Brief Internet Intervention for Hazardous Alcohol Use to People Seeking Online Help for Depression

Not Applicable

Completed

• Conditions: Depression; Problem Drinking
• Interventions: Behavioral: MoodGYM; Behavioral: Check Your Drinking

• Registration Number: NCT03421080
• Lead Sponsor: Centre for Addiction and Mental Health

Brief Summary

Hazardous alcohol consumption is common among people suffering from depression. There are effective Internet interventions that target hazardous alcohol consumption or depression separately but none that combine these online interventions without the involvement of a therapist. This study aims to evaluate the effects of combining an Internet intervention targeting hazardous alcohol consumption with one for depression on drinking and depressive symptoms.

Detailed Description

A double-blinded, parallel group randomized controlled trial will be used. Participants with current depression who also drink in a hazardous fashion (N=986) will be recruited for a study to 'help improve an online intervention for depression.' Participants will be assigned, by chance, to receive MoodGYM or to receive MoodGYM plus a brief Internet intervention for hazardous alcohol consumption - Check Your Drinking (CYD). Participants will be contacted 3- and 6-months after receiving the interventions to assess changes in drinking and depression status. It is predicted that participants receiving the CYD intervention in addition to MoodGYM will reduce their alcohol consumption to a greater extent than those who just received MoodGYM. Further predictions include the impact of receiving Check Your Drinking on improvements in depressive symptoms.

Study Timeline

• Study First Submitted: 2018-01-29
• Study First Submitted QC: 2018-01-29
• Study First Posted: 2018-02-05
• Study Start: 2018-04-26
• Status Verified: 2021-02
• Primary Completion: 2021-02-03
• Study Completion: 2021-02-03
• Last Update Submitted: 2021-02-03
• Last Update Posted: 2021-02-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 988

Inclusion Criteria

• 18 years of age or over
• score 10 or more on the Patient Health Questionnaire (PHQ-9)
• score 8 or more on the Alcohol Use Disorder Identification Test (AUDIT)

Exclusion Criteria

• current suicidal ideation on the PHQ-9

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
MoodGYM Only	MoodGYM	The MoodGYM only Internet intervention will consist of a popular, automated, self-help cognitive behavioral therapy program for depression comprising five modules to be completed over five weeks and an online workbook incorporating 29 exercises. A series of published research trials has shown MoodGYM to be effective in reducing depressive symptoms in users in a range of settings (e.g., schools, universities, Lifeline suicide prevention, U.K. NHS Choices online), for different aspects of the mental health service spectrum (e.g., prevention vs treatment), and different age groups (adults, adolescents).
MoodGYM + CYD	MoodGYM	The MoodGYM + CYD intervention condition will consist of the MoodGYM only intervention and an online intervention providing feedback on quantity and frequency of drinking, severity of hazardous drinking, and provides recommendations for safe levels of alcohol consumption (Check Your Drinking - CYD). The CYD Final Report will be provided as part of the participant's MoodDYM dashboard.
MoodGYM + CYD	Check Your Drinking	The MoodGYM + CYD intervention condition will consist of the MoodGYM only intervention and an online intervention providing feedback on quantity and frequency of drinking, severity of hazardous drinking, and provides recommendations for safe levels of alcohol consumption (Check Your Drinking - CYD). The CYD Final Report will be provided as part of the participant's MoodDYM dashboard.

Primary Outcome Measures

Name	Time	Method
Number of drinks in a typical week	3 and 6 months	Change in number of drinks in a typical week from baseline

Secondary Outcome Measures

Name	Time	Method
Alcohol consequences	3 and 6 months	Change in number of alcohol consequences from baseline
CES-D	3 and 6 months	Change in depressive symptoms using the Centre for Epidemiological Studies Depression scale (CES-D) from baseline. Total score range from zero to 60 with higher scores indicating more symptomatology.
AUDIT-C	3 and 6 months	Change in AUDIT-C score (consumption subscale from the AUDIT) from baseline

Trial Locations

Locations (1)

Centre for Addiction and Mental Health; 🇨🇦 Toronto, Ontario, Canada