Internet-based attentional bias modification training as add-on to regular treatment in alcohol and cannabis dependent outpatients: a study protocol of a randomized control trial

被引：17
作者：
Heitmann, Janika [1 ,2 ]
van Hemel-Ruiter, Madelon E. [1 ]
Vermeulen, Karin M. [3 ]
Ostafin, Brian D. [2 ]
MacLeod, Colin [4 ]
Wiers, Reinout W. [5 ]
DeFuentes-Merillas, Laura [6 ]
Fledderus, Martine [7 ]
Markus, Wiebren [8 ]
de Jong, Peter J. [2 ]
机构：
[1] Verslavingszorg Noord Nederland, Leonard Springerlaan 27, NL-9727 KB Groningen, Netherlands
[2] Univ Groningen, Expt & Clin Psychol, Dept Psychol, Grote Kruisstr 2-1, NL-9712 TS Groningen, Netherlands
[3] Univ Groningen, Univ Med Ctr Groningen, Dept Epidemiol, POB 30-001, NL-9700 RB Groningen, Netherlands
[4] Univ Western Australia, Sch Psychol Sci, 35 Stirling Highway, Crawley, WA 6009, Australia
[5] Univ Amsterdam, Dept Psychol, Nieuwe Achtergracht 129B, NL-1018 WS Amsterdam, Netherlands
[6] Novad Kentron, Network Addict Treatment Serv, Hogedwarsstr 3, NL-5261 LX Vught, Netherlands
[7] Tactus Verslavingszorg, Keulenstr 3, NL-7418 ET Deventer, Netherlands
[8] Iriszorg, Kronenburgsingel 545, NL-6831 GM Arnhem, Netherlands
来源：
BMC PSYCHIATRY | 2017年 / 17卷
关键词：
Addiction; Attentional bias modification; eHealth; EXPERIMENTAL MANIPULATION; ADDICTIVE BEHAVIORS; CIGARETTE SMOKERS; PROBLEM DRINKERS; ADOLESCENTS; SUBSTANCE; HEAVY; COGNITION; DISORDER; EXPLICIT;
D O I：
10.1186/s12888-017-1359-2
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Background: The automatic tendency to attend to and focus on substance-related cues in the environment (attentional bias), has been found to contribute to the persistence of addiction. Attentional bias modification (ABM) interventions might, therefore, contribute to treatment outcome and the reduction of relapse rates. Based on some promising research findings, we designed a study to test the clinical relevance of ABM as an add-on component of regular intervention for alcohol and cannabis patients. Design/Methods: The current protocol describes a study which will investigate the effectiveness and cost-effectiveness of a newly developed home-delivered, multi-session, internet-based ABM (iABM) intervention as an add-on to treatment as usual (TAU). TAU consists of cognitive behavioural therapy-based treatment according to the Dutch guidelines for the treatment of addiction. Participants (N = 213) will be outpatients from specialized addiction care institutions diagnosed with alcohol or cannabis dependency who will be randomly assigned to one of three conditions: TAU + iABM; TAU + placebo condition; TAU-only. Primary outcome measures are substance use, craving, and rates of relapse. Changes in attentional bias will be measured to investigate whether changes in primary outcome measures can be attributed to the modification of attentional bias. Indices of cost-effectiveness and secondary physical and psychological complaints (depression, anxiety, and stress) are assessed as secondary outcome measures. Discussion: This randomized control trial will be the first to investigate whether a home-delivered, multi-session iABM intervention is (cost-) effective in reducing relapse rates in alcohol and cannabis dependency as an add-on to TAU, compared with an active and a waiting list control group. If proven effective, this ABM intervention could be easily implemented as a home-delivered component of current TAU.
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页数：13
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