Testing the Implicit and Explicit Cognitions Underlying Behavioral Inhibition System-Related Drinking in Young Adults

Keough, Matthew T.; O’Connor, Roisin M.; Colder, Craig R.

doi:10.1111/acer.13036

Cited by 12 publications

(18 citation statements)

References 49 publications

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“…Therefore, the use of a research assistant for this purpose will help to reduce the risk of attrition. Consistent with previous research, automatic and personal feedback should also improve adherence, as is commonly observed in self-guided behavior change interventions [ 38 ]. It is important to note that the purpose of the intervention support person (ie, research assistant) in this role is not to take the place of a therapist, but rather to answer any questions participants may have as they work their way through the modules, which will be largely administrative.…”

Section: Methodssupporting

confidence: 85%

“…For example, depression is associated with low motivation, and this, in turn, may contribute to difficulties with treatment engagement and homework completion. The support-accountability module [ 38 ] posits that these difficulties with adherence, particularly in online programs, may be mitigated by the support of an individual who is viewed as competent, trustworthy, and available. Therefore, an intervention support person (ie, a research assistant) will provide primarily automatic ongoing feedback about module progress, with reminders about completing sections of the intervention.…”

Section: Methodsmentioning

confidence: 99%

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Efficacy of an Online Self-Help Treatment for Comorbid Alcohol Misuse and Emotional Problems in Young Adults: Protocol for a Randomized Controlled Trial

et al. 2018

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BackgroundAlcohol misuse and emotional problems (ie, depression and anxiety) are highly comorbid among Canadian young adults. However, there is a lack of integrated, accessible, and evidence-based treatment options for these young adults.ObjectiveThe main goal of this study is to develop and test the efficacy of an integrated, online self-help program designed to target both alcohol misuse and emotional problems.MethodsA two-arm randomized controlled trial design will be used to compare the efficacy of the online integrated treatment to a psychoeducational control group. A target sample of 214 participants will be recruited and randomly assigned to either condition. The integrated treatment will last 8 weeks, and participants will work through 12 modules. Modules will incorporate content based on principles of cognitive behavioral therapy and motivational interviewing. Participants in the control group will receive links to psychoeducational resources and will have access to the full treatment after follow-up. The primary outcome will be the number of Canadian standard drinks consumed in the week leading up the assessment. Secondary outcomes of interest include symptoms of depression, anxiety, alcohol-related problems, quality of life, and use of other drugs. Assessments will be completed at 3 time-points: at baseline, at the end of treatment (ie, 8 weeks), and at follow-up (ie, 24 weeks). Upon completion, data will be analyzed using generalized linear mixed models.ResultsData collection began in June 2018 and will continue until January 2020. Final study results will be submitted for publication by July 2020.ConclusionsCurrently, there are no integrated treatments designed to target alcohol misuse and the range of emotional problems experienced by young adults. This research stands to provide an effective, accessible (ie, Web-based), and feasible option to treat the many struggling young adults in this country.Trial RegistrationClinicalTrials.gov ID NCT03406039; https://clinicaltrials.gov/ct2/show/NCT03406039 (Archived by WebCite at http://www.webcitation.org/72fDefnrh)Registered Report IdentifierPRR1-10.2196/11298

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Section: Methodssupporting

confidence: 85%

Section: Methodsmentioning

confidence: 99%

Efficacy of an Online Self-Help Treatment for Comorbid Alcohol Misuse and Emotional Problems in Young Adults: Protocol for a Randomized Controlled Trial

et al. 2018

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“…The literature shows that adherence to treatment tends to be suboptimal in addiction intervention studies, including both in-person and online modalities [37]. In the present study, comorbid emotional symptoms may compound potential issues with treatment adherence.…”

Section: Integrated Treatment (Active Condition)mentioning

confidence: 73%

“…A sum score will be used. Studies in the extant literature support its reliability and validity [37].…”

Section: Secondary Outcomesmentioning

confidence: 97%

Efficacy of an Online Self-Help Treatment for Comorbid Alcohol Misuse and Emotional Problems in Young Adults: Protocol for a Randomized Controlled Trial (Preprint)

Frohlich¹,

Rapinda²,

Schaub³

et al. 2018

Preprint

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Background: Alcohol misuse and emotional problems (i.e., depression and anxiety) are highly comorbid among Canadian young adults. However, there is a lack of integrated, accessible, and evidence-based treatment options for these young adults. Objective:The main goal of this study is to develop and test the efficacy of an integrated, online self-help program designed to target both alcohol misuse and emotional problems. Methods:A two-arm randomized controlled trial (RCT) design will be used to compare the efficacy of the online integrated treatment to a psychoeducational control group. A target sample of 214 participants will be recruited and randomly assigned to either condition. The integrated treatment will last 8-weeks and participants will work through 12 modules. Modules will incorporate content based on principles of Cognitive Behavioural Therapy (CBT) and Motivational Interviewing (MI). Participants in the control group will receive links to psychoeducational resources and will have access to the full treatment after follow-up. The primary outcome will be the number of Canadian standard drinks consumed in the week leading up the assessment. Secondary outcomes of interest include symptoms of depression, anxiety, alcohol-related problems, quality of life, and use of other drugs. Assessments will be completed at three time points: at baseline, at the end of treatment (i.e., 8-weeks), and at follow-up (i.e., 24-weeks). Upon completion, data will be analyzed using Generalized Linear Mixed Models (GLMM).Results: Data collection will begin in June 2018 and will continue until January 2020. Final study results will be submitted for publication by July 2020. Conclusions:Currently, there are no integrated treatments designed to target alcohol misuse and the range of emotional problems experienced in young adults. This research stands to provide an effective, accessible (i.e., online), and feasible option to treat the many struggling young adults in this country.Trial Registration: Clinicaltrials.gov ID -NCT03406039

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“…It has been shown that automated and personalized support in self-guided interventions can improve treatment adherence and reduce attrition. 85 This may reduce drop-out. Finally, we will offer participants the possibility to receive a personalized feedback report at the end of the study.…”

Section: Secondary Outcomesmentioning

confidence: 99%

Developing and Testing the Effectiveness of a Novel Online Integrated Treatment for Problem Gambling and Tobacco Smoking: A Protocol for an Open Label Randomized Controlled Trial

Bilevicius

Single

Baumgartner

et al. 2020

Preprint

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Background: Gambling and tobacco smoking are highly comorbid among North American adults. However, there is a paucity of treatment options that are integrated (i.e., targeting both gambling and tobacco smoking simultaneously), accessible, and evidence based. Methods: The aim of this two-arm open label randomized controlled trial is to examine the effectiveness of an online, self-guided integrated treatment for problem gambling and tobacco smoking. A target sample of 214 participants will be recruited and be randomized into either an eight-week integrated or gambling-only control condition. Both conditions will consist of seven online modules following cognitive behavioral therapy and motivational interviewing principles. Our three primary outcomes are (1) number of days gambled, (2) money spent on gambling activities, and (3) time spent in gambling activities. Secondary outcomes include gambling disorder symptoms, cigarette use, and nicotine dependence symptoms. Assessments will be completed at baseline, at completion (i.e., eight-weeks from baseline), and follow-up (i.e., 24-weeks from baseline). Generalized linear mixed modelling will be used to evaluate our primary and secondary outcomes. We expect that participants receiving online integrated treatment will show larger reductions in gambling relative to those receiving a control gambling only intervention. We further hypothesize that reductions in smoking will mediate these group differences. Discussion: The rates of problem gambling and tobacco smoking are high in North America; yet, the treatment options for both are limited, with no integrated treatments available. If supported, our pilot study will be a cost-effective and accessible way to improve treatments for co-occurring problem gambling and tobacco use. Trial registration: Clinicaltrials.gov; ID NCT03614884. Registered August 3, 2019; https://clinicaltrials.gov/ct2/show/NCT03614884?term=keough&rank=1

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Testing the Implicit and Explicit Cognitions Underlying Behavioral Inhibition System-Related Drinking in Young Adults

Abstract: Our results suggest that explicit cognitions may be relevant to drinking among anxious individuals who are also reward responsive. Cognitive behavioral interventions should target reward expectancies to reduce anxiety-related drinking.

Cited by 12 publications

References 49 publications

Efficacy of an Online Self-Help Treatment for Comorbid Alcohol Misuse and Emotional Problems in Young Adults: Protocol for a Randomized Controlled Trial

Efficacy of an Online Self-Help Treatment for Comorbid Alcohol Misuse and Emotional Problems in Young Adults: Protocol for a Randomized Controlled Trial

Efficacy of an Online Self-Help Treatment for Comorbid Alcohol Misuse and Emotional Problems in Young Adults: Protocol for a Randomized Controlled Trial (Preprint)

Developing and Testing the Effectiveness of a Novel Online Integrated Treatment for Problem Gambling and Tobacco Smoking: A Protocol for an Open Label Randomized Controlled Trial

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