A brief treatment program (MI/CBT) via face-to-face or via internet is tested in association with an outpatient addictions clinic.
A 5-module program based on motivational interviewing (MI) and cognitive behavioral therapy (CBT) is tested among help-seekers at one outpatient clinic within the Stockholm Center for Dependency Disorders: Riddargatan 1.The design is a two-armed randomized controlled non-inferiority 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. 600 participants are recruited online from the clinic's website. Consenting participants will complete baseline questionnaires online and participate in face-to-face assessment by a physician at the clinic. Eligible individuals will then be randomized into one of two groups: 1.Internet-based treatment program with online counselor support. 2. Face-to-face treatment with 5 individual counselor sessions at the clinic. Follow-up will be conducted online after 3, 6, 12 and 24 months in both groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
310
A 5-module therapeutic program wich includes self-help material in printed or web-based form with interactive exercises. The program includes instructions for the therapist.
Karolinska Institutet, Department of Public Health Sciences
Stockholm, Sweden
Time Line Follow Back (TLFB)
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
Change in number of drinking 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
Change in number of binge-drinking days during last 7 days
Time frame: 3, 6, 12 and 24 months
Alcohol Use Disorders Identification Test Consumption (AUDIT-C)
Change in Quantity, Frequency and Binge-drinking scores during the time since last reported
Time frame: 3, 6, 12 and 24 months
Alcohol Use Disorders Identification Test (AUDIT)
Change in total AUDIT score, as a summarized measure of alcohol use since last reported
Time frame: 3, 6, 12 and 24 months
Montgomery Asberg Depression Rating Scale - Self report (MADRS-S)
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
Questions about help-seeking behavior from family and friends
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Change in help-seeking for alcohol related problems from family and friends. The questions about "other forms of support and treatment for problematic alcohol use during the trial period" were developed by our research group and used in a previous study of ours: Berman, A. H., Wennberg, P., \& Sinadinovic, K. (2015). Changes in Mental and Physical Well-Being Among Problematic Alcohol and Drug Users in 12-Month Internet-Based Intervention Trials. Psychology of Addictive Behaviors, 29(1), 97-105. doi:10.1037/a0038420.PMID:25664387
Time frame: 3, 6, 12 and 24 months
Questions about help-seeking behavior from professionals
Change in help-seeking for alcohol related problems from professionals. The questions about "other forms of support and treatment for problematic alcohol use during the trial period" were developed by our research group and used in a previous study of ours: Berman, A. H., Wennberg, P., \& Sinadinovic, K. (2015). Changes in Mental and Physical Well-Being Among Problematic Alcohol and Drug Users in 12-Month Internet-Based Intervention Trials. Psychology of Addictive Behaviors, 29(1), 97-105. doi:10.1037/a0038420.PMID:25664387
Time frame: 3, 6, 12 and 24 months