Evidence map›Paper›PMID 33676429›Full record

ArticleBMC psychiatry2021

BLEND-A: blending internet treatment into conventional face-to-face treatment for alcohol use disorder - a study protocol.

Angelina Isabella Mellentin, Silke Behrendt, Randi Bilberg, Matthijs Blankers, Marie Paldam Folker, Kristine Tarp, Jakob Uffelmann, Anette Søgaard Nielsen

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04535258 (Blended Treatment for Alcohol Use Disorder - The BLEND-A Study Evaluation of a Blended Treatment Intervention for Alcohol Use Disorder in Denmark), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 25% 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.

NCT04535258 naactive not recruitingnot on this map

Blended Treatment for Alcohol Use Disorder - The BLEND-A Study Evaluation of a Blended Treatment Intervention for Alcohol Use Disorder in Denmark

TypeinterventionalSponsorUniversity of Southern DenmarkRan2020 to 2027Enrolled1,800ConditionsAlcohol Use DisorderArmsBlend-A
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

8 authors at 5 institutions in 2 countries.

Angelina Isabella MellentinDepartment of Clinical Research, Unit of Clinical Alcohol Research, University of Southern Denmark, Odense, Denmark. amellentin@health.sdu.dk.
Silke BehrendtDepartment of Clinical Research, Unit of Clinical Alcohol Research, University of Southern Denmark, Odense, Denmark.
Randi BilbergDepartment of Clinical Research, Unit of Clinical Alcohol Research, University of Southern Denmark, Odense, Denmark.
Matthijs BlankersDepartment of Research, Arkin Mental Health Care, Amsterdam, The Netherlands.
Marie Paldam FolkerResearch Unit for Telepsychiatry and E-mental Health, Centre for Telepsychiatry in the Mental Health Services in the Region of Southern Denmark and Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Kristine TarpResearch Unit for Telepsychiatry and E-mental Health, Centre for Telepsychiatry in the Mental Health Services in the Region of Southern Denmark and Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Jakob UffelmannSundhed.dk, Copenhagen, Denmark.
Anette Søgaard NielsenDepartment of Clinical Research, Unit of Clinical Alcohol Research, University of Southern Denmark, Odense, Denmark.
Mental Health Services · DKUniversity of Southern Denmark · DKOdense University Hospital · DKRegion of Southern Denmark · DKUniversity of Amsterdam · NL

Funding

TrygFonden 127727
6 · The paper itself

Abstract

backgroundA major challenge to psychological treatment for alcohol use disorder (AUD) is patient non-compliance. A promising new treatment approach that is hypothesized to increase patient compliance is blended treatment, consisting of face-to-face contact with a therapist combined with modules delivered over the internet within the same protocol. While this treatment concept has been developed and proven effective for a variety of mental disorders, it has not yet been examined for AUD.

aimsThe study described in this protocol aims to examine and evaluate patient compliance with blended AUD treatment as well as the clinical and cost effectiveness of such treatment compared to face-to-face treatment only.

methodsThe study design is a pragmatic, stepped-wedge cluster randomized controlled trial. The included outpatient institutions (planned number of patients: n = 1800) will be randomized in clusters to implement either blended AUD treatment or face-to-face treatment only, i.e. treatment as usual (TAU). Both treatment approaches consist of motivational interviewing and cognitive behavioral therapy. Data on sociodemographics, treatment (e.g. intensity, duration), type of treatment conclusion (compliance vs. dropout), alcohol consumption, addiction severity, consequences of drinking, and quality of life, will be collected at treatment entry, at treatment conclusion, and 6 months after treatment conclusion. The primary outcome is compliance at treatment conclusion, and the secondary outcomes include alcohol consumption and quality of life at six-months follow-up. Data will be analyzed with an Intention-to-treat approach by means of generalized linear mixed models with a random effect for cluster and fixed effect for each step. Also, analyses evaluating cost-effectiveness will be conducted. DISCUSSION: Blended treatment may increase treatment compliance and thus improve treatment outcomes due to increased flexibility of the treatment course. Since this study is conducted within an implementation framework it can easily be scaled up, and when successful, blended treatment has the potential to become an alternative offer in many outpatient clinics nationwide and internationally.

trial registrationClinicaltrials.gov .: NCT04535258 , retrospectively registered 01.09.20.

Indexed as

AlcoholismCognitive Behavioral TherapyCost-Benefit AnalysisHumansInternetPragmatic Clinical Trials as TopicQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeAlcohol use disorderBlended treatmentCognitive behavior therapyGuided internet-based treatmentMotivational interviewing

Identifiers

PMID33676429
PMCPMC7937233
OpenAlexW3133865069

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.