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- Ensaio Clínico NCT02671019
Effectiveness and Costs of Internet-based Treatment for Harmful Alcohol Use and Face-to-face Treatment in Addiction Care
Comparing Effectiveness and Costs of Internet-based Treatment for Problematic Alcohol Use and Face-to-face Treatment in Addiction Care: A Randomized Controlled Trial
The purpose of this trial is to compare the effectiveness and costs of a five-module Internet-based treatment program (including therapist support) for harmful alcohol use with the effectiveness and cost of the same treatment content delivered face-to-face in specialized addiction treatment. The hypotheses to be tested through this trial are that:
- The Internet-based treatment program (including therapist support) is as effective (reducing alcohol consumption) as the same treatment content delivered face-to-face in specialized addiction treatment.
- The Internet-based treatment program (including therapist support) is associated with lower cost per treated individual in relation to the achieved effects (in terms of reduced alcohol consumption) compared with the same treatment content delivered face-to-face in specialized addiction treatment.
The design is a two-armed randomized controlled trial, and outcomes are measured in terms of changes in alcohol consumption, problematic alcohol use as well as alcohol dependence, depression, anxiety, quality of life and costs for the treatments. A minimum of 350 participants will be recruited and randomized into two groups:
Intervention group 1: All participants in this group will have access to the five-module Internet-based treatment program for harmful alcohol use and have access to a therapist with training in psychotherapy (CBT) who assists and counsels the participant throughout the program.
Intervention group 2: All participants in this group will attend five face-to-face treatment sessions in specialized addiction treatment.
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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Stockholm, Suécia, 171 77
- Karolinska Institutet
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- 18 years or older
- 16 points on Alcohol Use Disorders Identification Test or at least 3 criteria on the International Classification of Diseases (ICD-10) for Alcohol Dependence
- Resident in Stockholm County
Exclusion Criteria:
- Lack of understanding of the Swedish language.
- Doctor's assessment that there is a risk for severe withdrawal symptoms, risk for suicide or mental illness requiring separate care.
- Doctor's assessment that there is a need for medication for alcohol dependence.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Solteiro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
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Experimental: Internet-based treatment
A five-module Internet-based treatment program for harmful alcohol use (including therapist support) based on Motivational Interviewing, Cognitive Behavioral Treatment and Relapse prevention, focusing on: Motivation to change harmful alcohol use, defining a goal for the treatment, self-control strategies, risk situations, planning alternative behaviors and relapse prevention.
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A treatment for harmful alcohol use based on Motivational Interviewing, Cognitive Behavioral Treatment and Relapse prevention, focusing on: Motivation to change harmful alcohol use, defining a goal for the treatment, self-control strategies, risk situations, planning alternative behaviors and relapse prevention.
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Comparador Ativo: Face-to-face treatment
Same treatment content as in the Internet-based treatment delivered via face-to-face treatment sessions in specialized addiction treatment.
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A treatment for harmful alcohol use based on Motivational Interviewing, Cognitive Behavioral Treatment and Relapse prevention, focusing on: Motivation to change harmful alcohol use, defining a goal for the treatment, self-control strategies, risk situations, planning alternative behaviors and relapse prevention.
