyfrol	118
Rhif cyhoeddi	5
Dyddiad ar-lein cynnar	12 Rhag 2022
Dynodwyr Gwrthrych Digidol (DOIs)	https://doi.org/10.1111/add.16109
Statws	Cyhoeddwyd - Mai 2023

Mynediad at Ddogfen

10.1111/add.16109

Addiction - 2022 - Verdejo‐GarciaFersiwn derfynol wedi’i chyhoeddi, 1.14 MBTrwydded: CC BY-NC

Dyfynnu hyn

Verdejo-Garcia, A., Rezapour, T., Giddens, E., Khojasteh Zonoozi, A., Rafei, P., Berry, J., Caracuel, A., Copersino, M. L., Field, M., Garland, E. L., Lorenzetti, V., Malloy-Diniz, L., Manning, V., Marceau, E. M., Pennington, D. L., Strickland, J. C., Wiers, R., Fairhead, R., Anderson, A., ... Ekhtiari, H. (2023). Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study. Addiction, 118(5), 935-951. https://doi.org/10.1111/add.16109

@article{0807d125dca64889b58b15150aebbc45,

title = "Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study",

abstract = "AIMS: Substance use disorders (SUD) are associated with cognitive deficits that are not always addressed in current treatments, and this hampers recovery. Cognitive training and remediation interventions are well suited to fill the gap for managing cognitive deficits in SUD. We aimed to reach consensus on recommendations for developing and applying these interventions.DESIGN, SETTING AND PARTICIPANTS: We used a Delphi approach with two sequential phases: survey development and iterative surveying of experts. This was an on-line study. During survey development, we engaged a group of 15 experts from a working group of the International Society of Addiction Medicine (Steering Committee). During the surveying process, we engaged a larger pool of experts (n = 54) identified via recommendations from the Steering Committee and a systematic review.MEASUREMENTS: Survey with 67 items covering four key areas of intervention development: targets, intervention approaches, active ingredients and modes of delivery.FINDINGS: Across two iterative rounds (98\% retention rate), the experts reached a consensus on 50 items including: (i) implicit biases, positive affect, arousal, executive functions and social processing as key targets of interventions; (ii) cognitive bias modification, contingency management, emotion regulation training and cognitive remediation as preferred approaches; (iii) practice, feedback, difficulty-titration, bias modification, goal-setting, strategy learning and meta-awareness as active ingredients; and (iv) both addiction treatment work-force and specialized neuropsychologists facilitating delivery, together with novel digital-based delivery modalities.CONCLUSIONS: Expert recommendations on cognitive training and remediation for substance use disorders highlight the relevance of targeting implicit biases, reward, emotion regulation and higher-order cognitive skills via well-validated intervention approaches qualified with mechanistic techniques and flexible delivery options.",

keywords = "Humans, Delphi Technique, Cognitive Training, Substance-Related Disorders/therapy, Behavior, Addictive/therapy, Consensus",

author = "Antonio Verdejo-Garcia and Tara Rezapour and Emily Giddens and \{Khojasteh Zonoozi\}, Arash and Parnian Rafei and Jamie Berry and Alfonso Caracuel and Copersino, \{Marc L\} and Matt Field and Garland, \{Eric L\} and Valentina Lorenzetti and Leandro Malloy-Diniz and Victoria Manning and Marceau, \{Ely M\} and Pennington, \{David L\} and Strickland, \{Justin C\} and Reinout Wiers and Rahia Fairhead and Alexandra Anderson and Morris Bell and Boendermaker, \{Wouter J\} and Samantha Brooks and Raimondo Bruno and Salvatore Campanella and Janna Cousijn and Cox, \{W Miles\} and Dean, \{Andrew C\} and Ersche, \{Karen D\} and Ingmar Franken and Brett Froeliger and Pedro Gamito and Gladwin, \{Thomas E\} and Goncalves, \{Priscila D\} and Katrijn Houben and Joanna Jacobus and Andrew Jones and Kaag, \{Anne M\} and Johannes Lindenmeyer and Elly McGrath and Talia Nardo and Jorge Oliveira and Pennington, \{Charlotte R\} and Kelsey Perrykkad and Hugh Piercy and Rupp, \{Claudia I\} and Schulte, \{Mieke H J\} and Squeglia, \{Lindsay M\} and Petra Staiger and Stein, \{Dan J\} and Jeff Stein and Maria Stein and Stoops, \{William W.\} and Mary Sweeney and Katie Witkiewitz and Woods, \{Stephen P.\} and Richard Yi and Min Zhao and Hamed Ekhtiari",

