Self-help Internet-based Relapse Prevention for Problematic Alcohol Use

Study Overview
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Brief Summary
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The purpose of this study is to observe and evaluate the use of a relapse prevention program over time among internet help-seekers. Participants are recruited via a nationally known portal for assisting anonymous individuals with changing their problematic alcohol use in a healthier direction (alkoholhjalpen.se). The intervention offered lasts 10 weeks and includes 7 relapse prevention modules, with a three-week pause between the 6th and 7th modules. Baseline data are collected regarding substance use and psychosocial health and follow-up takes place 10 weeks after recruitment. The study is observational.

Official Title
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Self-help Internet-based Relapse Prevention for Problematic Alcohol Use: A Naturalistic Study Among Internet Help-seekers

Conditions
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Problematic Alcohol Use

Intervention / Treatment
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* Behavioral: eChange.se


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: AUDIT >5 points for women AUDIT >7 points for men Exclusion Criteria: AUDIT <6 points for women AUDIT <8 points for men

Ages Eligible for Study
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Minimum Age: 15 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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Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: eChange.se|7 modules: 1. Making a decisional balance 2. Setting a goal for alcohol consumption 3. Learning self control skills 4. Identifying risk situations 5. Dealing with urges 6. Dealing with emotions and with social pressure 7. Developing a crisis plan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Timeline Follow Back (TLFB) | Quantity/frequency measure of alcohol consumption | 10 weeks | 
| The Alcohol Use Disorders Identification Test (AUDIT) | 3 consumption questions and 7 problem-related questions regarding alcohol consumption | 10 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Drug Use Disorders Identification Test (DUDIT) | 3 consumption questions and 7 problem-related questions regarding drug consumption | 10 weeks | 
| The Hospital Anxiety and Depression Scale (HADS) | 14 questions, 7 on anxiety symptoms and 7 on depression symptoms | 10 weeks | 
| The Readiness to Change Questionnaire (RTCQ) | 12 questions rated from -2 to +2 and divided into 3 dimensions: precontemplation, contemplation and action | 10 weeks | 
| The Readiness Ruler | Scores between 0 and 100. In this study, I am not ready to change my drinking habits and I am very much ready to change my drinking habits. | 10 weeks | 
| The World Health Quality of Life - shorter version (WHOQOL - BREF) | 26 questions measuring four domains of quality of life: physical, psychological, social and environment. | 10 weeks | 
| EQ-5D-5L | 5 questions on the following dimensions: mobility, self-care, usual activity, pain/discomfort and anxiety/discomfort | 10 weeks |