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Prazo |
|---|---|
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Number of standard alcohol units consumed in the past 7 days measured with Time Line Follow Back method
Prazo: 3 months post-randomization
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3 months post-randomization
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Medidas de resultados secundários
Medida de resultado |
Prazo |
|---|---|
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Number of standard alcohol units consumed in the past 7 days measured with Time Line Follow Back method
Prazo: 6 months post-randomization
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6 months post-randomization
|
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Number of standard alcohol units consumed in the past 7 days measured with Time Line Follow Back method
Prazo: 12 months post-randomization
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12 months post-randomization
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Number of standard alcohol units consumed in the past 7 days measured with Time Line Follow Back method
Prazo: 24 months post-randomization
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24 months post-randomization
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Alcohol Use Disorders Identification Test score
Prazo: 3 months post-randomization
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3 months post-randomization
|
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Alcohol Use Disorders Identification Test score
Prazo: 6 months post-randomization
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6 months post-randomization
|
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Alcohol Use Disorders Identification Test score
Prazo: 12 months post-randomization
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12 months post-randomization
|
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Alcohol Use Disorders Identification Test score
Prazo: 24 months post-randomization
|
24 months post-randomization
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Number of criteria for alcohol dependence according to International Classification of Diseases - 10
Prazo: 3 months post-randomization
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3 months post-randomization
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Number of criteria for alcohol dependence according to International Classification of Diseases - 10
Prazo: 6 months post-randomization
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6 months post-randomization
|
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Number of criteria for alcohol dependence according to International Classification of Diseases - 10
Prazo: 12 months post-randomization
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12 months post-randomization
|
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Number of criteria for alcohol dependence according to International Classification of Diseases - 10
Prazo: 24 months post-randomization
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24 months post-randomization
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Number of criteria for alcohol dependence according to Diagnostic and Statistical Manual of Mental Disorders - V
Prazo: 3 months post-randomization
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3 months post-randomization
|
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Number of criteria for alcohol dependence according to Diagnostic and Statistical Manual of Mental Disorders - V
Prazo: 6 months post-randomization
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6 months post-randomization
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Number of criteria for alcohol dependence according to Diagnostic and Statistical Manual of Mental Disorders - V
Prazo: 12 months post-randomization
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12 months post-randomization
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Number of criteria for alcohol dependence according to Diagnostic and Statistical Manual of Mental Disorders - V
Prazo: 24 months post-randomization
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24 months post-randomization
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Number of days absent from work due to illness
Prazo: 3 months post-randomization
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3 months post-randomization
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Number of days absent from work due to illness
Prazo: 6 months post-randomization
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6 months post-randomization
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Number of days absent from work due to illness
Prazo: 12 months post-randomization
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12 months post-randomization
|
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Number of days absent from work due to illness
Prazo: 24 months post-randomization
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24 months post-randomization
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Score on Montgomery-Åsberg Depression Rating Scale
Prazo: 3 months post-randomization
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3 months post-randomization
|
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Score on Montgomery-Åsberg Depression Rating Scale
Prazo: 6 months post-randomization
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6 months post-randomization
|
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Score on Montgomery-Åsberg Depression Rating Scale
Prazo: 12 months post-randomization
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12 months post-randomization
|
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Score on Montgomery-Åsberg Depression Rating Scale
Prazo: 24 months post-randomization
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24 months post-randomization
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Score on Generalised Anxiety Disorder 7-item scale
Prazo: 3 months post-randomization
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3 months post-randomization
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Score on Generalised Anxiety Disorder 7-item scale
Prazo: 6 months post-randomization
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6 months post-randomization
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Score on Generalised Anxiety Disorder 7-item scale
Prazo: 12 months post-randomization
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12 months post-randomization
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Score on Generalised Anxiety Disorder 7-item scale
Prazo: 24 months post-randomization
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24 months post-randomization
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Score on EQ-5D measuring the quality of life
Prazo: 3 months post-randomization
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3 months post-randomization
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Score on EQ-5D measuring the quality of life
Prazo: 6 months post-randomization
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6 months post-randomization
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Score on EQ-5D measuring the quality of life
Prazo: 12 months post-randomization
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12 months post-randomization
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Score on EQ-5D measuring the quality of life
Prazo: 24 months post-randomization
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24 months post-randomization
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Cost for treatment
Prazo: 3 months post-randomization
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3 months post-randomization
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Cost for treatment
Prazo: 6 months post-randomization
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6 months post-randomization
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Cost for treatment
Prazo: 12 months post-randomization
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12 months post-randomization
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Cost for treatment
Prazo: 24 months post-randomization
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24 months post-randomization
|
Colaboradores e Investigadores
Patrocinador
Colaboradores
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo
Conclusão Primária (Antecipado)
Conclusão do estudo (Antecipado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- 2014/1758-31/2
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .
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