title: Study design to evaluate cognitive behavioral therapy among a diverse sample of adults with a first-time DUI offense.
abstract: BACKGROUND
  Driving under the influence (DUI) of alcohol is a major public health concern, and many individuals continue to drink and drive even after being convicted of a DUI offense. Latinos, in particular, are disproportionately likely to be arrested for a DUI, have higher rates of recidivism, and are more likely to die in alcohol-related accidents than non-Latino Whites. Latinos also experience significant disparities in accessing alcohol-related treatment.
  
  
  METHODS
  This study protocol paper describes a randomized trial of cognitive behavioral therapy (CBT) compared to usual care in DUI programs for individuals with a first-time offense and at-risk drinking. We will utilize a two-group randomized design where individuals enrolled in a DUI program with a first-time conviction will be randomized to CBT (n = 150) or usual care (n = 150). Participants will be assessed at baseline, immediately post-treatment, and 6-months post-treatment. Recidivism data will be collected using administrative data within 2 years post-treatment.
  
  
  CONCLUSIONS
  This project has the potential to benefit a large population of vulnerable individuals who are at risk of DUI recidivism. It also develops a new model of care by providing treatment in DUI programs to reduce disparities associated with poor treatment access. Trial registration NCT02588703.
authors.affiliation: RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA, 90407-2138, USA. karenc@rand.org.
authors.forename: Karen
authors.initials: K
authors.lastname: Chan Osilla
authors.affiliation: RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA, 90407-2138, USA.
authors.forename: Katherine E
authors.initials: KE
authors.lastname: Watkins
authors.affiliation: RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA, 90407-2138, USA.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Kulesza
authors.affiliation: RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA, 90407-2138, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Flórez
authors.affiliation: RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA, 90407-2138, USA.
authors.forename: Marielena
authors.initials: M
authors.lastname: Lara-Greenberg
authors.affiliation: RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA, 90407-2138, USA.
authors.forename: Jeremy N V
authors.initials: JN
authors.lastname: Miles
mesh_terms: D000428:Alcohol Drinking / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D000066448:Driving Under the Influence / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D044469:Racial Groups; D012107:Research Design
keywords: Alcohol use disorders; Cognitive behavioral therapy; DUI