Internet-delivered Cognitive Behavior Therapy for Problematic Alcohol Use in a Working Life Setting

NCT06774716 — Completed, 38 participants, Stockholm University
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Internet-delivered Cognitive Behavior Therapy for Problematic Alcohol Use in a Working Life Setting: a Research Protocol for Qualitative and Quantitative Evaluation of Feasibility and Outcomes

RegistryNCT06774716, acronym Simba
StatusCompleted
Study typeObservational
Enrollment38 (Actual)
SponsorStockholm University (Other); collaborators: AFA Insurance, Systembolagets alkoholforskningsråd, Alna Sverige AB, Karolinska Institutet, Uppsala University
ConditionsAlcohol Use Disorder, Alcohol Abuse
InterventionsInternet-based cognitive behavioural treatment and relapse prevention, Face-to-face cognitive behavioural treatment or short-term psycodynamic therapy with relapse prevention (Behavioral)
Datesstart 2020-03-15, primary completion 2023-12-31, completion 2025-01-01, first posted 2025-01-14, last updated 2025-01-14
Locations1 site in Sweden

Related Papers Related Patents Related Grants Related Experts
All trials for Alcohol Use Disorder All trials for Alcohol Abuse All trials of Internet-based cognitive behavioural treatment and relapse prevention All trials of Face-to-face cognitive behavioural treatment or short-term psycodynamic therapy with relapse prevention

-Summary

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.

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+Arms and interventions

ArmTypeInterventionsDescription
ICBTBehavioral: Internet-based cognitive behavioural treatment and relapse preventionInternet-based cognitive behaviour treatment, based on relapse prevention, delivered in a work-life setting.
Face-to-face treatment as ususalBehavioral: Face-to-face cognitive behavioural treatment or short-term psycodynamic therapy with relapse preventionFace-to-face treatment as usual, based on relapse prevention, delivered in a work-life setting.
  • Internet-based cognitive behavioural treatment and relapse prevention (Behavioral): A self help program consisting of 12 modules and access to therapist guidance through messages. Including three video session.
  • Face-to-face cognitive behavioural treatment or short-term psycodynamic therapy with relapse prevention (Behavioral): Face-to-face therapy with a licenced psychologist or licenced psychotherapist, including 10-15 sessions.

+Outcome measures

Primary outcomes

  • Time Line Follow Back (TLFB) [Baseline and 14 weeks, 6 months, 12 months and]: Change in total TLFB score (consumption during preceding week), as a summarized measure of alcohol consumption

Secondary outcomes

  • Alcohol Use Disorders Identification Test (AUDIT) [Baseline and 14 weeks, 6 months, 12 months]: Change in total AUDIT score, as a summarized measure of alcohol use (including alcohol consumption and alcohol-related problems)
  • Patient Health Questionnaire (PHQ-9) [Baseline and 14 weeks, 6 months, 12 months]: Change in total PHQ-9 score, as a summarized measure of depression
  • Generalized Anxiety Disorder-7 (GAD-7) [Baseline and 14 weeks, 6 months, 12 months]: Change in total GAD-7 score, as a summarized measure of anxiety
  • The WHO-5 well-being-index [Baseline and 14 weeks, 6 months, 12 months]: Change in total WHO-5 score, as a summarized measure of general well-being

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

18 years; access to the Internet; problematic alcohol use assessed by a licenced psychologist; referred to treatment within a rehabilitation intervention initiated by the work-place; Work-place covers treatment costs;

Exclusion Criteria:

not adequately fluent in Swedish; drug use; suicidality; indications of excessive use of the internet and computer gaming and/or gambling;

+Locations (1)

FacilityCityCountryStatus
Stockholm UniversityStockholm, SwedenSweden

+Investigators