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Optimizing internet-delivered cognitive behaviour therapy for alcohol misuse: a study protocol for a randomized factorial trial examining the effects of a pre-treatment assessment interview and health educator guidance
Open accessAbstract
Background: Alcohol misuse is a common, disabling, and costly issue worldwide, but the vast majority of people with alcohol misuse never access treatment for varying reasons. Internet-delivered cognitive behaviour therapy (ICBT) may be an attractive treatment alternative for individuals with alcohol misuse who are reluctant to seek help due to stigma, or who live in rural communities with little access to face-to-face treatment. With the growing development of ICBT treatment clinics, investigating ways to optimize its delivery within routine clinic settings becomes a crucial avenue of research. Some studies in the alcohol treatment literature suggest that assessment interviews conducted pre-treatment may improve short- and long-term drinking outcomes but no experimental evaluation of this has been conducted. Further, research on internet interventions for alcohol misuse suggests that guidance from a therapist or coach improves outcomes, but more research on the benefits of guidance in ICBT is still needed. Methods: This study is a 2X2 factorial randomized controlled trial where all of the expected 300 participants receive access to the Alcohol Change Course, an eight-week ICBT program. A comprehensive pre-treatment assessment interview represents factor 1, and guidance from a health educator represents factor 2. All participants will be asked to respond to measures at screening, pre-treatment, mid-treatment, post-treatment and 3, 6 and 12 months after treatment completion. Discussion: This study will provide valuable information on optimization of ICBT for alcohol misuse within routine clinic settings. Trial registration: ClinicalTrials.gov, registered June 13th 2019, NCT03984786
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Across trials, therapists follow a treatment manual; regular audit and feedback is used to ensure compliance with procedures.
“Across trials, therapists follow a treatment manual; regular audit and feedback is used to ensure compliance with procedures. 24”
From Utilization, Patient Characteristics, and Longitudinal Improvements among Patients from a Provincially Funded Transdiagnostic Internet-delivered Cognitive Behavioural Therapy Program: Observational Study of Trends over 6 Years (2022) · cites this paper as [24]
The Methods/design section on health educator guidance says guides work under supervision and describes their duties, but does not say they follow a treatment manual. Its review of weekly measures concerns participant safety, not regular audit and feedback on procedural compliance. Searches for a manual, audit, feedback, adherence, and fidelity found no passage supporting the attributed claim. (LLM, conf=0.75)
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“Across trials, therapists follow a treatment manual; regular audit and feedback is used to ensure compliance with procedures.(24)”
MethodSelf-citationHadjistavropoulos, H. D., Chadwick, C., Beck, C. D., Edmonds, M., Sundström, C., Edwards, W., Ouellette, D., Waldrop, J., Adlam, K., Bourgeault, L., et al. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100474 · Cited by 15
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Self-citationSundström, C., Peynenburg, V. A., Chadwick, C., Thiessen, D., Wilhems, A., Nugent, M., Keough, M. T., Schaub, M. P., & Hadjistavropoulos, H. D. (2022) · Addiction Science & Clinical Practice · doi:10.1186/s13722-022-00319-0 · Cited by 12
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Self-citationSundström, C., Peynenburg, V. A., Chadwick, C., Thiessen, D., Wilhems, A., Nugent, M., Keough, M. T., Schaub, M. P., & Hadjistavropoulos, H. D. (2022) · Figshare · doi:10.6084/m9.figshare.20364988
Self-citationSundström, C., Peynenburg, V. A., Chadwick, C., Thiessen, D., Wilhems, A., Nugent, M., Keough, M. T., Schaub, M. P., & Hadjistavropoulos, H. D. (2022) · Figshare · doi:10.6084/m9.figshare.20364985
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Metadata
- Authors
- Sundström, C., Hadjistavropoulos, H., Wilhelms, A., Keough, M., & Schaub, M.
- Affiliations
- University of Regina (CA)
- University of Zurich (CH)
- Corresponding author
- Sundström, Christopher
- Venue
- BMC Psychiatry
- Published
- 2020-03-17
- Volume
- 20
- Issue
- 1
- Pages
- 126-126
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC7079400
- OpenAlex
- W3011537053
- Cited by
- 7
- References
- 49
- Citations by year
- 2022: 3 · 2021: 3 · 2020: 1
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by)
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- Saskatchewan Ministry of Health
- Saskatchewan Health Research Foundation
- Saskatchewan Centre for Patient-Oriented Research
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- internet-based cognitive behavioral therapy, alcohol abuse, alcohol treatment, treatment optimization, drinking outcomes
- MeSH terms
- Alcoholism, Health Services Accessibility, Humans, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome, Internet, Health Educators
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