Effectiveness of Optional Videoconferencing-Based Treatment of Alcohol Use Disorders: Randomized Controlled Trial

Tarp, Kristine; Bojesen, Anders Bo; Mejldal, Anna; Nielsen, Anette Søgaard

doi:10.2196/mental.6713

Cited by 35 publications

(60 citation statements)

References 38 publications

(58 reference statements)

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“…Four studies focused on individual video counseling for smoking cessation [ 31 , 70 - 72 ], 3 studies focused on alcohol consumption [ 73 - 75 ], 3 studies focused on physical activity [ 76 - 78 ], and 3 studies focused on obesity [ 79 - 81 ]. No trial examined the effectiveness of real-time video counseling on nutrition.…”

Section: Resultsmentioning

confidence: 99%

“…No trial examined the effectiveness of real-time video counseling on nutrition. Most trials were funded by grants from the government [ 76 , 77 , 79 - 81 ] or university [ 71 , 73 ]. One study reported receiving no funding [ 75 ], 1 study was funded by the Craig H. Neilsen Foundation [ 78 ], and 1 study was funded by CureApp Inc [ 72 ].…”

Section: Resultsmentioning

confidence: 99%

“…Multimedia Appendix 2 [ 73 - 75 ] provides a detailed description of the study characteristics. One study was conducted in Denmark [ 73 ] and the other 2 studies were conducted in the United States [ 74 , 75 ].…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of Individual Real-Time Video Counseling on Smoking, Nutrition, Alcohol, Physical Activity, and Obesity Health Risks: Systematic Review

Byaruhanga¹,

Atorkey²,

Mclaughlin³

et al. 2020

J Med Internet Res

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Background Real-time video communication technology allows virtual face-to-face interactions between the provider and the user, and can be used to modify risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. No systematic reviews have examined the effectiveness of individual real-time video counseling for addressing each of the risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. Objective This systematic review aims to examine the effectiveness of individually delivered real-time video counseling on risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. Methods The MEDLINE (Medical Literature Analysis and Retrieval System Online), EMBASE (Excerpta Medica Database), PsycINFO, Cochrane Register of Controlled Trials, and Scopus databases were searched for eligible studies published up to November 21, 2019. Eligible studies were randomized or cluster randomized trials that tested the effectiveness of individual real-time video communication interventions on smoking, nutrition, alcohol, physical activity, and obesity in any population or setting; the comparator was a no-intervention control group or any other mode of support (eg, telephone); and an English-language publication. Results A total of 13 studies were eligible. Four studies targeted smoking, 3 alcohol, 3 physical activity, and 3 obesity. In 2 of the physical activity studies, real-time video counseling was found to significantly increase physical activity when compared with usual care at week 9 and after 5 years. Two obesity studies found a significant change in BMI between a video counseling and a documents group, with significantly greater weight loss in the video counseling group than the in-person as well as the control groups. One study found that those in the video counseling group were significantly more likely than those in the telephone counseling group to achieve smoking cessation. The remaining studies found no significant differences between video counseling and telephone counseling or face-to-face counseling for smoking cessation, video counseling and face-to-face treatment on alcohol consumption, video counseling and no counseling for physical activity, and video counseling and face-to-face treatment on BMI. The global methodological quality rating was moderate in 1 physical activity study, whereas 12 studies had a weak global rating. Conclusions Video counseling is potentially more effective than a control group or other modes of support in addressing physical inactivity and obesity and is not less effective in modifying smoking and alcohol consumption. Further research is required to determine the relative benefits of video counseling in terms of other policy and practice decision-making factors such as costs and feasibility.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of Individual Real-Time Video Counseling on Smoking, Nutrition, Alcohol, Physical Activity, and Obesity Health Risks: Systematic Review