note = "{\textcopyright} 2022 The Authors. Addiction published by John Wiley \& Sons Ltd on behalf of Society for the Study of Addiction. Australian Medical Research Future Fund,Grant/Award Number: MRF1141214;National Health and Medical Research Council,Grant/Award Number: GNT2009464",

year = "2023",

month = may,

doi = "10.1111/add.16109",

language = "English",

volume = "118",

pages = "935--951",

journal = "Addiction",

issn = "0965-2140",

publisher = "Wiley-Blackwell",

number = "5",

}

Verdejo-Garcia, A, Rezapour, T, Giddens, E, Khojasteh Zonoozi, A, Rafei, P, Berry, J, Caracuel, A, Copersino, ML, Field, M, Garland, EL, Lorenzetti, V, Malloy-Diniz, L, Manning, V, Marceau, EM, Pennington, DL, Strickland, JC, Wiers, R, Fairhead, R, Anderson, A, Bell, M, Boendermaker, WJ, Brooks, S, Bruno, R, Campanella, S, Cousijn, J, Cox, WM, Dean, AC, Ersche, KD, Franken, I, Froeliger, B, Gamito, P, Gladwin, TE, Goncalves, PD, Houben, K, Jacobus, J, Jones, A, Kaag, AM, Lindenmeyer, J, McGrath, E, Nardo, T, Oliveira, J, Pennington, CR, Perrykkad, K, Piercy, H, Rupp, CI, Schulte, MHJ, Squeglia, LM, Staiger, P, Stein, DJ, Stein, J, Stein, M, Stoops, WW, Sweeney, M, Witkiewitz, K, Woods, SP, Yi, R, Zhao, M & Ekhtiari, H 2023, 'Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study', Addiction, cyfrol. 118, rhif 5, tt. 935-951. https://doi.org/10.1111/add.16109

TY - JOUR

T1 - Cognitive training and remediation interventions for substance use disorders

T2 - a Delphi consensus study

AU - Verdejo-Garcia, Antonio

AU - Rezapour, Tara

AU - Giddens, Emily

AU - Khojasteh Zonoozi, Arash

AU - Rafei, Parnian

AU - Berry, Jamie

AU - Caracuel, Alfonso

AU - Copersino, Marc L

AU - Field, Matt

AU - Garland, Eric L

AU - Lorenzetti, Valentina

AU - Malloy-Diniz, Leandro

AU - Manning, Victoria

AU - Marceau, Ely M

AU - Pennington, David L

AU - Strickland, Justin C

AU - Wiers, Reinout

AU - Fairhead, Rahia

AU - Anderson, Alexandra

AU - Bell, Morris

AU - Boendermaker, Wouter J

AU - Brooks, Samantha

AU - Bruno, Raimondo

AU - Campanella, Salvatore

AU - Cousijn, Janna

AU - Cox, W Miles

AU - Dean, Andrew C

AU - Ersche, Karen D

AU - Franken, Ingmar

AU - Froeliger, Brett

AU - Gamito, Pedro

AU - Gladwin, Thomas E

AU - Goncalves, Priscila D

AU - Houben, Katrijn

AU - Jacobus, Joanna

AU - Jones, Andrew

AU - Kaag, Anne M

AU - Lindenmeyer, Johannes

AU - McGrath, Elly

AU - Nardo, Talia

AU - Oliveira, Jorge

AU - Pennington, Charlotte R

AU - Perrykkad, Kelsey

AU - Piercy, Hugh

AU - Rupp, Claudia I

AU - Schulte, Mieke H J

AU - Squeglia, Lindsay M

AU - Staiger, Petra

AU - Stein, Dan J

AU - Stein, Jeff

AU - Stein, Maria

AU - Stoops, William W.

