Evidence map›Paper›PMID 32600456›Full record

ArticleAddiction science & clinical practice2020

Choosing internet-based treatment for problematic alcohol use-why, when and how? Users' experiences of treatment online.

Veronica Ekström, Magnus Johansson

Abstract read
In one paragraph

Article in Addiction science & clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

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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

2 authors.

Veronica EkströmThe Department of Social Sciences, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
Magnus JohanssonDepartment of Public Health Sciences, Karolinska Institutet, Riddargatan 1 - Mottagningen För Alkohol Och Hälsa, Riddargatan 1, 114 35, Stockholm, Sweden. magnus.johansson.1@ki.se.ORCID 0000-0001-8583-2620

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternet-based treatment has emerged as a cost-effective option for reaching people who for different reasons are not reached by traditional treatment. Internet-based treatment for problematic alcohol use, specifically, has been found to show results on par with other forms of treatment. However, in-depth knowledge of users' experiences is required to understand what works, and what needs further development. The aim of this study is to investigate the help-seeking motives among users of an internet-based service for problematic alcohol use, as well as the users' experiences of the support available through the service.

methodThe study consists of a thematic analysis of interviews with 38 former users of the internet-based intervention Alkoholhjälpen.

resultsThe analysis shows that health and relationship factors, as well as feelings of shame, were important motives for the users' decisions to reduce their drinking. Availability and anonymity seem to have been important reasons for choosing internet-based support. The different treatment components, i.e. ICBT program, therapist support and discussion forum, were each perceived as helpful by some users but not by others. Treatment components were described as more useful when users were able to personally identify with the content, and when it helped them reflect on their own alcohol consumption.

conclusionsThere are several aspects that are relevant, beyond the comparison between components, if we want to understand what works and for whom in internet-based treatment. Internet-based treatment services should be generous in terms of options for the users.

Indexed as

Choice BehaviorInternet-Based InterventionMotivationUser-Computer InterfaceAdultAgedAlcohol-Related DisordersFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSwedenTelemedicineYoung AdultAlcohol use disordereHealthHelp seekingQualitative researchSubstance use disorderWeb-based Intervention

Identifiers

PMID32600456
PMCPMC7325222

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.