Effectiveness of a Web-based Intervention for Problem Drinkers and Reasons for Dropout: Randomized Controlled Trial
2010

Effectiveness of an Online Therapy Program for Problem Drinkers

Sample size: 156 publication Evidence: high

Author Information

Author(s): Gunther Eysenbach, Trevor van Mierlo, Renske Spijkerman, Marloes G Postel, Hein A de Haan, Elke D ter Huurne, Eni S Becker, Cor AJ de Jong

Primary Institution: Tactus Addiction Treatment

Hypothesis

E-therapy would reduce weekly alcohol consumption and improve health status.

Conclusion

E-therapy for problem drinking is an effective intervention that can be delivered to a large population who otherwise do not seek help for their drinking problem.

Supporting Evidence

  • The e-therapy group decreased their mean weekly alcohol consumption by 28.8 units compared to 3.1 units in the control group.
  • 68% of the e-therapy group was drinking less than the problem drinking limit at 3 months.
  • The study used intention-to-treat analyses to handle loss to follow-up.

Takeaway

This study shows that online therapy can help people drink less alcohol, even if they usually don't ask for help.

Methodology

Participants were randomly assigned to either a 3-month e-therapy program or a waiting list control group, with assessments at baseline and 3 months.

Potential Biases

Higher dropout rates in the e-therapy group may indicate resistance to behavioral change.

Limitations

The study only reports short-term effects and had a high dropout rate.

Participant Demographics

54% women, age range 22-66 years, mean age 45.3 years, 82% employed.

Statistical Information

P-Value

<.001

Confidence Interval

15.69-35.80

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.2196/jmir.1642

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