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CompletedNCT03338361Updated Dec 21, 2021

Research on the Efficacy of the "T.O.P. Computer Training" Procedure in the Treatment of Alcohol Dependence

An interventional study of active approach avoidance training and sham visual probe training and sham approach avoidance training and active visual probe training in Alcohol Dependence, sponsored by University Ghent. Completed at 1 site in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-12-21.

Sponsored by University Ghent · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
247
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The investigators evaluate the efficacy of a computerised program (T.O.P. tool) consisting of an approach avoidance training (AAT) (to retrain action tendencies for alcohol-related stimuli), a visual probe training (VPT) (to retrain attentional bias for alcohol-related stimuli) and the combination of both training procedures versus placebo training, as an add-on to treatment as usual (psycho-education and cognitive behavioral therapy).

The investigators include hospitalized detoxified alcohol-dependent patients, who receive a four week training procedure, existing of a pre-assessment, 6 training sessions and a post-assessment.

Outcome measures consist of behavioral measures (consumption of alcohol - self report over 1 year), questionnaires (AUDIT; craving on 9-point likert scale) and approach avoidance and visual probe measurement tasks.

A six month and 1 year follow-up is included (behavioral measures and AUDIT). Further, the investigators will also assess credibility (9-point likert scale) of the training procedure before the start of the training and immediately after the assessment of the AAT and VPT training.

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Conditions studied

  • Alcohol Dependence

Keywords

  • approach avoidance training
  • attentional bias training
  • alcohol depencence
  • relapse
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In context

Alcoholism

1,674 studies on the registry are indexed under Alcoholism; 331 are open to participants now.

This study's enrollment of 247 is above the median of 88 across 1,428 interventional studies indexed under Alcoholism.

Browse Alcoholism studies →

Lead sponsor

University Ghent is the lead sponsor of 350 studies on the registry; 86 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • hospitalized alcohol-dependent patients, choosing for abstinence en committed to treatment
  • detoxification (with benzodiazepines) is terminated
  • Dutch speaking

Exclusion criteria

Exclusion Criteria:

  • neurological condition, such as Korsakoff syndrome
  • cognitive problems (cut-off \<26/30 on the Montral Cognitive Assessment)
  • psychotic disorders
  • visual and motor problems at the hands
  • non-Dutch speaking
  • mental retardation
  • patients who are illiterate
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
247 participants (actual)

Study arms

  • Experimental
    AAT active - VPT sham

    Approach avoidance training active intervention and visual probe training sham intervention

    Behavioral: active approach avoidance training and sham visual probe training

  • Experimental
    VPT active - AAT sham

    Visual probe training active condition and approach avoidance training sham condition

    Behavioral: sham approach avoidance training and active visual probe training

  • Experimental
    AAT active - VPT active

    Approach avoidance training active condition and visual probe training active condition

    Behavioral: active approach avoidance training and active visual probe training

  • Sham comparator
    AAT sham - VPT sham

    Approach avoidance training sham condition and visual probe training sham condition

    Behavioral: sham approach avoidance training and sham visual probe training

Interventions

  • Behavioralactive approach avoidance training and sham visual probe training

    patients receive active AAT training and sham VPT training

  • Behavioralsham approach avoidance training and active visual probe training

    patients receive sham AAT training and active VPT training

  • Behavioralactive approach avoidance training and active visual probe training

    patients receive active AAT training and active VPT training

  • Behavioralsham approach avoidance training and sham visual probe training

    patients receive sham AAT training and sham VPT training

06

What researchers measure

Primary outcomes

  1. change in drink behavior

    AUDIT score

    Time frame: baseline, at 6 months and 1-year post training: change in auditscores between baseline, 6 months and 1-year post-training, and differences between groups

Secondary outcomes

  1. change in Retraining attentional bias

    The effect on a VPT task

    Time frame: baseline and between 1 and 7 days after completion of the 6 training sessions: change

  2. change in Retraining action tendencies

    The effect on a AAT task

    Time frame: baseline and between 1 and 7 days after completion of the 6 training sessions: change in action tendencies

Other outcomes

  1. change in drinking behavior

    score of AUDIT-c (first 3 questions of the AUDIT)

    Time frame: baseline; At 3 months post-training: change in audit-c score at baseline and 3 months post training

  2. Time to first drink

    Time it takes between finalization of the training and the day the patients drinks an alcoholic beverage

    Time frame: assessed at 3 months post-training

  3. Time to first drink

    Time it takes between finalization of the training and the day the patients drinks an alcoholic beverage

    Time frame: assessed at 6 months post-training

  4. Time to first drink

    Time it takes between finalization of the training and the day the patients drinks an alcoholic beverage

    Time frame: assessed at 1 year post-training

  5. Time to first heavy drinking day

    Time it takes between finalization of the training and the day a female patient drinks ≥ 4 alcoholic units/day and a male patient drinks ≥ 5 alcoholic units/day

    Time frame: assessed at 3 months post-training

  6. Time to first heavy drinking day

    Time it takes between finalization of the training and the day a female patient drinks ≥ 4 alcoholic units/day and a male patient drinks ≥ 5 alcoholic units/day

    Time frame: assessed at 6 monthspost-training

  7. Time to first heavy drinking day

    Time it takes between finalization of the training and the day a female patient drinks ≥ 4 alcoholic units/day and a male patient drinks ≥ 5 alcoholic units/day

    Time frame: assessed at 1 year post-training

07

Study locations

1 site
  • University Ghent
    Ghent, 9000, Belgium
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 21, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03338361
Lead sponsor
University Ghent
Collaborators
PZ Heilig Hart, PZ Sint-Camillus, University of Amsterdam
Responsible party
Sponsor
First posted
Nov 9, 2017
Start date
Oct 26, 2017
Primary completion
Feb 29, 2020
Completion
Feb 29, 2020
Last update
Dec 21, 2021

Study contacts

sarah C herremans, PhD, MD
principal investigator · UZ Gent

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2021. You cannot join it, but the record below documents what was studied.

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