None listed
Conditions
Brief summary
The current study aims to evaluate the efficacy of an internet based psychological program for people who are concurrently depressed and drinking alcohol at harmful levels. This study is a randomised controlled trial with 3 comparison treatment, each with 200 participants who will be followed up for 12 months. The 3 treatments to be compared are: 1) brief intervention (BI) (1 module of motivation enhancement) 2) BI + self-guided modules (SG) (1 module of motivation enhancement + 5 modules of self-guided integrated treatment 3) BI + therapist-support (TS) (1 module of motivation enhancement + 5 modules of integrated treatment with email support from a therapist) Primary predictions are that 1) TS and SG interventions will have superior alcohol and depression outcomes at 3, 6, 9 and 12 months compared with BI and 2) TS will elicit greater client satisfaction and completion rate than SG, but SG will have similar treatment outcomes.
Interventions
brief intervention and therapist support - 1 module motivation enhancement plus an additional 5 modules of integrated treatment with email support from therapist. a) all modules are internet based b) each module can be done at the client's own pace. they could be completed in one sitting (approximately an hour each) but it is recommended that the client pace themselves and complete the modules on a weekly basis. c) the overall length of the intervention is 3 months because we ask people to check in weekly for 3 months to complete alcohol use charts and mood monitoring while they continue to implement changes instigated by the programs d) general topics in the 5 modules are 1) motivation for change and making plans to change 2) mindfullness and activity planning 3) cravings and dealing with risky situations 4) problem-solving and cognitive-behavioural therapy (CBT) 5) building relationships and conflict resolution
Sponsors
Study design
Eligibility
Inclusion criteria
1) reported weekly alcohol consumption of more than 14 units/week over the last month 2) score more than 8 on the Alcohol Use Disorders Identification Test 3) score at least 14 on the Depression scale of the Depression Anxiety Stress Scale (e.g., 'moderate' depression) 4) sufficient english to complete treatments and assessments without translation 5) able and willing to access internet/email/text messages
Exclusion criteria
1) use of injectable drugs in the previous month 2) daily use of an illicit substance 3) history of psychosis lasting more than 2 days 4) diagnosis of bipolar disorder 5) acutely suicidal 6) highly dependent on alcohol