Alcohol Abuse, Alcohol Use Disorder
Conditions
Keywords
Problematic alcohol use, Work life, Cognitive Behavior Therapy, Feasibility, Outcome, Employee assistance program, Internet, qualitative, quantitative
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.
Interventions
BEHAVIORALInternet-based cognitive behavioural treatment and relapse prevention
A self help program consisting of 12 modules and access to therapist guidance through messages. Including three video session.
BEHAVIORALFace-to-face cognitive behavioural treatment or short-term psycodynamic therapy with relapse prevention
Face-to-face therapy with a licenced psychologist or licenced psychotherapist, including 10-15 sessions.
Sponsors
AFA Insurance
Systembolagets alkoholforskningsråd
Alna Sverige AB
Karolinska Institutet
Uppsala University
Stockholm University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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 |
Countries
Sweden
Outcome results
None listed