AU - Sweeney, Mary

AU - Witkiewitz, Katie

AU - Woods, Stephen P.

AU - Yi, Richard

AU - Zhao, Min

AU - Ekhtiari, Hamed

N1 - © 2022 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction. Australian Medical Research Future Fund,Grant/Award Number: MRF1141214;National Health and Medical Research Council,Grant/Award Number: GNT2009464

PY - 2023/5

Y1 - 2023/5

N2 - AIMS: Substance use disorders (SUD) are associated with cognitive deficits that are not always addressed in current treatments, and this hampers recovery. Cognitive training and remediation interventions are well suited to fill the gap for managing cognitive deficits in SUD. We aimed to reach consensus on recommendations for developing and applying these interventions.DESIGN, SETTING AND PARTICIPANTS: We used a Delphi approach with two sequential phases: survey development and iterative surveying of experts. This was an on-line study. During survey development, we engaged a group of 15 experts from a working group of the International Society of Addiction Medicine (Steering Committee). During the surveying process, we engaged a larger pool of experts (n = 54) identified via recommendations from the Steering Committee and a systematic review.MEASUREMENTS: Survey with 67 items covering four key areas of intervention development: targets, intervention approaches, active ingredients and modes of delivery.FINDINGS: Across two iterative rounds (98% retention rate), the experts reached a consensus on 50 items including: (i) implicit biases, positive affect, arousal, executive functions and social processing as key targets of interventions; (ii) cognitive bias modification, contingency management, emotion regulation training and cognitive remediation as preferred approaches; (iii) practice, feedback, difficulty-titration, bias modification, goal-setting, strategy learning and meta-awareness as active ingredients; and (iv) both addiction treatment work-force and specialized neuropsychologists facilitating delivery, together with novel digital-based delivery modalities.CONCLUSIONS: Expert recommendations on cognitive training and remediation for substance use disorders highlight the relevance of targeting implicit biases, reward, emotion regulation and higher-order cognitive skills via well-validated intervention approaches qualified with mechanistic techniques and flexible delivery options.

AB - AIMS: Substance use disorders (SUD) are associated with cognitive deficits that are not always addressed in current treatments, and this hampers recovery. Cognitive training and remediation interventions are well suited to fill the gap for managing cognitive deficits in SUD. We aimed to reach consensus on recommendations for developing and applying these interventions.DESIGN, SETTING AND PARTICIPANTS: We used a Delphi approach with two sequential phases: survey development and iterative surveying of experts. This was an on-line study. During survey development, we engaged a group of 15 experts from a working group of the International Society of Addiction Medicine (Steering Committee). During the surveying process, we engaged a larger pool of experts (n = 54) identified via recommendations from the Steering Committee and a systematic review.MEASUREMENTS: Survey with 67 items covering four key areas of intervention development: targets, intervention approaches, active ingredients and modes of delivery.FINDINGS: Across two iterative rounds (98% retention rate), the experts reached a consensus on 50 items including: (i) implicit biases, positive affect, arousal, executive functions and social processing as key targets of interventions; (ii) cognitive bias modification, contingency management, emotion regulation training and cognitive remediation as preferred approaches; (iii) practice, feedback, difficulty-titration, bias modification, goal-setting, strategy learning and meta-awareness as active ingredients; and (iv) both addiction treatment work-force and specialized neuropsychologists facilitating delivery, together with novel digital-based delivery modalities.CONCLUSIONS: Expert recommendations on cognitive training and remediation for substance use disorders highlight the relevance of targeting implicit biases, reward, emotion regulation and higher-order cognitive skills via well-validated intervention approaches qualified with mechanistic techniques and flexible delivery options.

KW - Humans

KW - Delphi Technique

KW - Cognitive Training

KW - Substance-Related Disorders/therapy

KW - Behavior, Addictive/therapy

KW - Consensus

U2 - 10.1111/add.16109

DO - 10.1111/add.16109

M3 - Article

C2 - 36508168

SN - 0965-2140

VL - 118

SP - 935

EP - 951

JO - Addiction

JF - Addiction

IS - 5

ER -

Cognitive training and remediation interventions for substance use disorders: a Delphi consensus study

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