Improving internet-delivered cognitive behaviour therapy for alcohol misuse: Patient perspectives following program...

Area of Science:

• Digital Health and Behavioural Science
• Addiction Treatment and Public Health

Background:

• Internet-delivered cognitive behaviour therapy (ICBT) shows efficacy for alcohol misuse in trials but lacks routine implementation and consistent engagement.
• A service gap exists for accessible ICBT for alcohol misuse, necessitating research into patient experiences to guide improvements.

Purpose of the Study:

• To describe patient perceptions of the free Alcohol Change Course (ACC), an ICBT program for alcohol misuse.
• To identify patient-reported helpful skills and areas for improvement in ICBT for alcohol misuse.

Main Methods:

• Qualitative thematic analysis of post-treatment written feedback from 191 participants of the Alcohol Change Course.
• Feedback focused on course satisfaction, perceived value, helpful skills, and suggestions for course refinement and future patients.

Main Results:

• A majority of patients (69.6%) were satisfied with the ACC, with 94.2% finding it worthwhile.
• Worksheets and reflections of others were highly praised; coping with cravings and managing risky situations were the most helpful skills.
• Primary suggestions for improvement included increased personal interaction (12.6%) and more information (11.5%).

Conclusions:

• The Alcohol Change Course is a valuable and satisfactory resource for individuals with alcohol misuse.
• Patient feedback highlights the importance of practical tools (worksheets), specific coping skills, and the potential benefit of enhanced interaction within ICBT programs.
• Findings offer patient-centered directions for optimizing internet-delivered cognitive behaviour therapy for alcohol misuse.