Internet-delivered Cognitive Behavior Therapy for Problematic Alcohol Use in a Working Life Setting

Completed

• Conditions: Alcohol Use Disorder; Alcohol Abuse

• Registration Number: NCT06774716
• Lead Sponsor: Stockholm University

Brief Summary

Internet-based cognitive behavioral treatment (ICBT) for mental health issues has been successfully implemented in routine health care and research indicates that ICBT can also be applied to decrease problematic alcohol use in healthcare as well as working life settings. However, qualitative studies investigating the feasibility of implementing ICBT in a working life context have been lacking. The current study will investigate the feasibility of delivering ICBT for problematic alcohol use within an employee assistance program (EAP), and will compare outcomes for ICBT with face-to-face treatment in a naturalistic quantitative study. Recruitment to the study follows employer contact with the EAP regarding an employee's presumed problematic alcohol consumption, leading to a five-session in-person psychological assessment. All assessed employees recommended ICBT or face-to-face treatment will be offered participation in the study. In addition to quantitative evaluation, interviews will be conducted with employees and their employer representatives following ICBT to elucidate both stakeholders' experience and perception of ICBT in the work life context. Thematic analysis and grounded theory will be used to analyze the interview material. Outcome comparisons between ICBT and face-to-face treatment will be assessed quantitatively using a Reliable Change Index and analysis of variance or other relevant statistical analyses such as multilevel modeling.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-03-15
• Study First Submitted: 2022-05-10
• Primary Completion: 2023-12-31
• Status Verified: 2025-01
• Study Completion: 2025-01-01
• Study First Submitted QC: 2025-01-08
• Last Update Submitted: 2025-01-08
• Study First Posted: 2025-01-14
• Last Update Posted: 2025-01-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 38

Inclusion Criteria

18 years; access to the Internet; problematic alcohol use assessed by a licenced psychologist; referred to treatment within a rehabilitation intervention initiated by the work-place; Work-place covers treatment costs;

Exclusion Criteria

not adequately fluent in Swedish; drug use; suicidality; indications of excessive use of the internet and computer gaming and/or gambling;

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time Line Follow Back (TLFB)	Baseline and 14 weeks, 6 months, 12 months and	Change in total TLFB score (consumption during preceding week), as a summarized measure of alcohol consumption

Secondary Outcome Measures

Name	Time	Method
Patient Health Questionnaire (PHQ-9)	Baseline and 14 weeks, 6 months, 12 months	Change in total PHQ-9 score, as a summarized measure of depression
Generalized Anxiety Disorder-7 (GAD-7)	Baseline and 14 weeks, 6 months, 12 months	Change in total GAD-7 score, as a summarized measure of anxiety
The WHO-5 well-being-index	Baseline and 14 weeks, 6 months, 12 months	Change in total WHO-5 score, as a summarized measure of general well-being
Alcohol Use Disorders Identification Test (AUDIT)	Baseline and 14 weeks, 6 months, 12 months	Change in total AUDIT score, as a summarized measure of alcohol use (including alcohol consumption and alcohol-related problems)

Trial Locations

Locations (1)

Stockholm University; 🇸🇪 Stockholm, Sweden