Guided and Unguided Internet-Based Treatment for Problematic Alcohol Use – A Randomized Controlled Pilot Trial
Publication Date
July 06, 2016
Journal
PLOS ONE
Authors
Christopher Sundström, Mikael Gajecki, Magnus Johansson, Matthijs Blankers, et al
Volume
11
Issue
7
Pages
e0157817
DOI
https://dx.plos.org/10.1371/journal.pone.0157817
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0157817
Scopus
84978128874
Mendeley
http://www.mendeley.com/research/guided-unguided-internetbased-treatment-problematic-alcohol-randomized-controlled-pilot-trial
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Mendeley | Further Information

{"title"=>"Guided and unguided internet-based treatment for problematic alcohol use - A randomized controlled pilot trial", "type"=>"journal", "authors"=>[{"first_name"=>"Christopher", "last_name"=>"Sundström", "scopus_author_id"=>"57190178399"}, {"first_name"=>"Mikael", "last_name"=>"Gajecki", "scopus_author_id"=>"56323428700"}, {"first_name"=>"Magnus", "last_name"=>"Johansson", "scopus_author_id"=>"56417109200"}, {"first_name"=>"Matthijs", "last_name"=>"Blankers", "scopus_author_id"=>"25652964700"}, {"first_name"=>"Kristina", "last_name"=>"Sinadinovic", "scopus_author_id"=>"35307972000"}, {"first_name"=>"Erik", "last_name"=>"Stenlund-Gens", "scopus_author_id"=>"57190175598"}, {"first_name"=>"Anne H.", "last_name"=>"Berman", "scopus_author_id"=>"7201959803"}], "year"=>2016, "source"=>"PLoS ONE", "identifiers"=>{"doi"=>"10.1371/journal.pone.0157817", "scopus"=>"2-s2.0-84978128874", "pui"=>"611168230", "issn"=>"19326203", "pmid"=>"27383389", "sgr"=>"84978128874", "isbn"=>"1932-6203"}, "id"=>"16653ee0-6c12-394c-94a4-b4d559cdb0c8", "abstract"=>"BACKGROUND The Internet has increasingly been studied as mode of delivery for interventions targeting problematic alcohol use. Most interventions have been fully automated, but some research suggests that adding counselor guidance may improve alcohol consumption outcomes. METHODS An eight-module Internet-based self-help program based on cognitive behavioral therapy (CBT) was tested among Internet help-seekers. Eighty participants with problematic alcohol use according to the Alcohol Use Disorders Identification Test (AUDIT; scores of ≥ 6 for women and ≥ 8 for men) were recruited online from an open access website and randomized into three different groups. All groups were offered the same self-help program, but participants in two of the three groups received Internet-based counselor guidance in addition to the self-help program. One of the guidance groups was given a choice between guidance via asynchronous text messages or synchronous text-based chat, while the other guidance group received counselor guidance via asynchronous text messages only. RESULTS In the choice group, 65% (13 of 20 participants) chose guidance via asynchronous text messages. At the 10-week post-treatment follow-up, an intention-to-treat (ITT) analysis showed that participants in the two guidance groups (choice and messages) reported significantly lower past week alcohol consumption compared to the group without guidance; 10.8 (SD = 12.1) versus 22.6 (SD = 18.4); p = 0.001; Cohen's d = 0.77. Participants in both guidance groups reported significantly lower scores on the AUDIT at follow-up compared to the group without guidance, with a mean score of 14.4 (SD = 5.2) versus 18.2 (SD = 5.9); p = 0.003; Cohen's d = 0.68. A higher proportion of participants in the guidance groups said that they would recommend the program compared to the group without guidance (81% for choice; 93% for messages versus 47% for self-help). CONCLUSION Self-help programs for problematic alcohol use can be more effective in reducing alcohol consumption over a 10-week period when counselor guidance is added. TRIAL REGISTRATION Clinicaltrials.gov NCT02384304.", "link"=>"http://www.mendeley.com/research/guided-unguided-internetbased-treatment-problematic-alcohol-randomized-controlled-pilot-trial", "reader_count"=>37, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Librarian"=>2, "Student > Doctoral Student"=>4, "Researcher"=>7, "Student > Ph. D. Student"=>10, "Student > Postgraduate"=>1, "Student > Master"=>3, "Other"=>4, "Student > Bachelor"=>4, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Librarian"=>2, "Student > Doctoral Student"=>4, "Researcher"=>7, "Student > Ph. D. Student"=>10, "Student > Postgraduate"=>1, "Student > Master"=>3, "Other"=>4, "Student > Bachelor"=>4, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>5, "Agricultural and Biological Sciences"=>2, "Arts and Humanities"=>1, "Neuroscience"=>1, "Business, Management and Accounting"=>1, "Psychology"=>15, "Social Sciences"=>6, "Computer Science"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>5}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>6}, "Psychology"=>{"Psychology"=>15}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Computer Science"=>{"Computer Science"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>3}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"Sweden"=>1, "Netherlands"=>1}, "group_count"=>6}

Scopus | Further Information

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