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Evaluating real-time internet therapy and online self-help for problematic alcohol consumers: a three-arm RCT
Matthijs Blankers1, Maarten Koeter, Gerard M Schippers
1Amsterdam Institute for Addiction Research, Academic Medical Center, University of Amsterdam, Department of Psychiatry, Room PB 0.425, PO Box 75867, 1070 AW Amsterdam, the Netherlands. m.blankers@amc.uva.nl
Background:
Only a minority of all alcohol- and drug abusers is receiving professional care. In an attempt to narrow this treatment gap, treatment facilities experiment with online healthcare. Therefore, it is important to test the (cost-)effectiveness of online health interventions in a randomized clinical trial.
Methods:
This paper presents the protocol of a three-arm randomized clinical trial to test the (cost-) effectiveness of online treatment for problem drinkers. Self-help online, therapy online and a waiting list are tested against each other. Primary outcome is change in alcohol consumption. Secondary outcome measures include quality of life and working ability. Incremental cost-effectiveness ratios for self-help online alcohol and therapy online alcohol will be calculated. The predictive validity of participant characteristics on treatment adherence and outcome will be explored.
Discussion:
To our best knowledge, this randomized clinical trial will be the first to test the effectiveness of therapy online against both self-help online and a waiting-list. It will provide evidence on (cost-) effectiveness of online treatment for problem drinkers and investigate outcome predictors.
Trial Registration:
This trial is registered in the Dutch Trialregister (Cochrane Collaboration) and traceable as NTR-TC1155.
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