Internet-based A-CRA for Young Adults With Problematic Alcohol Use

Internet-based Adolescent Community Reinforcement Approach (I-A-CRA) With Therapist Support for Young Adults With Problematic Alcohol Use: A Randomized Controlled Trial

The primary aim of the study is to evaluate the feasibility and efficacy of an internet-delivered Adolescent Community Reinforcement Approach (I-A-CRA) with therapist support for young adults (aged 18-24 years) with problematic alcohol use and their caregiver/significant other. Secondary aims include investigating the role of comorbid emotional symptoms, emotion regulation and prosocial behavior in treatment outcomes for the young adults. In a randomized controlled trial, participants (n = 60 young adults as well as an accompanying caregiver/significant other) will be recruited from the community through advertisements as well as through clinic referrals in Stockholm, Sweden. Eligible participants will be randomized either to the 10-week I-A-CRA treatment or to an active control group (receiving psychoeducation about alcohol use over the same time frame). In both conditions an accompanying caregiver/significant other will receive a support program in conjunction with the young adult's treatment. Participating young adults will be evaluated with regards to their alcohol use, psychiatric symptoms, emotion regulation, and prosocial behavior at pre-treatment, weekly during treatment, post-treatment, and at a 3-month follow-up. The primary outcome will be feasibility (measured as number of treatment completers; i.e., having completed 5 out of 8 treatment modules), and reductions in heavy drinking episodes (measured weekly by self-reported alcohol consumption, change from baseline in number of heavy drinking episodes/week). Secondary outcomes will include pre- and post-treatment self-rated levels of depression, anxiety and stress, emotion dysregulation, and prosocial behavior. Self-reports regarding stress, emotion dysregulation, and prosocial behavior will be complemented by behavioral measures (computerized tasks with eye-tracking). We hypothesize that treatment will be superior as compared to the control condition in reducing the number of heavy drinking episodes/week pre to post treatment, and reducing comorbid symptoms of stress, anxiety and depression.

Internet-based A-CRA for Young Adults With Problematic Alcohol Use

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