Internet Based Cognitive Behavior Treatment for Alcohol Problems

Study Overview
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Brief Summary
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The purpose of this study is to determine whether internet based cognitive behavior therapy might be effective in the treatment of alcohol problems.

Detailed Description
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A 12 week Internet based self help program based on cognitive behavioral therapy and relapse prevention is tested among Internet help seekers as well as among patients seeking help in addiction care.The design is a one armed pilot study, and outcomes are measured in terms of changes in alcohol consumption, problematic alcohol use, self efficacy, craving, as well as depression and quality of life. 20 participants are recruited entirely online from an open access website and 20 participants are recruited through information given to them at an addiction clinic. All participants have access to the same self help program and have access to a licensed psychologist who guides the person all the way through the program.

Official Title
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Internet Based Cognitive Behavior Treatment for Alcohol Problems: A Pilot Study

Conditions
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Alcohol Use Disorders

Intervention / Treatment
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* Behavioral: Internet-based CBT for alcohol problems


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ≥ 18 years access to the Internet problematic alcohol use defined as ≥ 16 p or more for men and ≥ 14 p or more for women in the Alcohol Use Identification Scale Exclusion Criteria: not adequately fluent in Swedish reading or writing impairment if this is so severe as to affect treatment ongoing psychological treatment with content similar to the treatment being studied suicide risk defined as ≥ 4 p på MADRS-S Q 9 or through a telephone interview with clinician severe depression defined as MADRS-S ≥ 30 p somatic or psychiatric conditions that are contraindicated for the treatment such as psychosis, bipolar disorder (depressive or manic phase), severe post traumatic stress disorder. has during the last 3 weeks begun using medication for alcohol problems or other psychiatric disorder

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Internet-based CBT for alcohol problems<br>A 12-week internet-based cognitive behavior treatment (CBT) and relapse prevention program. The subjects will have access to a psychologist guiding them through the program. | Behavioral: Internet-based CBT for alcohol problems<br>* A 12-week internet-based program based on cognitive behavior treatment (CBT) and relapse prevention<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time Line Follow Back (TLFB) | Change in total TLFB score (consumption during preceding week), as a summarized | Baseline, 14 and 26 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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) | Baseline, 14 and 26 weeks | 
| Drug Use Identification Test (DUDIT) | Change in total DUDIT score, as a summarized measure of drug use (including drug consumption and drug-related problems) | Baseline, 14 and 26 weeks | 
| Montgomery Asberg Depression Rating Scale - self report (MADRS-S) | Change in total MADRS-S score, as a summarized measure of depression | Baseline, 14 and 26 weeks | 
| World Health Organization Quality of Life Scale (WHOQOL-BREF) | Change in total WHOQOL-BREF score, as a summarized measure of quality of life | Baseline, 14 and 26 weeks | 
| Alcohol Abstinence Self Efficacy Scale (AASES) | Change in total AASES score, as a summarized measure of self efficacy | Baseline, 14 and 26 weeks | 
| Penn Alcohol Craving Scale (PACS) |  | Baseline, 14 and 26 weeks | 
| Readiness to Change Questionnaire (RTCQ) | Score in RTCQ as a summarized measure of motivation used as predictor for other outcomes | Baseline, 14 and 26 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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alcohol use disorder, internet, cognitive behavior therapy, relapse prevention