About this trial
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.
Eligibility criteria
Qualifiers
Adults aged 18 years or older
Currently enrolled in a residential therapeutic community for substance use treatment
Minimum stay of at least 7 days prior to baseline assessment
Ability to understand and provide informed consent
Disqualifiers
Acute psychotic symptoms or severe psychiatric decompensation that interferes with participation
Severe cognitive impairment limiting comprehension of study procedures
Current medical instability requiring immediate external intervention
Refusal to participate in any component of the study
Trial design
Treatments tested in this trial
- Ecological Momentary Assessment (EMA)