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Cited by 19Substance Abuse Treatment and OutcomesDigital Mental Health InterventionsTelemedicine and Telehealth Implementation

Characteristics of problem drinkers in e-therapy versus face-to-face treatment

Open access
Postel, Marloes G., de Haan, Hein A., ter Huurne, Elke D., Becker, Eni S., de Jong, Cor A. J.·2011·The American Journal of Drug and Alcohol Abuse
DOI 10.3109/00952990.2011.600388
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Abstract

BACKGROUND: The availability of online treatment programs offers the potential to reach more problem drinkers. This study compared the client populations of an e-therapy program (asynchronous client-therapist communication via the Internet) and a face-to-face treatment program. OBJECTIVE: To determine whether e-therapy and face-to-face groups differed from each other and changed over time. METHODS: We compared the baseline characteristics of four naturalistic groups (N = 4593): two e-therapy groups (2005-2006 and 2008-2009) and two consecutive series of ambulant face-to-face clients admitted for treatment as usual. The characteristics we were interested in were gender, age, education level, working situation, and earlier treatment for drinking problems. RESULTS: The results showed that the baseline characteristics of e-therapy and face-to-face clients differed by gender, education level, work situation, prior alcohol treatment, and age. We also found that both e-therapy groups differed over time by gender, work situation, and prior alcohol treatment. CONCLUSIONS: The e-therapy program successfully attracted clients who were different from those who were represented in regular face-to-face alcohol treatment services. This indicates that e-therapy decreases the barriers to treatment facilities and enhances the accessibility. However, the e-therapy population changed over time. Although the e-therapy program still reached an important new group of clients in 2008-2009, this group showed more overlap with the traditional face-to-face group of clients probably as a result of improved acceptance of e-therapy in the general population. SCIENTIFIC SIGNIFICANCE: Although e-therapy seems to be better accepted in the general population, anonymous treatment seems necessary to reach a broader range of problem drinkers.

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  • Alcohol users who registered for an online treatment were in greater proportion women, older, more educated, and more likely to be employed and seek treatment for the first time, as compared to those who used a standard treatment.

    “Postel et al. (2011) observed that alcohol users who registered for an online treatment were in greater proportion women, older, more educated, and more likely to be employed and seek treatment for the first time, as compared to those who used a standard treatment.”

    From Online and Mobile Interventions for Problem Gambling, Alcohol, and Drugs: A Systematic Review (2017) · cites this paper as Postel et al., 2011

  • The profile of participants appears similar to that drawn by Postel et al. (2011).

    “This profile appears similar to that drawn by Postel et al. (2011).”

    From Online and Mobile Interventions for Problem Gambling, Alcohol, and Drugs: A Systematic Review (2017) · cites this paper as Postel et al. (2011)

  • Reasons for dropout from Web-based interventions relate to dissatisfaction with the intervention, mismatch of goals of the intervention and those of the users, and low flexibility to adjust to different situations and user characteristics.

    “Research on nonadherence indicates that reasons for dropout relate to dissatisfaction with the intervention, mismatch of goals of the intervention and those of the users, and low flexibility to adjust to different situations and user characteristics [15,22,23].”

    From How to increase reach and adherence of web-based interventions: a design research viewpoint (2015) · cites this paper as [22]

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Research works printed but not linked: 1

  1. Miller WR, Rollnick S. Motivational Interviewing: Preparing People to Change. New York: The Guilford Press, 2002.

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Authors
Postel, M. G., de Haan, H. A., ter Huurne, E. D., Becker, E. S., & de Jong, C. A. J.
Affiliations
  • Nijmegen Institute for Scientist Practitioners in Addiction (NL)
  • Radboud University Nijmegen (NL)
Corresponding author
Postel, Marloes G.
ORCID
Venue
The American Journal of Drug and Alcohol Abuse
Publisher
Informa UK Limited
Published
2011-07-29
Volume
37
Issue
6
Pages
537-542
ISSN
  • 0095-2990 (ISSN-L)
  • 1097-9891
DOI
10.3109/00952990.2011.600388
OpenAlex
W2150206413
Cited by
19
References
27
Citations by year
2023: 1 · 2022: 3 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 2 · 2012: 1
FWCI
1.69
Type
journal article
Language
en
Open access
Locations
  • The American Journal of Drug and Alcohol Abuse (publishedVersion)
  • PubMed (publishedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
e-therapy, problem drinkers, alcoholism, face-to-face treatment, client characteristics, treatment accessibility, barriers to treatment, gender differences
MeSH terms
Adult, Age Factors, Alcoholism, Educational Status, Female, Health Services Accessibility, Humans, Male, Middle Aged, Netherlands, Patient Acceptance of Health Care, Sex Factors, Time Factors, Internet

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