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| Name | Class |
|---|---|
| AFA Insurance | INDUSTRY |
| Systembolagets alkoholforskningsråd | UNKNOWN |
| Alna Sverige AB | UNKNOWN |
| Karolinska Institutet |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ICBT | Internet-based cognitive behaviour treatment, based on relapse prevention, delivered in a work-life setting. |
| |
| Face-to-face treatment as ususal | Face-to-face treatment as usual, based on relapse prevention, delivered in a work-life setting. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Internet-based cognitive behavioural treatment and relapse prevention | Behavioral | A self help program consisting of 12 modules and access to therapist guidance through messages. Including three video session. |
| Measure | Description | Time Frame |
|---|---|---|
| Time Line Follow Back (TLFB) | Change in total TLFB score (consumption during preceding week), as a summarized measure of alcohol consumption | Baseline and 14 weeks, 6 months, 12 months and |
| Measure | Description | Time Frame |
|---|---|---|
| Alcohol Use Disorders Identification Test (AUDIT) | Change in total AUDIT score, as a summarized measure of alcohol use (including alcohol consumption and alcohol-related problems) | Baseline and 14 weeks, 6 months, 12 months |
| Patient Health Questionnaire (PHQ-9) |
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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;
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Employees that have undergone an assessment as a rehabilitation intervention initiated by the employer. Participants included have a problematic alcohol use, and are referred to treatment where the employer covers the cost of treatment.
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| Name | Affiliation | Role |
|---|---|---|
| Kristina Sundqvist, PhD | Stockholm University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stockholm University | Stockholm | Sweden | 18234 | Sweden |
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| OTHER |
| Uppsala University | OTHER |
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| Face-to-face cognitive behavioural treatment or short-term psycodynamic therapy with relapse prevention | Behavioral | Face-to-face therapy with a licenced psychologist or licenced psychotherapist, including 10-15 sessions. |
|
Change in total PHQ-9 score, as a summarized measure of depression |
| Baseline and 14 weeks, 6 months, 12 months |
| Generalized Anxiety Disorder-7 (GAD-7) | Change in total GAD-7 score, as a summarized measure of anxiety | Baseline and 14 weeks, 6 months, 12 months |
| The WHO-5 well-being-index | Change in total WHO-5 score, as a summarized measure of general well-being | Baseline and 14 weeks, 6 months, 12 months |
| ID | Term |
|---|---|
| D000437 | Alcoholism |
| ID | Term |
|---|---|
| D019973 | Alcohol-Related Disorders |
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D055502 | Secondary Prevention |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D011314 | Preventive Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D015980 | Public Health Practice |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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