|Titel||Characteristics of problem drinkers in e-therapy versus face-to-face treatment.|
|Jaar van publicatie||2011|
|Auteurs||Postel MG, de Haan HA, Ter Huurne ED, Becker ES, DeJong CA|
|Uitgave||Am J Drug Alcohol Abuse|
|Trefwoorden||Adult, Age Factors, Alcoholism, Educational Status, Female, Health Services Accessibility, Humans, Internet, Male, Middle Aged, Netherlands, Patient Acceptance of Health Care, Sex Factors, Time Factors|
BACKGROUND: The availability of online treatment programs offers the potential to reach more problem drinkers. This study compared the client populations of an e-therapy program (asynchronous client-therapist communication via the Internet) and a face-to-face treatment program. OBJECTIVE: To determine whether e-therapy and face-to-face groups differed from each other and changed over time. METHODS: We compared the baseline characteristics of four naturalistic groups (N = 4593): two e-therapy groups (2005-2006 and 2008-2009) and two consecutive series of ambulant face-to-face clients admitted for treatment as usual. The characteristics we were interested in were gender, age, education level, working situation, and earlier treatment for drinking problems. RESULTS: The results showed that the baseline characteristics of e-therapy and face-to-face clients differed by gender, education level, work situation, prior alcohol treatment, and age. We also found that both e-therapy groups differed over time by gender, work situation, and prior alcohol treatment. CONCLUSIONS: The e-therapy program successfully attracted clients who were different from those who were represented in regular face-to-face alcohol treatment services. This indicates that e-therapy decreases the barriers to treatment facilities and enhances the accessibility. However, the e-therapy population changed over time. Although the e-therapy program still reached an important new group of clients in 2008-2009, this group showed more overlap with the traditional face-to-face group of clients probably as a result of improved acceptance of e-therapy in the general population. SCIENTIFIC SIGNIFICANCE: Although e-therapy seems to be better accepted in the general population, anonymous treatment seems necessary to reach a broader range of problem drinkers.
|Alternatieve uitgave||Am J Drug Alcohol Abuse|