This study evaluates the efficacy of a skills training web-based mobile phone application, Telecoach among individuals in the general population seeking help for their risky alcohol consumption on the Internet. The design is a two-armed randomized controlled design, and outcomes are measured in terms of changes in excessive alcohol use at follow up 6, 12 and 26 weeks after study initiation and baseline data gathering. The Telecoach web app delivers skills training in the form of exercises commonly used in psychosocial interventions for risky alcohol use. The controll condition is a web app providing information on the effects of alcohol on the consumers' health.
This study evaluates the efficacy of a skills training web-based mobile phone application, Telecoach among individuals in the general population seeking help for their risky alcohol consumption on the Internet. The design is a two-armed randomized controlled design, and outcomes are measured in terms of changes in excessive alcohol use at follow up 6, 12 and 26 weeks after study initiation and baseline data gathering. Individuals seeking help for problematic alcohol use on the internet will get access to a webpage with information about the study. Individuals leaving informed consent are asked to fill out questionnaires about alcohol use, depression, anxiety and information on gender and weight. Those with excessive alcohol use (\>14 standard glasses/week for men and \> 9 for women) are randomized into one of two groups: 1. Access to the Telecoach web-app and 2. Access to a control condition with an information-providing web-app. Outcomes on alcohol use are gathered by electronic self-registration at 6, 12 and 26 weeks after study initiation. Additional questions on the users' satisfaction with the app assigned to them and other support for problematic alcohol used during the research period at 26 weeks. The Telecoach web-app is a skills-training app developed for use on a mobile smart-phone. The skills-training components are common to psychosocial treatment protocols for problematic alcohol consumption. The control condition web-app is a simple text-based app providing information on the effects of alcohol on the consumers' health. Outcomes will be reported, analyzed and discussed in a scientific article.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
678
A skills-training web-app teaching skills for reducing problematic alcohol use.
A web-app providing information about the health-related consequences of alcohol consumption.
Karolinska institutet, Department of Clinical Neuroscience, Center for Psychiatric Research
Stockholm, Sweden
Change in alcohol consumption according to the 7-day Timeline Followback (TLFB)
Change in the total number of standard glasses (12g of ethanol) consumed for each day of the preceding 7 days at each timepoint compared.
Time frame: Time between screening measure and 26-week followup
Daily Drinking Questionnaire (DDQ)
The number of standard glasses (12g of ethanol) consumed and over how many hours for each day of a typical week the last month.
Time frame: Baseline, 6, 12 and 26 week followups.
Alcohol Use Disorders Identification Test (AUDIT)
10 questions measuring alcohol consumption and alcohol-related problems.
Time frame: Baseline and 26-week followup.
Change in alcohol consumption according to the 7-day Timeline Followback (TLFB)
Change in the total number of standard glasses (12g of ethanol) consumed for each day of the preceding 7 days at each timepoint compared.
Time frame: Baseline, 6- and 12-week followups.
Readiness Ruler
A visual analogue scale measuring participants' motivation to change their alcohol consumption.
Time frame: Baseline and 26-week followup.
DSM-5 Alcohol use disorder criteria.
Criteria for the diagnosis Alcohol use disorder in the the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Time frame: Baseline
Penn Alcohol Craving Scale (PACS)
5 items to measure participants' craving for alcohol.
Time frame: Baseline, 6, 12 and 26 week followups.
Alcohol Abstinence Self Efficacy scale (AASE)
12 items for measuring self efficacy in the domain of abstaining from drinking alcohol.
Time frame: Baseline, 6, 12 and 26 week followups.
Drug Use Disorders Identification Test (DUDIT)
11 items for measuring participants' drug consumption and drug-related problems.
Time frame: Baseline
Montgomery Åsberg Depression Rating Scale - Self-rating version (MADRS-S)
9 questions measuring symptoms of depression
Time frame: Baseline, 6, 12 and 26 week followups.
Generalized Anxiety Disorder-7 (GAD-7)
7 questions measuring symptoms of anxiety
Time frame: Baseline, 6, 12 and 26 week followups.
Treatment questions (7 questions regarding access to other help and support for problematic alcohol use).
7 questions regarding access to other help and support for problematic alcohol use.
Time frame: Baseline and 26 week followup.
Usability questions regarding the participants' experience of using the web-app they were assigned.
Questions regarding the participants' experience of using the web-app they were assigned.
Time frame: 26 week followup
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