Study of Adaptive Actions and Alcohol Use Changes During Online Cognitive Behaviour Therapy for Alcohol Misuse

What this Trial Is About

This research aims to study an Internet-delivered Cognitive Behaviour Therapy ICBT program called the Alcohol Change Course Enhanced ACCE for people with alcohol misuse. The study focuses on whether engaging in helpful actions, measured by the Things You Do Questionnaire TYDQ, increases during this therapy and how these actions relate to reductions in alcohol use. The study also explores if increased adaptive actions support long-term improvements in alcohol misuse and psychological health. The ACCE is a six-lesson online program delivered over eight weeks through the Online Therapy Unit, a routine care clinic. Clients in Saskatchewan can choose between therapist-guided support with weekly secure messaging or self-guided versions, while clients from other Canadian provinces receive self-guided support only. The lessons cover topics like alcohol education, goal setting, coping strategies, and relapse prevention, highlighting the role of adaptive actions such as healthy thinking and social connections. Participants will be observed and assessed at baseline, mid-treatment, post-treatment, and follow-up. Data collected include alcohol consumption, adaptive actions, cravings, and mental health symptoms like depression and anxiety. Therapy progress and treatment credibility are also monitored. The study uses routine care data to understand changes over time, with total participation lasting up to 18 weeks after enrollment.

Adaptive Actions and Alcohol Use Outcomes During Internet-delivered Cognitive Behaviour Therapy