Journal of substance use and addiction treatment · 2026
A comparison of telehealth and in-person delivery of alcohol behavioral couple therapy.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Flanagan Julianne C, Hoffman Michaela, Hurd Julie A, Forkus Shannon R, Sellers Stacey, Baer Margaret M, Thomas Morgan, Nietert Paul J, McCrady Barbara S
Аннотация
INTRODUCTION: There is a persistent scarcity of research examining telehealth delivery of evidence-based alcohol use disorder (AUD) interventions. This secondary analysis explored whether Alcohol Behavioral Couple Therapy (ABCT) treatment outcomes differed when delivered via telehealth versus in-person.
METHOD: Participants were N = 96 adult romantic couples enrolled in a clinical trial in which all participants received ABCT. Couples who participated entirely in person (n = 15) were compared to those who completed at least one telehealth session (n = 81). We compared 1) feasibility and acceptability (e.g., number of sessions attended, participant and therapist-rated therapeutic alliance), 2) alcohol consumption, 3) alcohol problem severity, and 4) relationship adjustment among participants in the telehealth and in-person group at the end of the treatment phase.
RESULTS: Identified patients (IPs) in the in-person group reported slightly stronger participant-rated therapeutic alliance scores than those in the telehealth group (113.2 vs. 105.9, p < .01). Partners in the telehealth group evidenced a substantial reduction in percent drinking days whereas partners in the in-person group evidenced a slight increase (-16.1% vs. +2.3%, p = .02). No other group differences emerged between IPs or partners.
CONCLUSIONS: These findings support the feasibility, acceptability, and rigor of ABCT delivered via telehealth, which can help offset critical systemic barriers to accessing evidence-based couple therapy for AUD.
METHOD: Participants were N = 96 adult romantic couples enrolled in a clinical trial in which all participants received ABCT. Couples who participated entirely in person (n = 15) were compared to those who completed at least one telehealth session (n = 81). We compared 1) feasibility and acceptability (e.g., number of sessions attended, participant and therapist-rated therapeutic alliance), 2) alcohol consumption, 3) alcohol problem severity, and 4) relationship adjustment among participants in the telehealth and in-person group at the end of the treatment phase.
RESULTS: Identified patients (IPs) in the in-person group reported slightly stronger participant-rated therapeutic alliance scores than those in the telehealth group (113.2 vs. 105.9, p < .01). Partners in the telehealth group evidenced a substantial reduction in percent drinking days whereas partners in the in-person group evidenced a slight increase (-16.1% vs. +2.3%, p = .02). No other group differences emerged between IPs or partners.
CONCLUSIONS: These findings support the feasibility, acceptability, and rigor of ABCT delivered via telehealth, which can help offset critical systemic barriers to accessing evidence-based couple therapy for AUD.