Internet-based cognitive behavioral treatment (ICBT) for mental health issues has been successfully implemented in routine health care and research indicates that ICBT can also be applied to decrease problematic alcohol use in healthcare as well as working life settings. However, qualitative studies investigating the feasibility of implementing ICBT in a working life context have been lacking. The current study will investigate the feasibility of delivering ICBT for problematic alcohol use within an employee assistance program (EAP), and will compare outcomes for ICBT with face-to-face treatment in a naturalistic quantitative study. Recruitment to the study follows employer contact with the EAP regarding an employee's presumed problematic alcohol consumption, leading to a five-session in-person psychological assessment. All assessed employees recommended ICBT or face-to-face treatment will be offered participation in the study. In addition to quantitative evaluation, interviews will be conducted with employees and their employer representatives following ICBT to elucidate both stakeholders' experience and perception of ICBT in the work life context. Thematic analysis and grounded theory will be used to analyze the interview material. Outcome comparisons between ICBT and face-to-face treatment will be assessed quantitatively using a Reliable Change Index and analysis of variance or other relevant statistical analyses such as multilevel modeling.
Study Type
OBSERVATIONAL
Enrollment
38
A self help program consisting of 12 modules and access to therapist guidance through messages. Including three video session.
Face-to-face therapy with a licenced psychologist or licenced psychotherapist, including 10-15 sessions.
Stockholm University
Stockholm, Sweden, Sweden
Time Line Follow Back (TLFB)
Change in total TLFB score (consumption during preceding week), as a summarized measure of alcohol consumption
Time frame: Baseline and 14 weeks, 6 months, 12 months and
Alcohol Use Disorders Identification Test (AUDIT)
Change in total AUDIT score, as a summarized measure of alcohol use (including alcohol consumption and alcohol-related problems)
Time frame: Baseline and 14 weeks, 6 months, 12 months
Patient Health Questionnaire (PHQ-9)
Change in total PHQ-9 score, as a summarized measure of depression
Time frame: Baseline and 14 weeks, 6 months, 12 months
Generalized Anxiety Disorder-7 (GAD-7)
Change in total GAD-7 score, as a summarized measure of anxiety
Time frame: Baseline and 14 weeks, 6 months, 12 months
The WHO-5 well-being-index
Change in total WHO-5 score, as a summarized measure of general well-being
Time frame: Baseline and 14 weeks, 6 months, 12 months
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