Mental Contrasting With Implementation Intentions for Alcohol Use Disorders

NCT03684798 | Completed

• 1 other identifier: 2017-1
• Study Type: interventional
• Target: 122
• Locations: 1 country
• Sites: 1

Brief Summary

Mental Contrasting (MC) consists of imaging a desired future and comparing it with obstacles of the present reality in order to increase goal commitment when expectations of success are high. The study aims to investigate the effects of a motivational training (Mental Contrasting with Implementation Interventions; MCII) as a therapeutic add-on to standard treatment in inpatients with Alcohol Use Disorders.

Conditions

Alcohol Use Disorder

Keywords

MCII; Alcohol Use Disorder; Motivation; Mental Contrasting; Implementation Intentions; Abstinence

Outcome Measures

Primary Outcomes (2)

• Number of participants with return to any drinking

  Any drinking as measured by self-report or objective testing

  through study completion at end of treatment, an average of 10 weeks

• Rate of number of drinking events during treatment

  Drinking Events as measured by self-report

  through study completion at end of treatment, an average of 10 weeks

Secondary Outcomes (3)

• Number of participants with early treatment termination

  through study completion at end of treatment, an average of 10 weeks

• Rate of general self-efficacy for abstinence

  through study completion at end of treatment, an average of 10 weeks

• Rate of goal commitment for abstinence

  through study completion at end of treatment, an average of 10 weeks

Study Arms (2)

Mental Contrasting with Implementation Intentions (MCII)

EXPERIMENTAL

Mental Contrasting with Implementation Intentions (MCII) combines two methods: Mental Contrasting and Implementation Intentions. Mental Contrasting (MC) consists of imaging a desired future and comparing it with obstacles of the present reality (Oettingen, 2000, 2014; Oettingen, Pak, \& Schnetter, 2001) in order to increase goal commitment when expectations of success are high (Gollwitzer, 2014). Implementation Intentions on the other hand specify when, where, and how to strive for a goal in form of an if-then-plan, e.g. "If situation Y is encountered, then I will perform the goal-directed response Z" (Gollwitzer, 2014; Wieber, Thürmer, \& Gollwitzer, 2015).

Other: MCII

Treatment as usual

ACTIVE COMPARATOR

The control group receive a control training, which consists of an exercise from treatment as usual. Thus, patients in the control group are supported in their intention for abstinence and in the reappraisal of risk situations and relapse, while no individual motivational strategies are planned or provided

Other: Treatment as usual

Interventions

MCII OTHER

In this study, the research staff will work through the MCII approach with the participant as an interactive, face-to-face training. The desired future consists of imaging an abstinent life and comparing it with personally relevant obstacles. Afterwards, the most relevant obstacle will be chosen and an if-then-plan will be formed, that refers to this obstacle.

Mental Contrasting with Implementation Intentions (MCII)

Treatment as usual OTHER

The patients in the control group will receive a 2 x 2 contingency table about the disadvantages and advantages of being abstinent and of drinking. In addition, abstinence intentions of patients in the control group will also be supported and risk situations and relapse events since the last trainings will be reappraised, but without the use of MCII.

Treatment as usual

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis of alcohol use disorder according to DSM 5 (Diagnostic and Statistical Manual)
• Age: ≥18 years

You may not qualify if:

• Cognitive deficits that limit the patients' ability to provide informed consent
• Inability to follow the procedures of the study
• Acute suicidality
• Acute psychosis

Sponsors & Collaborators

• Susanne Rösner: lead
• University of Konstanz: collaborator
• Zurich University of Applied Sciences: collaborator
• New York University: collaborator
• University of Hamburg-Eppendorf: collaborator

Study Sites (1)

Forel Klinik

Ellikon, Canton of Zurich, 8548, Switzerland

Location

Related Publications (4)

• Oettingen G. Expectancy effects on behavior depend on self-regulatory thought. Social Cognition 18(2): 101-129, 2000.

  BACKGROUND

• Oettingen G. Rethinking positive thinking: inside the new science of motivation. New York, NY: Penguin Random House, 2014.

  BACKGROUND

• Oettingen G, Pak H, Schnetter K. Self-regulation of goal setting: turning free fantasies about the future into binding goals. J Pers Soc Psychol. 2001 May;80(5):736-53.

  PMID: 11374746 BACKGROUND

• Gollwitzer PM. Weakness of the will: Is a quick fix possible? Motivation and Emotion 38: 305-322, 2014.

  BACKGROUND

MeSH Terms

Conditions

Alcoholism

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Alcohol-Related Disorders; Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders

Study Officials

• Susanne Rösner

  Forel Clinic

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Head of Research

Study Record Dates

• First Submitted: August 31, 2018
• First Posted: September 26, 2018
• Study Start: August 14, 2017
• Primary Completion: March 4, 2019
• Study Completion: March 4, 2019
• Last Updated: February 5, 2020

Record last verified: 2020-02

Data Sharing

• IPD Sharing: Will not share

Locations

CH (1)