Internet-delivered Cognitive Behavior Therapy for Problematic Alcohol Use in a Working Life Setting

NCT06774716 | Completed

• 1 other identifier: 1800008
• Study Type: observational
• Target: 38
• Locations: 1 country
• Sites: 1

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.

Conditions

Alcohol Use Disorder; Alcohol Abuse

Keywords

Problematic alcohol use; Work life; Cognitive Behavior Therapy; Feasibility; Outcome; Employee assistance program; Internet; qualitative; quantitative

Outcome Measures

Primary Outcomes (1)

• Time Line Follow Back (TLFB)

  Change in total TLFB score (consumption during preceding week), as a summarized measure of alcohol consumption

  Baseline and 14 weeks, 6 months, 12 months and

Secondary Outcomes (4)

• Alcohol Use Disorders Identification Test (AUDIT)

  Baseline and 14 weeks, 6 months, 12 months

• Patient Health Questionnaire (PHQ-9)

  Baseline and 14 weeks, 6 months, 12 months

• Generalized Anxiety Disorder-7 (GAD-7)

  Baseline and 14 weeks, 6 months, 12 months

• The WHO-5 well-being-index

  Baseline and 14 weeks, 6 months, 12 months

Study Arms (2)

ICBT

Internet-based cognitive behaviour treatment, based on relapse prevention, delivered in a work-life setting.

Behavioral: Internet-based cognitive behavioural treatment and relapse prevention

Face-to-face treatment as ususal

Face-to-face treatment as usual, based on relapse prevention, delivered in a work-life setting.

Behavioral: Face-to-face cognitive behavioural treatment or short-term psycodynamic therapy with relapse prevention

Interventions

Internet-based cognitive behavioural treatment and relapse prevention BEHAVIORAL

A self help program consisting of 12 modules and access to therapist guidance through messages. Including three video session.

ICBT

Face-to-face cognitive behavioural treatment or short-term psycodynamic therapy with relapse prevention BEHAVIORAL

Face-to-face therapy with a licenced psychologist or licenced psychotherapist, including 10-15 sessions.

Face-to-face treatment as ususal

Eligibility Criteria

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

Study Population

Employees that have undergone an assessment as a rehabilitation intervention initiated by the employer. Participants included have a problematic alcohol use, and are referred to treatment where the employer covers the cost of treatment.

You may qualify if:

• 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;

You may not qualify if:

• not adequately fluent in Swedish; drug use; suicidality; indications of excessive use of the internet and computer gaming and/or gambling;

Sponsors & Collaborators

• Stockholm University: lead
• AFA Insurance: collaborator
• Systembolagets alkoholforskningsråd: collaborator
• Alna Sverige AB: collaborator
• Karolinska Institutet: collaborator
• Uppsala University: collaborator

Study Sites (1)

Stockholm University

Stockholm, Sweden, 18234, Sweden

Location

MeSH Terms

Conditions

Alcoholism

Interventions

Secondary Prevention

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Therapeutics; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services; Public Health Practice; Public Health; Environment and Public Health

Study Officials

• Kristina Sundqvist, PhD

  Stockholm University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: May 10, 2022
• First Posted: January 14, 2025
• Study Start: March 15, 2020
• Primary Completion: December 31, 2023
• Study Completion: January 1, 2025
• Last Updated: January 14, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)