A randomized controlled study of exposure therapy as aftercare for alcohol use disorder: study protocol
Background:
It is well documented that individuals with Alcohol Use Disorder (AUD) respond well during evidence-based psychological treatment, but also that a large proportion relapses when discharged from treatment and confronted with alcohol in real life. Cue Exposure Treatment (CET) focuses on exposing individuals to alcohol cues in order to reduce cravings as well as the likelihood of relapse.
The aims of the study are:
1) to investigate whether CET aftercare delivered via a smartphone or in group sessions increases the effect of Cognitive Behavioural Treatment in groups of alcohol dependent individuals; 2) to investigate whether CET as a smartphone application is as or more effective than CET group therapy, and 3) to investigate whether CET as a smartphone application is more cost-effective than CET group aftercare and Aftercare as Usual.
Design and methods:
The study will be implemented as an investigator-blinded randomized controlled trial. A total of 300 consecutively enrolled alcohol use disorder individuals recruited from an alcohol outpatient clinic will be randomized into one of the three following aftercare groups after concluding primary treatment: (1) CET as a smartphone application; (2) CET as group therapy, and (3) Aftercare as Usual. It is hypothesized that the two experimental groups will achieve better treatment outcomes compared to the control group (3).
Discussion:
Individuals in the CET groups are given the opportunity to practise coping strategies during exposure to alcohol stimuli before being unavoidably confronted with alcohol and associated stimuli in real life. Thus, CET may help prevent patients from relapsing after concluding treatment, and in the long term. Moreover, the CET application has the potential to improve AUD treatment and continuing care by offering psychological treatment whenever and wherever the patient finds it convenient.
Trial registration:
ClinicalTrials.gov ID: NCT02298751
Registration date:
6 November 2014
Keywords:
Aftercare, Alcohol use disorder, Cognitive behavioural treatment, Cue exposure treatment, Smartphone application
Autoři:
Angelina Isabella Mellentin 1,2,4*; Bent Nielsen 1,2; Anette Søgaard Nielsen 1; Fei Yu 3; Elsebeth Stenager 1
Působiště autorů:
Unit of Psychiatric Research, Institute of Regional Health Services Research, University of Southern Denmark, Aabenraa, Denmark.
1; Unit of Clinical Alcohol Research, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
2; Innovation and Business Research Unit, Mads Clausen Institutet, University of Southern Denmark, Sønderborg, Denmark.
3; Unit of Psychiatric Research, University of Southern Denmark, Sdr. Boulevard 29, 5000 Odense, Denmark.
4
Vyšlo v časopise:
BMC Psychiatry 2016, 16:112
Kategorie:
Study protocol
prolekare.web.journal.doi_sk:
https://doi.org/10.1186/s12888-016-0795-8
© 2016 Mellentin et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. The electronic version of this article is the complete one and can be found online at: http://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-016-0795-8
Souhrn
Background:
It is well documented that individuals with Alcohol Use Disorder (AUD) respond well during evidence-based psychological treatment, but also that a large proportion relapses when discharged from treatment and confronted with alcohol in real life. Cue Exposure Treatment (CET) focuses on exposing individuals to alcohol cues in order to reduce cravings as well as the likelihood of relapse.
The aims of the study are:
1) to investigate whether CET aftercare delivered via a smartphone or in group sessions increases the effect of Cognitive Behavioural Treatment in groups of alcohol dependent individuals; 2) to investigate whether CET as a smartphone application is as or more effective than CET group therapy, and 3) to investigate whether CET as a smartphone application is more cost-effective than CET group aftercare and Aftercare as Usual.
Design and methods:
The study will be implemented as an investigator-blinded randomized controlled trial. A total of 300 consecutively enrolled alcohol use disorder individuals recruited from an alcohol outpatient clinic will be randomized into one of the three following aftercare groups after concluding primary treatment: (1) CET as a smartphone application; (2) CET as group therapy, and (3) Aftercare as Usual. It is hypothesized that the two experimental groups will achieve better treatment outcomes compared to the control group (3).
Discussion:
Individuals in the CET groups are given the opportunity to practise coping strategies during exposure to alcohol stimuli before being unavoidably confronted with alcohol and associated stimuli in real life. Thus, CET may help prevent patients from relapsing after concluding treatment, and in the long term. Moreover, the CET application has the potential to improve AUD treatment and continuing care by offering psychological treatment whenever and wherever the patient finds it convenient.
Trial registration:
ClinicalTrials.gov ID: NCT02298751
Registration date:
6 November 2014
Keywords:
Aftercare, Alcohol use disorder, Cognitive behavioural treatment, Cue exposure treatment, Smartphone application
Zdroje
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Štítky
PsychiatriaČlánok vyšiel v časopise
BMC Psychiatry
2016 Číslo 112
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