[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"Under The Tree Therapeutic Community\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":48},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":4,"hasResults":10,"nctId":11,"briefTitle":12,"officialTitle":13,"acronym":14,"eligibilityCriteria":15,"healthyVolunteers":10,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":21,"studyType":22,"phases":4,"briefSummary":23,"conditions":24,"keywords":27,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":5},"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":19,"type":20},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.",[25,26],"Substance Use Disorder (SUD)","Treatment Adherence",[28,29,30,31,32,33,34,35],"Therapeutic Communities","Ecological Momentary Assessment (EMA)","Psychological Flexibility","Craving","Community Reinforcement","Acceptance and Commitment Therapy","Multilevel Modeling","Dynamic Systems","NOT_YET_RECRUITING","2026-05-08",{"date":39,"type":40},"2026-05-14","ACTUAL",{"date":42,"type":20},"2026-05-15",{"date":44,"type":20},"2026-10-02",{"name":46,"class":47},"Under The Tree Therapeutic Community","OTHER",""]