Augmenting Outpatient Alcohol Treatment as Usual With Online Alcohol Avoidance Training: Protocol for a Double-Blind Randomized Controlled Trial

Marleen K. J. Bratti-van der Werf, Melissa C. Laurens (Corresponding Author), Marloes G. Postel, Marcel E. Pieterse, Somaya Ben Allouch, Reinout W. Wiers, Ernst T. Bohlmeijer, Elske Salemink

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background: Recent theoretical models emphasize the role of impulsive processes in alcohol addiction, which can be retrained with computerized Cognitive Bias Modification (CBM) training. In this study, the focus is on action tendencies that are activated relatively automatically.

Objective: The aim of the study is to examine the effectiveness of online CBM Alcohol Avoidance Training using an adapted Approach-Avoidance Task as a supplement to treatment as usual (TAU) in an outpatient treatment setting.

Methods: The effectiveness of 8 online sessions of CBM Alcohol Avoidance Training added to TAU is tested in a double-blind, randomized controlled trial with pre- and postassessments, plus follow-up assessments after 3 and 6 months. Participants are adult patients (age 18 years or over) currently following Web-based or face-to-face TAU to reduce or stop drinking. These patients are randomly assigned to a CBM Alcohol Avoidance or a placebo training. The primary outcome measure is a reduction in alcohol
consumption. We hypothesize that TAU + CBM will result in up to a 13-percentage point incremental effect in the number of patients reaching the safe drinking guidelines compared to TAU + placebo CBM. Secondary outcome measures include an improvement in health status and a decrease in depression, anxiety, stress, and possible mediation by the change in approach bias. Finally, patients’ adherence, acceptability, and credibility will be examined.

Results: The trial was funded in 2014 and is currently in the active participant recruitment phase (since May 2015). Enrolment will be completed in 2019. First results are expected to be submitted for publication in 2020.

Conclusions: The main purpose of this study is to increase our knowledge about the added value of online Alcohol Avoidance Training as a supplement to TAU in an outpatient treatment setting. If the added effectiveness of the training is proven, the next step could be to incorporate the intervention into current treatment.
Original languageEnglish
Article numbere55
Number of pages11
JournalJMIR research protocols
Volume7
Issue number3
DOIs
Publication statusPublished - 1 Mar 2018

Keywords

  • cognitive bias modification
  • alcohol
  • Alcohol Avoidance Training
  • Approach-Avoidance Task
  • treatment as usual
  • cognitive behavioral treatment

Cite this

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title = "Augmenting Outpatient Alcohol Treatment as Usual With Online Alcohol Avoidance Training: Protocol for a Double-Blind Randomized Controlled Trial",
abstract = "Background: Recent theoretical models emphasize the role of impulsive processes in alcohol addiction, which can be retrained with computerized Cognitive Bias Modification (CBM) training. In this study, the focus is on action tendencies that are activated relatively automatically.Objective: The aim of the study is to examine the effectiveness of online CBM Alcohol Avoidance Training using an adapted Approach-Avoidance Task as a supplement to treatment as usual (TAU) in an outpatient treatment setting.Methods: The effectiveness of 8 online sessions of CBM Alcohol Avoidance Training added to TAU is tested in a double-blind, randomized controlled trial with pre- and postassessments, plus follow-up assessments after 3 and 6 months. Participants are adult patients (age 18 years or over) currently following Web-based or face-to-face TAU to reduce or stop drinking. These patients are randomly assigned to a CBM Alcohol Avoidance or a placebo training. The primary outcome measure is a reduction in alcoholconsumption. We hypothesize that TAU + CBM will result in up to a 13-percentage point incremental effect in the number of patients reaching the safe drinking guidelines compared to TAU + placebo CBM. Secondary outcome measures include an improvement in health status and a decrease in depression, anxiety, stress, and possible mediation by the change in approach bias. Finally, patients’ adherence, acceptability, and credibility will be examined.Results: The trial was funded in 2014 and is currently in the active participant recruitment phase (since May 2015). Enrolment will be completed in 2019. First results are expected to be submitted for publication in 2020.Conclusions: The main purpose of this study is to increase our knowledge about the added value of online Alcohol Avoidance Training as a supplement to TAU in an outpatient treatment setting. If the added effectiveness of the training is proven, the next step could be to incorporate the intervention into current treatment.",
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author = "{Bratti-van der Werf}, {Marleen K. J.} and Laurens, {Melissa C.} and Postel, {Marloes G.} and Pieterse, {Marcel E.} and {Ben Allouch}, Somaya and Wiers, {Reinout W.} and Bohlmeijer, {Ernst T.} and Elske Salemink",
year = "2018",
month = "3",
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language = "English",
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Augmenting Outpatient Alcohol Treatment as Usual With Online Alcohol Avoidance Training : Protocol for a Double-Blind Randomized Controlled Trial. / Bratti-van der Werf, Marleen K. J.; Laurens, Melissa C. (Corresponding Author); Postel, Marloes G.; Pieterse, Marcel E.; Ben Allouch, Somaya; Wiers, Reinout W.; Bohlmeijer, Ernst T.; Salemink, Elske.

