Evidence map›Paper›PMID 31888707›Full record

ArticleTrials2019

The efficacy of iCBT added to treatment as usual for alcohol-dependent patients in primary care: study protocol for a randomized controlled trial.

Karin Hyland, Anders Hammarberg, Erik Hedman-Lagerlöf, Magnus Johansson, Sven Andreasson

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Karin HylandDepartment of Clinical Neuroscience, Karolinska Institutet, 17177, Stockholm, Sweden. karin.hyland@ki.se.ORCID http://orcid.org/0000-0001-6261-0224
Anders HammarbergDepartment of Clinical Neuroscience, Karolinska Institutet, 17177, Stockholm, Sweden.
Erik Hedman-LagerlöfDepartment of Clinical Neuroscience, Karolinska Institutet, 17177, Stockholm, Sweden.
Magnus JohanssonCentre for Dependency Disorders, Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
Sven AndreassonCentre for Dependency Disorders, Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
Stockholm County Council · SEKarolinska Institutet · SE

Funding

Forskningsrådet om Hälsa, Arbetsliv och Välfärd STYA-2016/0007Stockholms Läns Landsting 20150189
6 · The paper itself

Abstract

backgroundAlcohol dependence is a common disorder with a continuum regarding severity. Most alcohol-dependent persons have a moderate level of dependence and live under socially orderly conditions. Treatment-seeking in this group is low, mainly due to stigma and because treatment options are seen as unappealing. Alcohol is a relevant topic to discuss in many primary care (PC) consultations and PC is less stigmatizing to visit compared to addiction care units for people with alcohol problems. However, general practitioners (GPs) hesitate to engage in treating alcohol problems due to time constraints and lack of knowledge. Screening and brief interventions are effective for high consumers but there are few studies on dependence.

methodsThis is a two-group, parallel, randomized controlled trial (RCT). The aim is to study whether an Internet-based Cognitive Behavioral Treatment (iCBT) when added to treatment as usual (TAU) is more effective than TAU only for alcohol dependence in PC. Two hundred and sixty adults with alcohol dependence will be included. Participants are randomized to iCBT and TAU or TAU only. The primary study outcome is alcohol consumption in grams per week and heavy-drinking days. Secondary outcomes include alcohol-related problem severity, number of diagnostic criteria for alcohol dependence, depression and anxiety symptoms, health-related quality of life and biochemical markers for high consumption and liver pathology. Data will be analyzed using mixed-effect models. DISCUSSION: Internet-based interventions are attractive to, and have been shown to reach, people with alcohol problems. Yet there are no studies investigating the efficacy of Internet treatment of alcohol dependence in PC. In this study we hypothesize that iCBT when added to TAU will improve treatment outcome for alcohol dependence in PC, compared to TAU only. If effective, iCBT can be distributed to the public to a low cost for a stakeholder and has the opportunity to reduce both short-term and long-term public health costs.

trial registrationISRCTN69957414. Retrospectively registered on 7 June 2018.

Indexed as

Alcohol DrinkingAlcoholismCognitive Behavioral TherapyInternet-Based InterventionPrimary Health CareAdultAnxietyDepressionFemaleFollow-Up StudiesHumansMaleMulticenter Studies as TopicQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeAlcohol dependenceInternet-based Cognitive Behavioral Treatment (iCBT)Primary careRCT

Identifiers

PMID31888707
PMCPMC6938008
OpenAlexW2998147909

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.