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

Stockholm University

Status: Completed

Conditions: Alcohol Abuse; Alcohol Use Disorder

Treatments: Behavioral: Face-to-face cognitive behavioural treatment or short-term psycodynamic therapy with relapse prevention; Behavioral: Internet-based cognitive behavioural treatment and relapse prevention

Study type: Observational

Funder types: Other; Industry

Identifiers

NCT06774716

1800008

Details and patient eligibility

About

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.

Enrollment: 38 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

18 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;

Exclusion criteria

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

Trial design

38 participants in 2 patient groups

ICBT

Description:

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

Treatment:

Behavioral: Internet-based cognitive behavioural treatment and relapse prevention

Face-to-face treatment as ususal

Description:

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

Treatment:

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