In: JMIR research protocols, Vol. 7, No. 3, e55, 01.03.2018.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Augmenting Outpatient Alcohol Treatment as Usual With Online Alcohol Avoidance Training

T2 - Protocol for a Double-Blind Randomized Controlled Trial

AU - Bratti-van der Werf, Marleen K. J.

AU - Laurens, Melissa C.

AU - Postel, Marloes G.

AU - Pieterse, Marcel E.

AU - Ben Allouch, Somaya

AU - Wiers, Reinout W.

AU - Bohlmeijer, Ernst T.

AU - Salemink, Elske

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AB - Background: Recent theoretical models emphasize the role of impulsive processes in alcohol addiction, which can be retrained with computerized Cognitive Bias Modification (CBM) training. In this study, the focus is on action tendencies that are activated relatively automatically.Objective: The aim of the study is to examine the effectiveness of online CBM Alcohol Avoidance Training using an adapted Approach-Avoidance Task as a supplement to treatment as usual (TAU) in an outpatient treatment setting.Methods: The effectiveness of 8 online sessions of CBM Alcohol Avoidance Training added to TAU is tested in a double-blind, randomized controlled trial with pre- and postassessments, plus follow-up assessments after 3 and 6 months. Participants are adult patients (age 18 years or over) currently following Web-based or face-to-face TAU to reduce or stop drinking. These patients are randomly assigned to a CBM Alcohol Avoidance or a placebo training. The primary outcome measure is a reduction in alcoholconsumption. We hypothesize that TAU + CBM will result in up to a 13-percentage point incremental effect in the number of patients reaching the safe drinking guidelines compared to TAU + placebo CBM. Secondary outcome measures include an improvement in health status and a decrease in depression, anxiety, stress, and possible mediation by the change in approach bias. Finally, patients’ adherence, acceptability, and credibility will be examined.Results: The trial was funded in 2014 and is currently in the active participant recruitment phase (since May 2015). Enrolment will be completed in 2019. First results are expected to be submitted for publication in 2020.Conclusions: The main purpose of this study is to increase our knowledge about the added value of online Alcohol Avoidance Training as a supplement to TAU in an outpatient treatment setting. If the added effectiveness of the training is proven, the next step could be to incorporate the intervention into current treatment.

KW - cognitive bias modification

KW - alcohol

KW - Alcohol Avoidance Training

KW - Approach-Avoidance Task

KW - treatment as usual

KW - cognitive behavioral treatment

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DO - 10.2196/resprot.9287

M3 - Article

VL - 7

JO - JMIR research protocols

JF - JMIR research protocols

SN - 1929-0748

IS - 3

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