Effectiveness of Internet-Based Self-Help ACT With Behavioral Activation in Improving Alcohol Use Abstinence Among Ethnic Minority Young Adults With Alcohol Use Disorder in Hong Kong, 2024: A Pilot Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Screening rate
Study Overview
Brief Summary
The goal of this clinical trial is to examine the preliminary effectiveness and feasibility of internet-based self-help acceptance and commitment therapy with behavioral activation for ethnic minority young adults with alcohol use disorder. The main questions it aims to answer are:
- Is the internet-based self-help acceptance and commitment therapy with Behavioral activation (self-help iACT-BA) feasible and acceptable for ethnic minority young adults with AUD?
- Does the self-help iACT-BA promote greater abstinence from alcohol use compared to treatment as usual (TAU) in ethnic minority young adults diagnosed with AUD? Researchers will compare self-help iACT-BA to treatment as usual (TAU) to see if self-help iACT-BA works to treat alcohol use disorder in ethnic minority young adults.
Participants will:
- Received a self-help iACT-BA module every week for 6 weeks. or a placebo every day for 4 months
- Access the module every week, read the material, practice, and complete home assignments.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 25 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Hong Kong ethnic minority young adults
- •They have to read, write, and speak English
- •Their age will range from 18 to 25
- •They will be voluntary to participate
- •Participants should have smartphones or other electronic devices to access the internet
- •They must have AUD based on DSM-5 criteria.
Exclusion Criteria
- •Currently having psychiatric problems, other mental health problems, being actively involved in suicidal attempts, or immediate care
- •Having a plan to go out of Hong Kong during intervention implementation
- •Having no access to the internet, smart telephone, or other electronic devices
- •Have participated in another psychosocial or pharmacological intervention for AUD.
Arms & Interventions
Intervention Arm
The intervention group will receive online-based integrated ACT with BA therapy. The protocol of this therapy is adapted from the ACT manual, self-help protocols for mental health problems, and behavioral activation treatment for substance use and depression.
Intervention: Self-help acceptance and commitment therapy with behavioral activation (Behavioral)
Control Arm
The control group will be assigned to receive Treatment as Usual (TAU).
Outcomes
Primary Outcomes
Screening rate
Time Frame: 3 months
calculated as the number of Hong Kong ethnic minority young adults screened by the research assistant divided by the number of Hong Kong ethnic minority young adults available for screening during the recruitment period.
Eligibility rate
Time Frame: 3 months
Calculated as the number of eligible ethnic minority young adults divided by the number of screened ethnic minority young adults.
Consent rate
Time Frame: 3 months
calculated as the number of eligible ethnic minority young adults who join the study divided by the number of eligible ethnic minority young adults.
Randomization rate
Time Frame: 2 weeks
calculated as the number of ethnic minority young adults who are randomized into the experimental and control groups, divided by the number of eligible ethnic minority young adults who consent to join the study
Attendance rate
Time Frame: 6 weeks
calculated as the number of subjects in the experimental group who complete the intervention divided by the number of subjects randomized into the experimental group.
Adherence rate
Time Frame: 6 weeks
calculated as the number of subjects in the experimental group who practice the ACT skills gained in the intervention divided by the number of subjects randomized into the experimental group
Retention rate
Time Frame: 6 weeks
calculated the number of subjects who remain in the study, divided by the number of subjects who are randomized
Completion rate
Time Frame: 6 weeks
calculated as the number of subjects who answer the questionnaires divided by the number of questionnaires distributed
Missing data
Time Frame: 6 weeks
percentage of missing in the dataset. Unknown or blank values will be regarded
Adverse events
Time Frame: 6 weeks
unfavorable and unintended events that are absent from baseline, or appear to worsen from baseline during the study period
Secondary Outcomes
- Abstinence rate(6 weeks)
- Average number of drinks consumed per day(6 weeks)
- The number of drinking days(6 weeks)
- The number of heavy drinking days(6 weeks)
Investigators
Dr Eva Ho
Associate professor
The Hong Kong Polytechnic University