Clinical trial NCT06774716: Internet-delivered Cognitive Behavior Therapy for Problematic Alcohol Use in a Working Life Setting
Official title: 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
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Alcohol Use Disorder
Alcohol Abuse
Keywords: Problematic alcohol use
Work life
Cognitive Behavior Therapy
Feasibility
Outcome
Employee assistance program
Internet
qualitative
quantitative
Lead sponsor: Stockholm University
Sponsor class: OTHER
Collaborators: name: AFA Insurance
name: Systembolagets alkoholforskningsråd
name: Alna Sverige AB
name: Karolinska Institutet
name: Uppsala University
First posted: 2025-01-14
Enrollment: 38
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Employees that have undergone an assessment as a rehabilitation intervention initiated by the employer. Participants included have a problematic alcohol use, and are referred to treatment where the employer covers the cost of treatment.

Brief 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.


Eligibility criteria: 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;

Primary outcomes:
measure: Time Line Follow Back (TLFB)
timeFrame: Baseline and 14 weeks, 6 months, 12 months and
Secondary outcomes:
measure: Alcohol Use Disorders Identification Test (AUDIT)
timeFrame: Baseline and 14 weeks, 6 months, 12 months
measure: Patient Health Questionnaire (PHQ-9)
timeFrame: Baseline and 14 weeks, 6 months, 12 months
measure: Generalized Anxiety Disorder-7 (GAD-7)
timeFrame: Baseline and 14 weeks, 6 months, 12 months
measure: The WHO-5 well-being-index
timeFrame: Baseline and 14 weeks, 6 months, 12 months
Other outcomes:
Locations:
city: Stockholm
country: Sweden
facility: Stockholm University
Study officials:
affiliation: Stockholm University
name: Kristina Sundqvist, PhD
role: PRINCIPAL_INVESTIGATOR
References: