Internet Based Cognitive Behavior Treatment for Alcohol Problems (ICBT-AP)
Primary Purpose
Alcohol Use Disorders
Status
Completed
Phase
Not Applicable
Locations
Sweden
Study Type
Interventional
Intervention
Internet-based CBT for alcohol problems
Sponsored by
About this trial
This is an interventional treatment trial for Alcohol Use Disorders focused on measuring alcohol use disorder, internet, cognitive behavior therapy, relapse prevention
Eligibility Criteria
Inclusion Criteria:
- ≥ 18 years
- access to the Internet
- problematic alcohol use defined as ≥ 16 p or more for men and ≥ 14 p or more for women in the Alcohol Use Identification Scale
Exclusion Criteria:
- not adequately fluent in Swedish
- reading or writing impairment if this is so severe as to affect treatment
- ongoing psychological treatment with content similar to the treatment being studied
- suicide risk defined as ≥ 4 p på MADRS-S Q 9 or through a telephone interview with clinician
- severe depression defined as MADRS-S ≥ 30 p
- somatic or psychiatric conditions that are contraindicated for the treatment such as psychosis, bipolar disorder (depressive or manic phase), severe post traumatic stress disorder.
- has during the last 3 weeks begun using medication for alcohol problems or other psychiatric disorder
Sites / Locations
- Karolinska institutet, Department of Clinical Neuroscience, Center for Psychiatric Research
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Internet-based CBT for alcohol problems
Arm Description
A 12-week internet-based cognitive behavior treatment (CBT) and relapse prevention program. The subjects will have access to a psychologist guiding them through the program.
Outcomes
Primary Outcome Measures
Time Line Follow Back (TLFB)
Change in total TLFB score (consumption during preceding week), as a summarized
Secondary Outcome Measures
Alcohol Use Disorders Identification Test (AUDIT)
Change in total AUDIT score, as a summarized measure of alcohol use (including alcohol consumption and alcohol-related problems)
Drug Use Identification Test (DUDIT)
Change in total DUDIT score, as a summarized measure of drug use (including drug consumption and drug-related problems)
Montgomery Asberg Depression Rating Scale - self report (MADRS-S)
Change in total MADRS-S score, as a summarized measure of depression
World Health Organization Quality of Life Scale (WHOQOL-BREF)
Change in total WHOQOL-BREF score, as a summarized measure of quality of life
Alcohol Abstinence Self Efficacy Scale (AASES)
Change in total AASES score, as a summarized measure of self efficacy
Penn Alcohol Craving Scale (PACS)
Readiness to Change Questionnaire (RTCQ)
Score in RTCQ as a summarized measure of motivation used as predictor for other outcomes
Full Information
NCT ID
NCT02384278
First Posted
February 26, 2015
Last Updated
August 12, 2019
Sponsor
Karolinska Institutet
Collaborators
Göteborg University
1. Study Identification
Unique Protocol Identification Number
NCT02384278
Brief Title
Internet Based Cognitive Behavior Treatment for Alcohol Problems
Acronym
ICBT-AP
Official Title
Internet Based Cognitive Behavior Treatment for Alcohol Problems: A Pilot Study
Study Type
Interventional
2. Study Status
Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
March 2015 (undefined)
Primary Completion Date
November 2015 (Actual)
Study Completion Date
July 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Karolinska Institutet
Collaborators
Göteborg University
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine whether internet based cognitive behavior therapy might be effective in the treatment of alcohol problems.
Detailed Description
A 12 week Internet based self help program based on cognitive behavioral therapy and relapse prevention is tested among Internet help seekers as well as among patients seeking help in addiction care.The design is a one armed pilot study, and outcomes are measured in terms of changes in alcohol consumption, problematic alcohol use, self efficacy, craving, as well as depression and quality of life. 20 participants are recruited entirely online from an open access website and 20 participants are recruited through information given to them at an addiction clinic. All participants have access to the same self help program and have access to a licensed psychologist who guides the person all the way through the program.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alcohol Use Disorders
Keywords
alcohol use disorder, internet, cognitive behavior therapy, relapse prevention
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
13 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Internet-based CBT for alcohol problems
Arm Type
Experimental
Arm Description
A 12-week internet-based cognitive behavior treatment (CBT) and relapse prevention program. The subjects will have access to a psychologist guiding them through the program.
Intervention Type
Behavioral
Intervention Name(s)
Internet-based CBT for alcohol problems
Intervention Description
A 12-week internet-based program based on cognitive behavior treatment (CBT) and relapse prevention
Primary Outcome Measure Information:
Title
Time Line Follow Back (TLFB)
Description
Change in total TLFB score (consumption during preceding week), as a summarized
Time Frame
Baseline, 14 and 26 weeks
Secondary Outcome Measure Information:
Title
Alcohol Use Disorders Identification Test (AUDIT)
Description
Change in total AUDIT score, as a summarized measure of alcohol use (including alcohol consumption and alcohol-related problems)
Time Frame
Baseline, 14 and 26 weeks
Title
Drug Use Identification Test (DUDIT)
Description
Change in total DUDIT score, as a summarized measure of drug use (including drug consumption and drug-related problems)
Time Frame
Baseline, 14 and 26 weeks
Title
Montgomery Asberg Depression Rating Scale - self report (MADRS-S)
Description
Change in total MADRS-S score, as a summarized measure of depression
Time Frame
Baseline, 14 and 26 weeks
Title
World Health Organization Quality of Life Scale (WHOQOL-BREF)
Description
Change in total WHOQOL-BREF score, as a summarized measure of quality of life
Time Frame
Baseline, 14 and 26 weeks
Title
Alcohol Abstinence Self Efficacy Scale (AASES)
Description
Change in total AASES score, as a summarized measure of self efficacy
Time Frame
Baseline, 14 and 26 weeks
Title
Penn Alcohol Craving Scale (PACS)
Time Frame
Baseline, 14 and 26 weeks
Title
Readiness to Change Questionnaire (RTCQ)
Description
Score in RTCQ as a summarized measure of motivation used as predictor for other outcomes
Time Frame
Baseline, 14 and 26 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
≥ 18 years
access to the Internet
problematic alcohol use defined as ≥ 16 p or more for men and ≥ 14 p or more for women in the Alcohol Use Identification Scale
Exclusion Criteria:
not adequately fluent in Swedish
reading or writing impairment if this is so severe as to affect treatment
ongoing psychological treatment with content similar to the treatment being studied
suicide risk defined as ≥ 4 p på MADRS-S Q 9 or through a telephone interview with clinician
severe depression defined as MADRS-S ≥ 30 p
somatic or psychiatric conditions that are contraindicated for the treatment such as psychosis, bipolar disorder (depressive or manic phase), severe post traumatic stress disorder.
has during the last 3 weeks begun using medication for alcohol problems or other psychiatric disorder
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anne H Berman, PhD
Organizational Affiliation
Karolinska Institutet
Official's Role
Principal Investigator
Facility Information:
Facility Name
Karolinska institutet, Department of Clinical Neuroscience, Center for Psychiatric Research
City
Stockholm
ZIP/Postal Code
11364
Country
Sweden
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
The dataset, unidentified, with background characteristics and outcomes is available as below.
IPD Sharing Time Frame
Since January 31, 2017
IPD Sharing Access Criteria
Availability of data and materials
The data set supporting the results of this article is available in the Open ICPSR repository with the following identifying information: Berman, A. H. (2017-01-31). High-intensity therapist-guided internet-based cognitive behavior therapy for alcohol use disorders - a pilot study. [Data set]. Ann Arbor, MI:
Inter-university Consortium of Political and Social Research [distributor]. http://doi.org/10.3886/E100415V1.
IPD Sharing URL
http://doi.org/10.3886/E100415V1
Citations:
PubMed Identifier
28549424
Citation
Sundstrom C, Kraepelien M, Eek N, Fahlke C, Kaldo V, Berman AH. High-intensity therapist-guided internet-based cognitive behavior therapy for alcohol use disorder: a pilot study. BMC Psychiatry. 2017 May 26;17(1):197. doi: 10.1186/s12888-017-1355-6.
Results Reference
derived
Links:
URL
https://staff.ki.se/people/anberm
Description
Anne H Berman's research group profile
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Internet Based Cognitive Behavior Treatment for Alcohol Problems
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