Exploring client messages in a therapist-guided internet intervention for alcohol use disorders – A content analysis

Background: There is a growing interest in offering therapist-guided internet interventions for alcohol use disorders (AUD) in regular addiction services. Elucidating the therapeutic processes during these interventions may help improve clinical delivery. The aim of this paper was to investigate wri...

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Autores principales:	Martin Kraepelien, Heather D. Hadjistavropoulos, Anne H. Berman, Christopher Sundström
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Client messages Therapist-guidance Internet interventions Alcohol use disorder Content analysis Information technology T58.5-58.64 Psychology BF1-990
Acceso en línea:	https://doaj.org/article/3c9103a740554908b6c514707a187ba7
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spelling	oai:doaj.org-article:3c9103a740554908b6c514707a187ba72021-11-18T04:49:06ZExploring client messages in a therapist-guided internet intervention for alcohol use disorders – A content analysis2214-782910.1016/j.invent.2021.100483https://doaj.org/article/3c9103a740554908b6c514707a187ba72021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214782921001238https://doaj.org/toc/2214-7829Background: There is a growing interest in offering therapist-guided internet interventions for alcohol use disorders (AUD) in regular addiction services. Elucidating the therapeutic processes during these interventions may help improve clinical delivery. The aim of this paper was to investigate written messages from client to therapist in a therapist-guided internet intervention for AUD. Methods: Data was extracted from the therapist-guided arm (n = 57) of a randomized trial of internet interventions for AUD. Qualitative content analysis was used to identify distinct categories of client behaviors in written messages to therapists. Coding was deductive (applying categories from past literature) as well as inductive (identifying new categories from the data). Subsequently, exploratory correlational and regression analyses were conducted to investigate whether identified client behaviors predicted module completion and drinking outcomes. Also, client questions posed in messages to therapists were categorized separately. Results: Eleven distinct behavior categories were identified, of which the two most common were alliance (26.6% of total categorizations) and identifying patterns and problem behaviors (22.8%). Confrontational alliance rupture was the least common category (0.4%). One new behavior category was identified inductively – alcohol-related setback (4.1%). In the exploratory analyses, no categories consistently predicted module completion or drinking outcomes. Client questions were most commonly posed to improve understanding or use of program content or skills. Discussion: The behavior categories, although not predictive of module completion or outcomes, may be of use for therapists, treatment developers and health care providers as a tool for understanding therapeutic processes in internet interventions for AUD.Martin KraepelienHeather D. HadjistavropoulosAnne H. BermanChristopher SundströmElsevierarticleClient messagesTherapist-guidanceInternet interventionsAlcohol use disorderContent analysisInformation technologyT58.5-58.64PsychologyBF1-990ENInternet Interventions, Vol 26, Iss , Pp 100483- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Client messages Therapist-guidance Internet interventions Alcohol use disorder Content analysis Information technology T58.5-58.64 Psychology BF1-990
spellingShingle	Client messages Therapist-guidance Internet interventions Alcohol use disorder Content analysis Information technology T58.5-58.64 Psychology BF1-990 Martin Kraepelien Heather D. Hadjistavropoulos Anne H. Berman Christopher Sundström Exploring client messages in a therapist-guided internet intervention for alcohol use disorders – A content analysis
description	Background: There is a growing interest in offering therapist-guided internet interventions for alcohol use disorders (AUD) in regular addiction services. Elucidating the therapeutic processes during these interventions may help improve clinical delivery. The aim of this paper was to investigate written messages from client to therapist in a therapist-guided internet intervention for AUD. Methods: Data was extracted from the therapist-guided arm (n = 57) of a randomized trial of internet interventions for AUD. Qualitative content analysis was used to identify distinct categories of client behaviors in written messages to therapists. Coding was deductive (applying categories from past literature) as well as inductive (identifying new categories from the data). Subsequently, exploratory correlational and regression analyses were conducted to investigate whether identified client behaviors predicted module completion and drinking outcomes. Also, client questions posed in messages to therapists were categorized separately. Results: Eleven distinct behavior categories were identified, of which the two most common were alliance (26.6% of total categorizations) and identifying patterns and problem behaviors (22.8%). Confrontational alliance rupture was the least common category (0.4%). One new behavior category was identified inductively – alcohol-related setback (4.1%). In the exploratory analyses, no categories consistently predicted module completion or drinking outcomes. Client questions were most commonly posed to improve understanding or use of program content or skills. Discussion: The behavior categories, although not predictive of module completion or outcomes, may be of use for therapists, treatment developers and health care providers as a tool for understanding therapeutic processes in internet interventions for AUD.
format	article
author	Martin Kraepelien Heather D. Hadjistavropoulos Anne H. Berman Christopher Sundström
author_facet	Martin Kraepelien Heather D. Hadjistavropoulos Anne H. Berman Christopher Sundström
author_sort	Martin Kraepelien
title	Exploring client messages in a therapist-guided internet intervention for alcohol use disorders – A content analysis
title_short	Exploring client messages in a therapist-guided internet intervention for alcohol use disorders – A content analysis
title_full	Exploring client messages in a therapist-guided internet intervention for alcohol use disorders – A content analysis
title_fullStr	Exploring client messages in a therapist-guided internet intervention for alcohol use disorders – A content analysis
title_full_unstemmed	Exploring client messages in a therapist-guided internet intervention for alcohol use disorders – A content analysis
title_sort	exploring client messages in a therapist-guided internet intervention for alcohol use disorders – a content analysis
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/3c9103a740554908b6c514707a187ba7
work_keys_str_mv	AT martinkraepelien exploringclientmessagesinatherapistguidedinternetinterventionforalcoholusedisordersacontentanalysis AT heatherdhadjistavropoulos exploringclientmessagesinatherapistguidedinternetinterventionforalcoholusedisordersacontentanalysis AT annehberman exploringclientmessagesinatherapistguidedinternetinterventionforalcoholusedisordersacontentanalysis AT christophersundstrom exploringclientmessagesinatherapistguidedinternetinterventionforalcoholusedisordersacontentanalysis
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Exploring client messages in a therapist-guided internet intervention for alcohol use disorders – A content analysis

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