Dynamic Multilevel Processes of Recovery in Therapeutic Communities in Mexico (DICO Model)

Sponsor
Under The Tree Therapeutic Community
Study ID
NCT07588516
Status
Not Yet Recruiting

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Conditions

  • Substance Use Disorder (SUD)
  • Treatment Adherence

Eligibility Criteria

Sex
MALE
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Ecological Momentary Assessment (EMA) — OTHER
    Real-time data collection method using mobile devices to assess momentary fluctuations in craving, psychological flexibility, and social context multiple times per day. This procedure is used for observational measurement only and does not constitute a therapeutic intervention.

Study Details

This study aims to develop and empirically evaluate the Dinámica Integral Conductual Comunitaria (DICO) model, a multilevel framework that conceptualizes recovery from substance use disorders as a dynamic process emerging from the interaction between individual behavioral variables, social contingencies, and community-level factors within therapeutic communities in Mexico. A prospective longitudinal design with intensive repeated measures will be implemented over 8 to 12 weeks. Data will be collected using ecological momentary assessment (EMA), psychometric instruments, behavioral records, and semi-structured interviews. The study seeks to model recovery trajectories as nonlinear dynamic systems, identifying critical transitions, instability patterns, and contextual moderators associated with treatment adherence and relapse risk.

Key Dates

First listed
May 14, 2026
Start date
May 15, 2026
Status verified
May 2026
Primary completion
Sep 26, 2026
Completion
Oct 2, 2026

Study Design

Enrollment
60 participants (estimated)

Arms

  • Arm: Therapeutic Community Residents
    Adult residents undergoing residential treatment for substance use in therapeutic communities in Mexico. Participants are followed prospectively for 8-12 weeks using intensive longitudinal assessment, including ecological momentary assessment (EMA), psychometric measures, behavioral logs, and qualitative interviews. No experimental manipulation or assignment to interventions is performed.

Primary Outcome Measure

Treatment Adherence - Length of Stay [ Time Frame: From admission to discharge (up to 12 weeks) ]

Central Contacts

  • Lauro Gutiérrez Castro, Mtro.
    +523314696107
    [email protected]
  • Ricardo Fernandez
    +52 1 33 1544 5474

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