Internet based self help program with or without support of a counselor is tested among anonymous Internet help seekers at an open access website.
A 5 module Internet based self help program based on motivational interviewing and cognitive behavioral therapy is tested among anonymous Internet help seekers.The design is a three armed randomized controlled study, and outcomes are measured in terms of changes in alcohol consumption, problematic alcohol use, alcohol dependence alcohol use disorder, anxiety, as well as depression and quality of life. 2400 participants are recruited entirely online from an open access website. Consenting participants will be randomized into one of three groups: 1.Internet based self help program with counselor support, 2.Internet based self help program without counselor support or 3. Information about the open access websites resources: information on alcohol and health, where you can find treatment and a online discussion forum. Follow-up will be conducted online after 3, 6, 12 and 24 months in all three groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
1,170
Users will have access to counselor support through secure comments at the end of every module they complete in the self help program.
An internet based intervention program (iCBT) consisting of 5 modules. Fully automated self-help
A swedish, open access website that includes information on alcohol, on how to find treatment and an internet discussion forum
Karolinska Institutet, Department of Public Health Sciences
Stockholm, Sweden
Time Line Follow Back (TLFB) (Change in total in consumption of alcohol last 7 days)
Change in total in consumption of alcohol last 7 days
Time frame: 3, 6, 12 and 24 months
Time Line Follow Back (TLFB) (Change in number of standard drinks per day during last 7 days)
Change in number of standard drinks per day during last 7 days
Time frame: 3, 6, 12 and 24 months
Time Line Follow Back (TLFB) (Change in number of consumption days during last 7 days)
Change in number of consumption days during last 7 days
Time frame: 3, 6, 12 and 24 months
Time Line Follow Back (TLFB) (Change in number of days binge-drinking days during last 7 days)
Change in number of days binge-drinking days during last 7 days
Time frame: 3, 6, 12 and 24 months
Alcohol dependence (ICD-10) (Change in number of criteria for alcohol dependence met)
Change in number of criteria for alcohol dependence met
Time frame: 3, 6, 12 and 24 months
Alcohol Use Disorder (DSM-5) (Change in number of criteria for alcohol use disorder met)
Change in number of criteria for alcohol use disorder met
Time frame: 3, 6, 12 and 24 months
Alcohol Use Identification Test (AUDIT) (Change in total AUDIT score, as a summarized measure of alcohol use)
Change in total AUDIT score, as a summarized measure of alcohol use (including alcohol consumption and alcohol-related problems)
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Time frame: 3, 6, 12 and 24 months
Montgomery Asberg Depression Rating Scale - Self report (MADRS-S) (Change in total MADRS-S score)
Change in total MADRS-S score, as a summarized measure of depression
Time frame: 3, 6, 12 and 24 months
Generalised Anxiety Disorder Assessment (GAD-7)
Change in total GAD-7 score, as a summarized measure of anxiety
Time frame: 3, 6, 12 and 24 months
The EuroQol generic health index (EQ5D)
Change in total EQ5D score, as a summarized measure of quality of life
Time frame: 3, 6, 12 and 24 months
Questions about help-seeking behavior
Change in help-seeking for alcohol related problems from professionals
Time frame: 3, 6, 12 and 24 months
Questions about help-seeking behavior (Change in help-seeking for alcohol related problems from family and friends)
Change in help-seeking for alcohol related problems from family and friends
Time frame: 3, 6, 12 and 24 months