Guided and Unguided Internet Treatment for Problematic Alcohol Use

Not Applicable

Completed

• Conditions: Alcohol Addiction; Alcohol Abuse
• Interventions: Behavioral: Choice; Behavioral: Messages; Behavioral: Self help

• Registration Number: NCT02384304
• Lead Sponsor: Karolinska Institutet

Brief Summary

The purpose of this study was to determine whether a 10-week internet-based program based on cognitive behavioral therapy (CBT) is effective in the treatment of alcohol problems, and if having therapist guidance leads to greater effects.

Detailed Description

Objectives: An 10 week Internet-based self-help program based on cognitive behavioral therapy (CBT) was tested among Internet help seekers.The design was a three-armed randomized controlled design, and outcomes were measured in terms of changes in problematic alcohol use, as well as depression, anxiety and quality of life. 80 participants were recruited entirely online from an open access website and randomized into three different groups. All participants had access to the same self-help program. However, one group was given a choice between two forms of therapist guidance (messages or weekly chat sessions), one group received therapist guidance in the form of secure messages, and one group received no therapist guidance.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2012-12
• Primary Completion: 2013-03
• Study Completion: 2013-03
• Study First Submitted: 2015-02-26
• Study First Submitted QC: 2015-03-03
• Study First Posted: 2015-03-10
• Status Verified: 2015-08
• Last Update Submitted: 2015-08-31
• Last Update Posted: 2015-09-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• ≥ 18 years
• access to the Internet
• problematic alcohol use defined as ≥ 8 p or more for men and ≥ 6 p or more for women in the Alcohol Use Identification Scale

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Exclusion Criteria

• not adequately fluent in Swedish

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Choice	Choice	A self help program consisting of 8 modules. Patients will have access to therapist support through either messages or chat sessions
Messages	Messages	A self help program consisting of 8 modules. Patients will have access to therapist support through messages
Self help	Self help	A relapse intervention program consisting of 8 modules. Patients will have no access to therapist support

Primary Outcome Measures

Name	Time	Method
Time Line Follow Back (TLFB)	Baseline and 10 weeks	Change in total TLFB score (consumption during preceding week), as a summarized measure of alcohol consumption

Secondary Outcome Measures

Name	Time	Method
Hamilton Anxiety and Depression Scale (HADS)	Baseline and 10 weeks	Change in total HADS score, as a summarized measure of depression and anxiety, respectively
WHOQOL-BREF	Baseline and 10 weeks	Change in total WHOQOL-BREF score, as a summarized measure of quality of life
Alcohol Use Disorders Identification Test (AUDIT)	Baseline and 10 weeks	Change in total AUDIT score, as a summarized measure of alcohol use (including alcohol consumption and alcohol-related problems)
EQ5	Baseline and 10 weeks	Change in total EQ5 score, as a summarized measure of quality of life

Trial Locations

Locations (1)

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