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High-intensity therapist-guided internet-based cognitive behavior therapy for alcohol use disorder: a pilot study
Karolinska Institutet;Stockholm Cty Council.
Karolinska Institutet;Stockholm Cty Council.
University of Gothenburg.
University of Gothenburg.
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2017 (English)In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 17, article id 197Article in journal (Refereed) Published
Abstract [en]

Background: A large proportion of individuals with alcohol problems do not seek psychological treatment, but access to such treatment could potentially be increased by delivering it over the Internet. Cognitive behavior therapy (CBT) is widely recognized as one of the psychological treatments for alcohol problems for which evidence is most robust. This study evaluated a new, therapist-guided internet-based CBT program (entitled ePlus) for individuals with alcohol use disorders. Methods: Participants in the study (n = 13) were recruited through an alcohol self-help web site (www.alkoholhjalpen.se) and, after initial internet screening, were diagnostically assessed by telephone. Eligible participants were offered access to the therapist-guided 12-week program. The main outcomes were treatment usage data (module completion, treatment satisfaction) as well as glasses of alcohol consumed the preceding week, measured with the self-rated Timeline Followback (TLFB). Participant data were collected at screening (T0), immediately pre-treatment (T1), post-treatment (T2) and 3 months post-treatment (T3). Results: Most participants were active throughout the treatment and found it highly acceptable. Significant reductions in alcohol consumption with a large within-group effect size were found at the three-month follow-up. Secondary outcome measures of craving and self-efficacy, as well as depression and quality of life, also showed significant improvements with moderate to large within-group effect sizes. Conclusions: Therapist-guided internet-based CBT may be a feasible and effective alternative for people with alcohol use disorders. In view of the high acceptability and the large within-group effect sizes found in this small pilot, a randomized controlled trial investigating treatment efficacy is warranted.

Place, publisher, year, edition, pages
BioMed Central, 2017. Vol. 17, article id 197
Keywords [en]
Cognitive behavior therapy, Alcohol use disorders, Alcohol dependence, Internet-based psychotherapy
National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-74026DOI: 10.1186/s12888-017-1355-6ISI: 000405444500001PubMedID: 28549424OAI: oai:DiVA.org:lnu-74026DiVA, id: diva2:1204594
Available from: 2018-05-08 Created: 2018-05-08 Last updated: 2018-05-08Bibliographically approved

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Kaldo, Viktor

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CiteExportLink to record
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