Targeting problematic users of illicit drugs with Internet-based screening and brief intervention: A randomized controlled trial

Sinadinovic, Kristina; Wennberg, Peter; Berman, Anne H.

doi:10.1016/j.drugalcdep.2012.04.016

Cited by 21 publications

(28 citation statements)

References 149 publications

(245 reference statements)

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“…Individuals who used drugs, with or without problematic alcohol use, were referred to a parallel study targeting drug users [32,33]. To be included in the trial, individuals also needed to have adequate computer skills.…”

Section: Methodsmentioning

confidence: 99%

Targeting Individuals with Problematic Alcohol Use via Web-Based Cognitive-Behavioral Self-Help Modules, Personalized Screening Feedback or Assessment Only: A Randomized Controlled Trial

Sinadinovic¹,

Wennberg

Johansson³

et al. 2014

Eur Addict Res

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Background/Aims: Most problematic alcohol users never seek professional help to reduce their use, and Web-based interventions might fulfill users' unmet needs for professional support. Methods: This randomized controlled trial compared two open Web-based interventions, one extended self-help program and one brief screening and feedback intervention, with an assessment-only control group. Participants were 633 Internet help seekers with at least hazardous alcohol use (Alcohol Use Disorders Identification Test, AUDIT ≥6 for women and ≥8 for men). Results: All groups reduced their alcohol use at 3-month follow-up (p < 0.001), remaining stable at the 6- and 12-month follow-ups (n.s.) according to AUDIT-C and AUDIT scores (intention-to-treat, ITT, analysis). Per protocol (PP) analysis, including only participants who accessed the interventions and also reported accessing additional outside interventions during the trial, showed that about 75% of extended self-help participants moved from probable dependence, harmful or hazardous use to lower alcohol use levels at 3- and 6- and 12-month follow-ups, compared to about 40-60% of brief intervention users and controls who accessed extra help (p < 0.05). Conclusion: ITT analysis suggested parity over time for all interventions, including assessment only, in reducing problematic alcohol use. In contrast, PP analysis suggested that cognitive-behavioral extended self-help in combination with other interventions was more effective in changing alcohol use than brief intervention or assessment only.

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Section: Methodsmentioning

confidence: 99%

Targeting Individuals with Problematic Alcohol Use via Web-Based Cognitive-Behavioral Self-Help Modules, Personalized Screening Feedback or Assessment Only: A Randomized Controlled Trial

Sinadinovic¹,

Wennberg

Johansson³

et al. 2014

Eur Addict Res

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“…Five trials offered 2 to 5 sessions with the e-intervention (for 3 trials that enrolled adults and 2 that enrolled students) (37-40), 1 trial offered 62 sessions (38), and 3 trials (32,41,42) offered participants unlimited access to the program. The most common e-intervention component was personalized normative feedback (for 8 trials that enrolled adults and 12 that enrolled students), but the breadth, intensity, and type of e-interventions that we combined in metaanalyses were heterogeneous.…”

Section: E-intervention Characteristics and Supportmentioning

confidence: 99%

Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders

et al. 2015

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“…Prior studies of web-based interventions for substance use problems have often evaluated computer-administered pre-programmed treatment and education modules rather than the delivery of “real time” counseling services (Alcohol Research Group & Vernon, 2011; Chen et al, 2012; Kiluk et al, 2011; Sinadinovic et al, 2012). Pre-packaged interventions may not be particularly compatible with the routine course of opioid dependence over extended periods of time, with symptoms that fluctuate in scope and severity (Ball & Ross, 1991; McKay, 2005; McLellan et al, 2000).…”

Section: 0 Introductionmentioning

confidence: 99%

A randomized trial of Web-based videoconferencing for substance abuse counseling

King

Brooner

Peirce

et al. 2014

Journal of Substance Abuse Treatment

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Web-based videoconferencing can improve access to substance abuse treatment by allowing patients to receive counseling services in their homes. This randomized clinical trial evaluates the feasibility and acceptability of web-based videoconferencing in community opioid treatment program (OTP) participants. Participants that reported computer and Internet access (n = 85) were randomly assigned to receive 12 weeks of weekly individual counseling in-person or via eGetgoing, a web-based videoconferencing platform. Fifty-nine of these participants completed the study (eGetgoing=24; In-person=35), with most study withdrawal occurring among eGetgoing participants. Participants exposed to the study conditions had similar rates of counseling attendance and drug-positive urinalysis results, and reported similar and strong ratings of treatment satisfaction and therapeutic alliance. These results support the feasibility and acceptability of web-based counseling as a good method to extend access to individual substance abuse counseling when compared to in-person counseling for patients that are able to maintain a computer and Internet connection for reliable communication.

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Targeting problematic users of illicit drugs with Internet-based screening and brief intervention: A randomized controlled trial

Cited by 21 publications

References 149 publications

Targeting Individuals with Problematic Alcohol Use via Web-Based Cognitive-Behavioral Self-Help Modules, Personalized Screening Feedback or Assessment Only: A Randomized Controlled Trial

Targeting Individuals with Problematic Alcohol Use via Web-Based Cognitive-Behavioral Self-Help Modules, Personalized Screening Feedback or Assessment Only: A Randomized Controlled Trial

Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders

A randomized trial of Web-based videoconferencing for substance abuse counseling

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