Exploring the relation between working alliance and the course and treatment outcome of an online treatment for a disorder in the use of alcohol.Objective 1: Does monitoring working alliance during an online treatment for the use of alcohol cause…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
stoornis in het gebruik van alcohol
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
- The course of treatment (how far do people progress in the treatment)
- Treatment outcome (in terms of: alcohol use, depressive, anxiety and stress
symptoms).
Treatment outcome in terms of alcohol use analogous to the treatment result
defined by Stichting Benchmark GGZ:
- abstinence (i.e. no use of alcohol the past 30 days).
- moderate use (i.e. a maximum of 4 days of *hefty* use of alcohol (more than 3
units a day for women/ more than 4 units a day for men) in the past 30 days).
- excessive use (i.e. 5 or more days of *hefty* use of alcohol in te past 30
days).
Within the treatment outcome excessive use there is also the distinction
between participants with whom there is a considerable reduction in the use of
alcohol in the amount of days of *hefty* use of alcohol (at least 40% decrease
in the amount of days compared to the amount of days of *hefty* alcohol use at
the start of treatment) and participants with whom there was no considerable
reduction in the amount of days on which there is *hefty* use of alcohol.
Treatment outcome in terms of depressive, anxiety and stress symptoms is
defined by the score on the DASS-21 (the Dutch version of the Depression,
Anxiety and Stress Scale).
Secondary outcome
Not applicable.
Background summary
When all costs and benefits of alcohol use are assessed in money, the societal
costs in the Netherlands in 2013 were between 2,3 and 2,9 billion euros
(Trimbos, RIVM 2016). In 2015 exactly one out of 10 inhabitants of the
Netherlands aged 18 years or older was a *heavy drinker* (Trimbos, RIVM 2016).
For men this means they drink 6 or more glasses of alcohol a day at least once
a week. For women this means they drink 4 or more glasses a day at least once a
week.
The online, free and anonymous treatment of Brijder in the Netherlands is a way
to lower the threshold to treatment for people who feel ashamed to enter
addiction care for face-to-face treatment. In face-to-face treatment the
working alliance (quality of collaboration between therapist and client) is an
important predictor in the effectiveness of treatment. Online treatment for
problematic alcohol use has proved to be effective. However, it is unclear to
what extent working alliance influences treatment completion in online
treatment. Completing treatment for a disorder in substance abuse has proven to
be one of the most important predictors of treatment outcome.
Study objective
Exploring the relation between working alliance and the course and treatment
outcome of an online treatment for a disorder in the use of alcohol.
Objective 1: Does monitoring working alliance during an online treatment for
the use of alcohol cause more people to complete treatment?
Objective 2: Does monitoring working alliance during an online treatment for
alcohol abuse have an effect on the alcohol use, and depressive, anxiety and
stress symptoms?
Explorative objective: is there a relation between working alliance on the one
hand, and treatment retention and treatment effect on the other, in terms of
alcohol use and depressive, anxiety and stress symptoms?
Study design
Randomized controlled trial
Condition 1: treatment as usual condition: standard online treatment consisting
of cognitive behavioral therapy.
Condition 2: intervention condition: standard online treatment consisting of
cognitive behavioral therapy plus repeated measures of working alliance in
between the steps of the treatment.
Intervention
The intervention consists of measuring the quality of working alliance 5 times
during an anonymous and free online treatment consisting of cognitive
behavioral therapy for people who experience a problem with their alcohol use.
To measure working alliance the WAV-12 (the Dutch 12-item version of the
Working Alliance Inventory) is used.
Study burden and risks
There a no risks attached to participation in this study. The only burden that
participants can experience in the intervention condition is filling in a
questionnaire consisting of 12 items, five times during treatment.
R. Holkade 4
Haarlem 2033 PZ
NL
R. Holkade 4
Haarlem 2033 PZ
NL
Listed location countries
Age
Inclusion criteria
adults (minimal age 18) seeking online treatment for their problematic use of alcohol.
Exclusion criteria
Thoughts about suicide, suicide attempts in their lifetime, hallucinations in their life time, medical complications due to withdrawal, use of more than 7-8 units of alcohol per day.
Design
Recruitment
metc-ldd@lumc.nl
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| CCMO | NL61974.058.17 |
| OMON | NL-OMON25361 |