Objectives: This study will evaluate the efficacy of internet-based relapse prevention with therapist support, as compared to face-to-face therapy at an employee assistance program. The design is a two-armed randomized controlled design, and outcomes are measured in terms of changes in problematic alcohol use, as well as depression and quality of life. Method: Participants with problematic alcohol use who, after an initial evaluation consisting of five face-to-face sessions with a licensed psychologist where alcohol and collateral problems are extensively assessed, are recommended treatment for problematic alcohol use. Consenting participants will be randomized into one of two groups: 1. Internet delivered relapse prevention with therapist support or 2. Face-to-face therapy. Outcomes on alcohol use, depression and quality of life as well as information on user satisfaction will be gathered post treatment. Follow up will be at 3, 6 and 12 months after completion. Our hypothesis is that the internet-based program with therapist support and the face-to-face therapy will be equally effective in reducing alcohol use (non-inferiority).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
1
A web-based relapse intervention program consisting of 14 modules. The patient will have access to therapist support through a secure messaging system
Face-to-face psychotherapy, consisting of 20 sessions. The content will be different for different therapists, but all have an evidence based approach to therapy
Karolinska institutet, Department of Clinical Neuroscience
Stockholm, Sweden
Alcohol Use Identification Test (AUDIT)
Change in total AUDIT score, as a summarized measure of alcohol use (including alcohol consumption and alcohol-related problems)
Time frame: Post, 3, 6 and 12 months
Time Line Follow Back (TLFB)
Change in total TLFB score, as a summarized measure of alcohol consumption
Time frame: Post, 3, 6 and 12 months
Montgomery Asberg Depression Rating Scale - Self report (MADRS-S)
Change in total MADRS-S score, as a summarized measure of depression
Time frame: Post, 3, 6 and 12 months
World Health Quality of Life Scale (WHOQOL-BREF)
Change in total WHOQOL-BREF score, as a summarized measure of quality of life
Time frame: Post, 3, 6 and 12 months
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