Evidence map›Paper›PMID 34022840›Full record

ArticleBMC psychiatry2021

Effectiveness of a digital alcohol moderation intervention as an add-on to depression treatment for young adults: study protocol of a multicentre pragmatic randomized controlled trial.

Maria J E Schouten, Jack J M Dekker, Tamara Q de Bruijn, David D Ebert, Lisanne M Koomen, Sjoerd L A Kosterman, Heleen Riper, Michael P Schaub, Anna E Goudriaan, Matthijs Blankers

Open 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. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. 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

10 authors at 6 institutions in 4 countries.

Maria J E SchoutenDepartment of Research, Arkin Mental Health Care, Amsterdam, The Netherlands. m.j.e.schouten@vu.nl.ORCID 0000-0002-5844-3408
Jack J M DekkerDepartment of Research, Arkin Mental Health Care, Amsterdam, The Netherlands.
Tamara Q de BruijnDepartment of Prevention, Jellinek, Arkin Mental Health Care, Amsterdam, The Netherlands.
David D EbertDepartment of Clinical, Neuro- and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Lisanne M KoomenArkin BasisGGZ, Arkin Mental Health Care, Roetersstraat 210, Amsterdam, The Netherlands.
Sjoerd L A KostermanDepartment of Outpatient Treatment of Common Mental Health Disorders, PuntP, Arkin Mental Health Care, Amsterdam, The Netherlands.
Heleen RiperDepartment of Clinical, Neuro- and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, Amsterdam, The Netherlands.
Michael P SchaubSwiss Research Institute for Public Health and Addiction, University of Zurich, Zurich, Switzerland.
Anna E GoudriaanDepartment of Research, Arkin Mental Health Care, Amsterdam, The Netherlands.
Matthijs BlankersDepartment of Research, Arkin Mental Health Care, Amsterdam, The Netherlands.
Arkin · NLAmsterdam Institute for Addiction Research · NLJellinek · NLUniversity of Turku · FIUniversity of Zurich · CHVrije Universiteit Amsterdam · NL

Funding

ZonMw 60-63600-98-309
6 · The paper itself

Abstract

backgroundDepressive disorders and problematic drinking often co-occur, also among young adults. These co-occurring conditions are associated with various negative health outcomes compared to both conditions alone. Early intervention by addressing alcohol use and depressive symptoms simultaneously in the same treatment might improve both conditions. However, evidence on the (cost-) effectiveness of digital combined depression and alcohol interventions for young adults is currently insufficient. We therefore developed an add-on digital alcohol moderation adherence-focussed guided intervention to complement treatment as usual (TAU) for depressive disorders. The digital intervention is a web-app, including 6 modules based on motivational interviewing and cognitive behavioural therapy. This study aims to evaluate the (cost-)effectiveness of a digital alcohol moderation intervention + TAU compared to TAU on alcohol and depression outcomes among young adults with co-occurring depressive disorders and problematic alcohol use.

methodsOne hundred fifty-six participants, aged 18-35 years, with problematic alcohol use and a diagnosed depressive disorder will participate in a pragmatic multicentre two-arm randomized controlled trial. Problematic alcohol use is operationalised as scoring ≥5 for women and ≥ 8 for men on the Alcohol Use Disorder Identification Test (AUDIT). Participants will be randomized to either the experimental group (digital alcohol intervention + TAU) or control group (TAU only). Participants will be recruited at three Dutch mental health care centres and through social media. Assessments take place at baseline and after 3, 6 and 12 months post-randomization. The primary outcome is treatment response at 6-month follow-up, operationalized as a composite score that combines alcohol use and depression measures and indicates whether treatment has been successful or not. Secondary outcomes are depressive symptoms and alcohol use (i.e. number of weekly standard drinks and AUDIT score). An economic evaluation will be conducted alongside the trial. DISCUSSION: This study evaluates the (cost-) effectiveness of an add-on digital alcohol moderation intervention for young adults who are in treatment for depressive disorders. If proven effective, the digital intervention could be implemented in mental health care and improve treatment for people with co-occurring depressive disorders and problematic alcohol use.

trial registrationPre-registered on October 29, 2019 in The Netherlands Trial Register ( NL8122 ).

Indexed as

Cognitive Behavioral TherapyMotivational InterviewingCost-Benefit AnalysisDepressionFemaleHumansMaleMulticenter Studies as TopicNetherlandsPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicTreatment OutcomeYoung AdultComorbidityCost-effectivenessDepression treatmentDepressive disordersDigital interventionEffectivenessEhealthProblematic alcohol useRandomized controlled trialYoung adults

Identifiers

PMID34022840
PMCPMC8140318
OpenAlexW3165629672

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.