[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100637664":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":19,"centralContacts":33,"locations":41,"responsibleParty":57,"collaborators":10,"id":60,"slug":61,"hasResults":62,"nctId":63,"briefTitle":64,"officialTitle":65,"acronym":66,"eligibilityCriteria":67,"healthyVolunteers":62,"sex":68,"minAge":69,"maxAge":10,"enrollmentInfo":70,"targetDuration":73,"studyType":74,"phases":10,"briefSummary":75,"conditions":76,"keywords":79,"overallStatus":87,"whyStopped":10,"lastUpdateSubmitDate":88,"lastUpdatePostDateStruct":89,"startDateStruct":92,"completionDateStruct":94,"leadSponsor":96,"locationsCount":97},{"fullName":5,"class":6},"Under The Tree Therapeutic Community","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Therapeutic Community Residents",null,"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.",[13],"Other: Ecological Momentary Assessment (EMA)",[15],{"type":6,"name":16,"description":17,"armGroupLabels":18,"otherNames":10},"Ecological Momentary Assessment (EMA)","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.",[9],[20,24,27,30],{"name":21,"affiliation":22,"role":23},"Lauro Gutiérrez Castro, Mtro.","Under The Tree Miller A.C.","PRINCIPAL_INVESTIGATOR",{"name":25,"affiliation":26,"role":23},"Oswaldo Barrera Torres","Amanecer entre nubes",{"name":28,"affiliation":29,"role":23},"Erick Rodolfo Guerrero Manjarrez","Universidad Autónoma Indígena de México",{"name":31,"affiliation":32,"role":23},"Denisse Lizeth Mares Ramírez","Centro de Estudios e Investigaciones en Comportamiento (CEIC)",[34,38],{"name":21,"role":35,"phone":36,"phoneExt":10,"email":37},"CONTACT","+523314696107","saraqael_sefer@hotmail.com",{"name":39,"role":35,"phone":40,"phoneExt":10,"email":10},"Ricardo Fernandez","+52 1 33 1544 5474",[42],{"facility":43,"status":10,"city":44,"state":45,"zip":46,"country":47,"countryCode":48,"cosmosGeoPoint":49,"geoPoint":54,"contacts":55},"Comunidad Terapéutica Under The Tree","Ajijic","Jalisco","45920","Mexico","MX",{"type":50,"coordinates":51},"Point",[52,53],-103.26138,20.29992,{"lat":53,"lon":52},[56],{"name":39,"role":35,"phone":40,"phoneExt":10,"email":37},{"type":23,"investigatorFullName":58,"investigatorTitle":59,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"Lauro Gutiérrez Castro","Principal Investigator","100637664","dynamic-multilevel-processes-of-recovery-in-therapeutic-communities-in-mexico-dico-model-100637664",false,"NCT07588516","Dynamic Multilevel Processes of Recovery in Therapeutic Communities in Mexico (DICO Model)","Comprehensive Behavioral Community Dynamics (DICO): A Prospective Longitudinal Study of Multilevel Community Processes in Therapeutic Communities for Substance Use Treatment in Mexico","DICO","Inclusion Criteria:\n\n* Adults aged 18 years or older\n* Currently enrolled in a residential therapeutic community for substance use treatment\n* Minimum stay of at least 7 days prior to baseline assessment\n* Ability to understand and provide informed consent\n* Expected availability for participation during the 8-12 week follow-up period\n\nExclusion Criteria:\n\n* Acute psychotic symptoms or severe psychiatric decompensation that interferes with participation\n* Severe cognitive impairment limiting comprehension of study procedures\n* Current medical instability requiring immediate external intervention\n* Refusal to participate in any component of the study","MALE","18 Years",{"count":71,"type":72},60,"ESTIMATED","12 Weeks","OBSERVATIONAL","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.\n\nA 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.\n\nThe 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.",[77,78],"Substance Use Disorder (SUD)","Treatment Adherence",[80,16,81,82,83,84,85,86],"Therapeutic Communities","Psychological Flexibility","Craving","Community Reinforcement","Acceptance and Commitment Therapy","Multilevel Modeling","Dynamic Systems","NOT_YET_RECRUITING","2026-05-08",{"date":90,"type":91},"2026-05-14","ACTUAL",{"date":93,"type":72},"2026-05-15",{"date":95,"type":72},"2026-10-02",{"name":5,"class":6},1]