Byaruhanga¹,

Atorkey²,

Mclaughlin³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Especially in Europe, where there is no tradition for giving participants in studies a financial reward ( Weinstock, Capizzi, Weber, Pescatello, & Petry, 2014 ). Many trials recruit fewer patients than anticipated ( Brown et al, 2009 ; Brown et al, 2014 ; Nielsen & Nielsen, 2018a ; Tarp, Bojesen, Mejldal, & Nielsen, 2017 ). Thus, to be able to consider to which extent findings may be generalized, it is crucial to know how the participating patients in the study differ from non-participants.…”

Section: Discussionmentioning

confidence: 99%

Saying yes or no to physical activity – A comparative cohort analysis of patients seeking treatment for Alcohol Use Disorder

Bilberg

Roessler

Nielsen

2019

Addictive Behaviors Reports

Self Cite

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Introduction Engaging individuals, suffering from alcohol use disorder (AUD), in a physical activity can be a challenge, and often it is a limitation of the quality of studies on the topic. The aim of the present study is to investigate differences between participants and non-participants in a randomized controlled trial on the effect of physical exercise as add-on to treatment as usual (TAU) to treatment for alcohol use disorder, thereby identifying potential factors that may predict lack of willingness or ability to consider increasing the level of physical activity. Method The Healthy Lifestyle Study was a randomized controlled trial with three arms, of which two included adding physical activities to treatment for AUD as usual. All patients from an outpatient alcohol treatment clinic were invited to participate in the study. 172 accepted participation, and 384 patients either did not show up for information about the study or declined to participate. All patients in the treatment clinic were assessed by means of European Addiction Severity Index (EuropASI). Results The only predictor of participation in the study was the drinking pattern. Patients, who had been drinking every day for the last 6 months were less likely to participate in the study (OR 0.7 CI 0.4–0.9). Neither somatic nor psychiatric health seemed to impact whether or not the patients participated in the study. Conclusion Non-participants did not differ from participants in this study except in their drinking pattern.

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“…However, clinical applications of social VR have thus far been scarce. There are a number of possible uses of social VR in CBT: social VR could be used as an immersive type of videoconferencing psychotherapy (Tarp et al 2017), virtual gatherings could be used as a form of behavioral activation in depression (Lindner et al 2019a), a patient in non-automated VR exposure therapy would likely benefit from observing an embodied avatar therapist modeling non-phobic responses (Olsson and Phelps 2007;Öst 1989), VR could also make it convenient to perform VR exposure therapy for public speaking anxiety (Kahlon et al 2019) in front of avatars instead of agents, and more.…”

Section: Social Vrmentioning

confidence: 99%

Better, Virtually: the Past, Present, and Future of Virtual Reality Cognitive Behavior Therapy

Lindner

2020

J Cogn Ther

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Virtual reality (VR) is an immersive technology capable of creating a powerful, perceptual illusion of being present in a virtual environment. VR technology has been used in cognitive behavior therapy since the 1990s and accumulated an impressive evidence base, yet with the recent release of consumer VR platforms came a true paradigm shift in the capabilities and scalability of VR for mental health. This narrative review summarizes the past, present, and future of the field, including milestone studies and discussions on the clinical potential of alternative embodiment, gamification, avatar therapists, virtual gatherings, immersive storytelling, and more. Although the future is hard to predict, clinical VR has and will continue to be inherently intertwined with what are now rapid developments in technology, presenting both challenges and exciting opportunities to do what is not possible in the real world.

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Effectiveness of Optional Videoconferencing-Based Treatment of Alcohol Use Disorders: Randomized Controlled Trial

Cited by 35 publications

References 38 publications

Effectiveness of Individual Real-Time Video Counseling on Smoking, Nutrition, Alcohol, Physical Activity, and Obesity Health Risks: Systematic Review

Effectiveness of Individual Real-Time Video Counseling on Smoking, Nutrition, Alcohol, Physical Activity, and Obesity Health Risks: Systematic Review

Saying yes or no to physical activity – A comparative cohort analysis of patients seeking treatment for Alcohol Use Disorder

Better, Virtually: the Past, Present, and Future of Virtual Reality Cognitive Behavior Therapy

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