Efficacy of a minimally guided internet treatment for alcohol misuse and emotional problems in young adults: Results of a randomized controlled trial
Autor: | Matthew T. Keough, Karli K. Rapinda, Christian Baumgartner, Norah Vincent, Heather D. Hadjistavropoulos, Jeffrey D. Wardell, Roisin M. O'Connor, Joel O. Goldberg, Michael Schaub, Mareike Augsburger, Corey S. Mackenzie, Jona R. Frohlich, Andreas Wenger, Edward A. Johnson, David Daniel Ebert, Matthijs Blankers |
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Přispěvatelé: | University of Zurich, Keough, Matthew T |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Alcohol misuse
Research paper medicine.medical_treatment Motivational interviewing Cognitive behavioural therapy 610 Medicine & health Anxiety law.invention Treatment and control groups Emerging adulthood 2738 Psychiatry and Mental Health Quality of life (healthcare) Randomized controlled trial Social pathology. Social and public welfare. Criminology law Intervention (counseling) medicine Psychology 10075 Swiss Research Institute for Public Health and Addiction Online Young adult HV1-9960 business.industry Depression Integrated treatment BF1-990 Cognitive behavioral therapy Psychiatry and Mental health medicine.symptom Minimally guided business Clinical psychology |
Zdroj: | Addictive Behaviors Reports, Vol 14, Iss, Pp 100390-(2021) Addictive Behaviors Reports |
Popis: | Highlights • Cognitive-behavioural therapy (CBT) and motivational interviewing (MI) can be readily adapted for brief, minimally guided, online interventions. • Minimally guided online treatment is beneficial for hazardous drinking, mood difficulties, and quality of life in the short-term among young adults. • Strategies designed to increase treatment engagement will likely mitigate the risk of attrition in future programs. • Future versions of the Take Care of Me program are still needed to determine long-term effects and differential responses to treatment. Objective Many young adults struggle with comorbid alcohol misuse and emotional problems (i.e., depression and anxiety). However, there is currently a paucity of evidence-based, integrated, accessible treatment options for individuals with these comorbidities. The main goal of this study was to examine efficacy of a novel online, minimally guided, integrated program for comorbid alcohol misuse and emotional problems in young adults. Method: The study was an open-label two-arm RCT. Participants (N = 222, Mage = 24.6, 67.6% female) were randomized to one of two conditions: the Take Care of Me program (an 8-week, online integrated treatment condition consisting of 12 modules), or an online psychoeducational control condition. Intervention modules incorporated content based on principles of cognitive behavioral therapy and motivational interviewing. Participants completed assessment data at baseline, at the end of treatment (i.e., 8 weeks), and at follow-up (i.e., 24 weeks). Data were analyzed using generalized linear mixed models. Results: We observed that participants in the treatment condition showed larger reductions in depression, hazardous drinking, as well as increases in psychological quality of life and confidence at the end of treatment. We did not find group differences on total alcohol use at follow-up, but participants in the treatment group reduced their hazardous drinking and improved their quality of life at 24-week follow-up. Conclusions: Our study provides promising initial evidence for the first iteration of the comorbid alcohol misuse and emotional problems online program. |
Databáze: | OpenAIRE |
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