Adaptive actions during online cognitive behavioural therapy for alcohol misuse

Adaptive Actions and Alcohol Use Outcomes During Internet-delivered Cognitive Behaviour Therapy: An Observational Study During Routine Care

Not applicable Interventional University of Regina · NCT07021053

This project will see if doing helpful daily actions more often is linked to reduced drinking in adults in Canada taking an online cognitive behavioural therapy course for alcohol misuse.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment165 (estimated)
Ages18 Years and up
SexAll
SponsorUniversity of Regina Academic / other
Locations1 site (Regina, Saskatchewan)
Trial IDNCT07021053 on ClinicalTrials.gov

What this trial studies

This observational project uses routine-care data from the Online Therapy Unit's Alcohol Change Course Enhanced (ACCE), an internet-delivered cognitive behavioural therapy program for alcohol misuse. Participants are adults in Canada who enroll in the ACCE course and complete symptom and behaviour measures during treatment. The Things You Do Questionnaire (TYDQ) will be used to track five adaptive action domains (Healthy Thinking, Meaningful Activities, Goals and Plans, Healthy Habits, Social Connections) alongside measures of alcohol use over the course. Analyses will examine whether increases in the frequency of adaptive actions coincide with reductions in alcohol consumption and heavy drinking days.

Who should consider this trial

Good fit: Adults (18+) in Canada who endorse alcohol misuse, have internet access and English literacy, and are not receiving frequent individual alcohol treatment are ideal candidates.

Not a fit: People with current severe medical or psychiatric conditions, severe substance use, inability to read English, lacking internet access, or receiving intensive concurrent alcohol treatment may not benefit from or be eligible for participation.

Why it matters

Potential benefit: If successful, findings could help tailor ICBT content to encourage specific helpful actions that support reducing alcohol use.

How similar studies have performed: Previous ICBT trials, including earlier versions of the Alcohol Change Course, have shown large reductions in weekly drinking and heavy drinking days, while linking those changes specifically to TYDQ-measured adaptive actions is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Be a resident of Canada
* Be 18 years or older
* Have access to a computer or appropriate device and the internet
* Endorse alcohol misuse

Exclusion Criteria:

* Current severe medical or psychiatric problem that requires immediate or alternate treatment (e.g. current and recent mania or psychosis requiring hospitalization, actively suicidal and unable to keep themselves safe, medical condition requiring immediate surgery or other invasive treatment, severe substance use, severe cognitive impairment);
* Currently receiving or expecting to receive individual alcohol treatment more than twice per month
* Other treatment in our clinic
* Unable to read and understand English. (All content is provided in English and staff is English speaking; it is cost prohibitive at this time to provide the complete service in languages other than English)

Where this trial is running

Regina, Saskatchewan

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Alcohol MisuseInternet-delivered cognitive behaviour therapyAlcohol misuse
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.