The main goal is to study the effects of internet-delivered cognitive behavioural therapy with minimum guidance for comorbid sleep problems in alcohol use disorder, in routine addiction care.
Alcohol use disorder (AUD) is highly prevalent and a major contributor to the global burden of disease. Insomnia symptoms are very common among individuals with AUD, including those in recovery, which may in turn promote alcohol relapse. Specialization and silo phenomena in healthcare organization, separating addiction from other types of psychiatric care, means that individuals with AUD and comorbid sleep problems often have difficulty accessing evidence-treatment for the latter. Offering online treatment for sleep problems to individuals enrolled in traditional routine addiction care is an attractive and pragmatic approach to offering parallel treatments covering the full clinical presentation, which has not yet been evaluated. This pilot and feasibility trial will recruit n=25 from patients in routine addiction care with comorbid sleep problems and AUD, who will complete an online, ten-module, CBT-based treatment program with minimum guidance for sleep problems, tailored for individuals with AUD.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
25
The ten modules cover: * Psychoeducation about sleep, sleep problems, and associations with alcohol * How to keep and use a sleep diary * Sleep hygiene * Sleep compression * Cognitive restructuring * Emotional regulation * Preparing for the future
Stockholm Addiction eClinic (eStöd, Beroendecentrum Stockholm)
Stockholm, Sweden
NOT_YET_RECRUITINGStockholm Centre for Dependency Disorders
Stockholm, Sweden
RECRUITINGTwo-item Sleep Condition Indicator
Total score of the two-item SCI, assessing last-week symptoms. Administered on the treatment platform.
Time frame: Weeks 1 through 10 (max 15)
Sleep Condition Indicator
Change in score on the full and regular SCI. Administered through the online survey tool connected to regular patient records system.
Time frame: Change from baseline (pre-treatment), post-treatment (primary endpoint, 10-15 weeks after baseline), and follow-up three months after baseline..
Daily sleep diary
Derived measures: last-week average sleep efficiency, time to fall asleep, time awake at night, total sleep time.
Time frame: Weeks 1 through 10 (max 15)
Daily alcohol diary
Total consumed standard units of alcohol per week, during day and before bedtime
Time frame: Weeks 1 through 10 (max 15)
Alcohol Use Disorders Identification Test (AUDIT)
Total score
Time frame: Change from baseline (pre-treatment), post-treatment (primary endpoint, 10-15 weeks after baseline), and follow-up three months after baseline..
Drug Use Disorders Identification Test (DUDIT)
Total score
Time frame: Change from baseline (pre-treatment), post-treatment (primary endpoint, 10-15 weeks after baseline), and follow-up three months after baseline..
Patient Health Questionnaire-9 (PHQ9)
Total score
Time frame: Change from baseline (pre-treatment), post-treatment (primary endpoint, 10-15 weeks after baseline), and follow-up three months after baseline..
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Health-related quality of life (EQ5D)
Total score
Time frame: Change from baseline (pre-treatment), post-treatment (primary endpoint, 10-15 weeks after baseline), and follow-up three months after baseline..