Internet Based Cognitive Behavior Treatment for Alcohol Problems

Not Applicable

Completed

• Conditions: Alcohol Use Disorders
• Interventions: Behavioral: Internet-based CBT for alcohol problems

• Registration Number: NCT02384278
• Lead Sponsor: Karolinska Institutet

Brief Summary

The purpose of this study is to determine whether internet based cognitive behavior therapy might be effective in the treatment of alcohol problems.

Detailed Description

A 12 week Internet based self help program based on cognitive behavioral therapy and relapse prevention is tested among Internet help seekers as well as among patients seeking help in addiction care.The design is a one armed pilot study, and outcomes are measured in terms of changes in alcohol consumption, problematic alcohol use, self efficacy, craving, as well as depression and quality of life. 20 participants are recruited entirely online from an open access website and 20 participants are recruited through information given to them at an addiction clinic. All participants have access to the same self help program and have access to a licensed psychologist who guides the person all the way through the program.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2015-02-26
• Study Start: 2015-03
• Study First Submitted QC: 2015-03-03
• Study First Posted: 2015-03-10
• Primary Completion: 2015-11
• Study Completion: 2017-07
• Status Verified: 2019-08
• Last Update Submitted: 2019-08-12
• Last Update Posted: 2019-08-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 13

Inclusion Criteria

• ≥ 18 years
• access to the Internet
• problematic alcohol use defined as ≥ 16 p or more for men and ≥ 14 p or more for women in the Alcohol Use Identification Scale

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Exclusion Criteria

• not adequately fluent in Swedish
• reading or writing impairment if this is so severe as to affect treatment
• ongoing psychological treatment with content similar to the treatment being studied
• suicide risk defined as ≥ 4 p på MADRS-S Q 9 or through a telephone interview with clinician
• severe depression defined as MADRS-S ≥ 30 p
• somatic or psychiatric conditions that are contraindicated for the treatment such as psychosis, bipolar disorder (depressive or manic phase), severe post traumatic stress disorder.
• has during the last 3 weeks begun using medication for alcohol problems or other psychiatric disorder

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Internet-based CBT for alcohol problems	Internet-based CBT for alcohol problems	A 12-week internet-based cognitive behavior treatment (CBT) and relapse prevention program. The subjects will have access to a psychologist guiding them through the program.

Primary Outcome Measures

Name	Time	Method
Time Line Follow Back (TLFB)	Baseline, 14 and 26 weeks	Change in total TLFB score (consumption during preceding week), as a summarized

Secondary Outcome Measures

Name	Time	Method
World Health Organization Quality of Life Scale (WHOQOL-BREF)	Baseline, 14 and 26 weeks	Change in total WHOQOL-BREF score, as a summarized measure of quality of life
Alcohol Abstinence Self Efficacy Scale (AASES)	Baseline, 14 and 26 weeks	Change in total AASES score, as a summarized measure of self efficacy
Alcohol Use Disorders Identification Test (AUDIT)	Baseline, 14 and 26 weeks	Change in total AUDIT score, as a summarized measure of alcohol use (including alcohol consumption and alcohol-related problems)
Drug Use Identification Test (DUDIT)	Baseline, 14 and 26 weeks	Change in total DUDIT score, as a summarized measure of drug use (including drug consumption and drug-related problems)
Montgomery Asberg Depression Rating Scale - self report (MADRS-S)	Baseline, 14 and 26 weeks	Change in total MADRS-S score, as a summarized measure of depression
Readiness to Change Questionnaire (RTCQ)	Baseline, 14 and 26 weeks	Score in RTCQ as a summarized measure of motivation used as predictor for other outcomes
Penn Alcohol Craving Scale (PACS)	Baseline, 14 and 26 weeks

Trial Locations

Locations (1)

Karolinska institutet, Department of Clinical Neuroscience, Center for Psychiatric Research; 🇸🇪 Stockholm, Sweden