Evaluating real-time internet therapy and online self-help for problematic alcohol consumers: a three-arm RCT protocol

Blankers, Matthijs; Koeter, Maarten; Schippers, Gerard M.
January 2009
BMC Public Health;2009, Vol. 9 Issue 1, p16
Academic Journal
Background: Only a minority of all alcohol- and drug abusers is receiving professional care. In an attempt to narrow this treatment gap, treatment facilities experiment with online healthcare. Therefore, it is important to test the (cost-)effectiveness of online health interventions in a randomized clinical trial. Methods: This paper presents the protocol of a three-arm randomized clinical trial to test the (cost-) effectiveness of online treatment for problem drinkers. Self-help online, therapy online and a waiting list are tested against each other. Primary outcome is change in alcohol consumption. Secondary outcome measures include quality of life and working ability. Incremental cost-effectiveness ratios for self-help online alcohol and therapy online alcohol will be calculated. The predictive validity of participant characteristics on treatment adherence and outcome will be explored. Discussion: To our best knowledge, this randomized clinical trial will be the first to test the effectiveness of therapy online against both self-help online and a waiting-list. It will provide evidence on (cost-) effectiveness of online treatment for problem drinkers and investigate outcome predictors. Trial registration: This trial is registered in the Dutch Trialregister (Cochrane Collaboration) and traceable as NTR-TC1155.


Related Articles

  • Effectiveness of a web-based self-help smoking cessation intervention: protocol of a randomised controlled trial. Kramer, Jeannet J. A. M.; Willemsen, Marc C.; Conijn, Barbara; van Emst, AndrĂ©e J.; Brunsting, Suzanne; Riper, Heleen // BMC Public Health;2009, Vol. 9 Issue 1, p32 

    Background: Cigarette smoking is a major risk factor for many chronic and fatal illnesses. Stopping smoking directly reduces those risks. The aim of this study is to investigate the effectiveness of a web-based interactive self-help programme for smoking cessation, known as the StopSite, by...

  • Does a Meditation Protocol Supported by a Mobile Application Help People Reduce Stress? Suggestions from a Controlled Pragmatic Trial. Carissoli, Claudia; Villani, Daniela; Riva, Giuseppe // CyberPsychology, Behavior & Social Networking;Jan2015, Vol. 18 Issue 1, p46 

    The aim of this study was to examine the efficacy of a 3 week mindfulness inspired protocol, delivered by an Android application for smartphones, in reducing stress in the adult population. By using a controlled pragmatic trial, a self-help intervention group of meditators was compared with a...

  • Methodological Challenges in Online Trials. Murray, Elizabeth; Khadjesari, Zarnie; Wallace, Paul; White, Ian R.; Thompson, Simon G.; Kalaitzaki, Eleftheria; Godfrey, Christine; McCambridge, Jim // Journal of Medical Internet Research;Apr2009, Vol. 11 Issue 2, p11 

    Health care and health care services are increasingly being delivered over the Internet. There is a strong argument that interventions delivered online should also be evaluated online to maximize the trial's external validity. Conducting a trial online can help reduce research costs and improve...

  • A Randomized Clinical Trial Using Research Diagnostic Criteria for Temporomandibular Disorders-Axis II to Target Clinic Cases for a Tailored Self-Care TMD Treatment Program. Dworkin, Samuel F.; Huggins, Kimberly H.; Wilson, Leanne; Mancl, Lloyd; Turner, Judith; Massoth, Donna; LeResche, Linda; Truelove, Edmond // Journal of Orofacial Pain;Winter2002, Vol. 16 Issue 1, p48 

    Aims: To carry out a randomized clinical trial (RCT) contrasting usual conservative treatment of TMD by clinical TMD specialists with a structured self-care intervention, targeted to clinic cases independent of TMD physical diagnosis, who were reporting minimal levels of psychosocial...

  • The Effectiveness of Adding Pharmacologic Treatment with Clonazepam or Cyclobenzaprine to Patient Education and Self-Care for the Treatment of Jaw Pain upon Awakening: A Randomized Clinical Trial. Herman, Cory R.; Schiffman, Eric L.; Look, John O.; Rindal, D. Brad // Journal of Orofacial Pain;Winter2002, Vol. 16 Issue 1, p64 

    Aims: To compare the relative effectiveness of a benzodiazepine (clonazepam), a muscle relaxant (cyclobenzaprine), and a placebo for the treatment of jaw pain upon awakening, when each is combined with the recommended nonpharmacological components of initial medical management. Methods:...

  • A Model-Based Method for Improving Protocol Quality. Kahn, Michael G.; Broverman, Carol A.; Wu, Nancy; Farnsworth, Wendy J.; Manlapaz-Espiritu, Lenilyn // Applied Clinical Trials;May2002, Vol. 11 Issue 5, p40 

    Focuses on an approach to improve clinical trial protocols. Increase in the operational-management of clinical trials due to complexity of protocols; Distinction between scientific and operational issues in clinical trials planning and execution; Reduction of the risk of protocol...

  • What Is a Subject Diary, and How Do Regulations Apply? Stokes, Teri; Paty, Jean // Applied Clinical Trials;Sep2002, Vol. 11 Issue 9, p38 

    Part I. Discusses the use of subject diaries in clinical trials and the way researchers can comply with applicable regulations and guidelines. Types of diary technologies; Regulations and guidelines that must be followed to obtain high standards of data quality set by regulatory bodies; Audit...

  • Notes from the field. Sadowski, Lynn // Applied Clinical Trials;Sep2002, Vol. 11 Issue 9, p56 

    Provides tips on building and maintaining monitor-coordinator relationships in clinical trials. Emphasis on strengths of both monitor and coordinator; Definition of expectations; Avoidance of coordinator isolation; Noting of issues onsite and working with coordinator to develop acceptable...

  • Aide-memoire for preparing clinical trial protocols.  // British Medical Journal;5/21/1977, Vol. 1 Issue 6072, p1323 

    Presents a list of elements for preparing clinical trial protocols. Amplification of several headings through footnotes; Revisions in trial techniques; Inclusion of legal and ethical obligations.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics