High-intensity therapist-guided internet-based cognitive behavior therapy for alcohol use disorders – a pilot study.
Principal Investigator(s): View help for Principal Investigator(s) Anne H Berman, Karolinska Institutet
Version: View help for Version V1
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Project Citation:
Berman, Anne H. High-intensity therapist-guided internet-based cognitive behavior therapy for alcohol use disorders – a pilot study. . Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2017-01-31. https://doi.org/10.3886/E100415V1
Project Description
Summary:
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Background: A large proportion of people
with alcohol
problems do
not seek psychological treatment, but access to such treatment could
potentially be increased by delivering it over the Internet. Cognitive behavior
therapy (CBT) is widely regarded as one of the psychological treatments for
alcohol problems for which evidence is most robust. This study piloted a new, therapist-guided
internet-based CBT program (entitled ePlus), directed towards people with
alcohol use disorders.
Methods: Participants in the study
(n=13) were recruited through an alcohol self-help web site and were, after
initial internet screening, diagnostically assessed by telephone. Eligible participants
were offered access to the therapist-guided 12-week program. The main outcomes
were treatment
usage data and standard
drinks consumed the preceding week, measured with the self-rated Timeline Followback
(TLFB). Participant data were collected at screening, immediately
pre-treatment, post-treatment and three months post-treatment.
Results: Most participants were active
throughout the treatment and found it highly acceptable. Significant reductions
in alcohol consumption with a large within-group effect size were found
at the three-month follow-up. Secondary outcome measures of craving and self-efficacy,
as well as depression and quality of life, also showed significant improvements
with moderate to large within-group effect sizes.
Conclusions: Therapist-guided internet-based
CBT may be a feasible and effective alternative for people with alcohol use
disorders. In view of the high acceptability and the large within-group effect
sizes found in this small pilot, a randomized controlled trial investigating treatment
efficacy is warranted. Trial registration: ClinicalTrials.gov (NCT02384278).
Funding Sources:
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Swedish Research Council (K2012-61X-22132-01-6);
Swedish Research Council (K2012-61P-22131-01-6)
Scope of Project
Subject Terms:
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Cognitive behavior therapy;
ICBT;
alcohol use disorders;
Cognitive behavior therapy;
ICBT;
alcohol use disorders;
alcohol;
Cognitive behavior therapy;
ICBT;
Cognitive behavior therapy;
Cognitive behavior therapy;
ICBT;
alcohol use disorders;
alcohol;
alcohol dependence
Geographic Coverage:
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Sweden
Collection Date(s):
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3/18/2015 – 4/13/2015 (Spring 2015)
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