Internet Therapy versus Internet Self-Help versus No Treatment for Problematic Alcohol Use: A Randomized Controlled Trial

Autor/inn/en	Blankers, Matthijs; Koeter, Maarten W. J.; Schippers, Gerard M.
Titel	Internet Therapy versus Internet Self-Help versus No Treatment for Problematic Alcohol Use: A Randomized Controlled Trial
Quelle	In: Journal of Consulting and Clinical Psychology, 79 (2011) 3, S.330-341 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0023498
Schlagwörter	Control Groups; Alcohol Abuse; Drinking; Interviews; Scores; Internet; Therapy; Counseling Techniques; Intervention; Help Seeking; Measures (Individuals); Cognitive Restructuring; Behavior Modification; Motivation Techniques; Outcomes of Treatment; Regression (Statistics); Quality of Life + Suchen Sie Ihr Suchwort? Trinken; Interviewing; Interviewtechnik; Therapie; Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode; Help-seeking behavior; Help-seeking behaviour; Hilfe suchendes Verhalten; Messdaten; Behaviour modification; Verhaltensänderung; Motivationsförderung; Regression; Regressionsanalyse; Lebensqualität
Abstract	Objective: Problematic alcohol use is the third leading contributor to the global burden of disease, partly because the majority of problem drinkers are not receiving treatment. Internet-based alcohol interventions attract an otherwise untreated population, but their effectiveness has not yet been established. The current study examined the effectiveness of Internet-based therapy (therapy alcohol online; TAO) and Internet-based self-help (self-help alcohol online; SAO) for problematic alcohol users. Method: Adult problem drinkers (n = 205; 51% female; mean age = 42 years; mean Alcohol Use Disorders Identification Test score = 20) were randomly assigned to TAO, SAO, or an untreated waiting-list control group (WL). Participants in the TAO arm received 7 individual text-based chat-therapy sessions. The TAO and SAO interventions were based on cognitive-behavioral therapy and motivational interviewing techniques. Assessments were given at baseline and 3 and 6 months after randomization. Primary outcome measures were alcohol consumption and treatment response. Secondary outcome measures included measures of quality-of-life. Results: Using generalized estimating equation regression models, intention-to-treat analyses demonstrated significant effects for TAO versus WL (p = 0.002) and for SAO versus WL (p = 0.03) on alcohol consumption at 3 months postrandomization. Differences between TAO and SAO were not significant at 3 months postrandomization (p = 0.11) but were significant at 6 months postrandomization (p = 0.03), with larger effects obtained for TAO. There was a similar pattern of results for treatment response and quality-of-life outcome measures. Conclusions: Results support the effectiveness of cognitive-behavioral therapy/motivational interviewing Internet-based therapy and Internet-based self-help for problematic alcohol users. At 6 months postrandomization, Internet-based therapy led to better results than Internet-based self-help. (Contains 4 tables and 2 figures.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10