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Alcohol MisuseNCT07873684

The PSP Alcohol Reset Course

A study testing Self-Guided PSP Alcohol Reset Course in people with Alcohol Misuse, run by University of Regina at 1 site in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This observational study evaluates an internet-delivered cognitive behavioural therapy for alcohol misuse adapted for public safety personnel (PSP), called the PSP Alcohol Reset Course. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Alcohol Misuse
What is being tested?
Self-Guided PSP Alcohol Reset Course
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteCanada
Study dates
17 Sep 2026to 31 Mar 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 years of age or older;
  • Canadian resident;
  • Current or former, paid or volunteer PSP;
  • Willingness to learn information and skills to self-manage alcohol concerns;
  • Have internet access.

Who cannot join

  • Current severe medical or psychiatric disorder (e.g. self report current symptoms of mania or psychosis, recent hospitalization for mental health concerns, actively suicidal, medical condition client thinks will interfere with treatment, severe substance use);
  • Unable to read and understand English. (All content is provided in English and staff is English speaking; pending findings of the research we will explore translating the course into French).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Heather D Hadjistavropoulos contact

306-585-5133

heather.hadjistavropoulos@uregina.ca

Canada1 site, 1 recruiting
  • University of Regina

    Regina, Saskatchewan, S4S 0A2

    Heather D Hadjistavropoulos, 306-585-5133, amd271@uregina.ca

    Recruiting

Other trials in Canada

About this study

Official title: The Alcohol Reset Course: Examining the Feasibility, Acceptability, and Effectiveness When Tailored for Public Safety Personnel

This observational study evaluates an internet-delivered cognitive behavioural therapy for alcohol misuse adapted for public safety personnel (PSP), called the PSP Alcohol Reset Course. The primary objective of the study is to examine the treatment engagement, outcomes, and satisfaction of the self-guided PSP Alcohol Reset Course when offered to PSP.

Read the detailed description

Background: Public safety personnel (PSP) refer to individuals who ensure the safety and security of their citizens (e.g., border services officers, correctional workers, firefighters, paramedics, police). These occupations often require long and irregular hours (e.g., shift work) which can negatively impact daily functioning and work performance. PSP also experience increased exposure to potentially psychologically traumatic events (PPTEs) which can increase risk for mental health challenges (e.g., anxiety, depression, posttraumatic stress) and alcohol misuse.

Alcohol misuse is a common and disabling problem provincially and globally and refers to alcohol consumption that causes harm to the drinker, others, and/or greater society. It is the third leading risk factor for burden of disease and is a major public health concern among Canadians - especially those working in high stress occupations, such as public safety, where alcohol use is often embedded within cultural and social norms.

Internet-delivered cognitive behavioural therapy (ICBT) shows considerable promise as a convenient treatment for alcohol misuse. In this form of treatment, clients complete online lessons over several weeks that assist patients in developing skills to address alcohol misuse. The overall goal of ICBT for alcohol misuse is typically behavioural change measured in terms of reduction of drinks consumed, as opposed to abstinence. These interventions can be delivered efficiently with or without therapist support. In a previous factorial trial by the Online Therapy Unit, patients were randomized to: 1) complete an assessment interview or not; and 2) receive support from a health educator or to complete a self-guided version of the Alcohol Change Course. Findings showed promising outcomes across treatment conditions - but interested parties (e.g., clients, providers, academics) highlighted the importance of ICBT specialized for the unique needs of PSP.

Research purpose: The purpose of this research project is to offer and evaluate an ICBT program for alcohol misuse, Alcohol Reset, for PSP. Key objectives of this trial are to:

  1. tailor the Alcohol Reset lessons and case stories for PSP, and
  2. examine treatment engagement, outcomes, and satisfaction of the self-guided PSP Alcohol Reset Course.

Research questions: The primary research questions to be answered are:

  1. What are the baseline demographic and clinical characteristics of PSP who enroll in the Alcohol Reset Course?
  2. What is the uptake and completion rates of PSP in the Alcohol Reset Course?
  3. Does participation in the PSP Alcohol Reset Course result in clinically significant reductions in alcohol misuse after 6 weeks and 12 weeks?
  4. Does the PSP Alcohol Reset Course impact secondary mental health outcomes (e.g., anxiety, depression, posttraumatic stress) after 6 weeks and 12 weeks?
  5. How acceptable is the PSP Alcohol Reset Course, as assessed via participants' ratings and feedback on likes and dislikes about the content and therapeutic process?

Intervention description: This observational pilot trial explores aspects of the self-guided PSP Alcohol Reset Course within a naturalistic online routine care setting for 6 months. All clients will receive the same PSP Alcohol Reset Course, a six-week, self-guided, ICBT program which supports clients in self-managing alcohol concerns and reducing their alcohol consumption. The PSP Alcohol Reset Course is based upon an existing ICBT program for alcohol misuse, the Alcohol Change Course. The Alcohol Change Course was first developed and evaluated in Switzerland and was then adapted for the Canadian context by the Online Therapy Unit (OTU) out of the University of Regina. The OTU's Alcohol Change Course was adapted to create the Alcohol Reset Course by tailoring content to the PSP context (e.g., by including relevant statistics and literature pertaining to alcohol use in PSP). The PSP Alcohol Reset Course contains six lessons that provide: 1) psychoeducation on alcohol and opportunities for reflection and goal setting; 2) information on managing risk situations and increasing positive activities; 3) information on alcohol refusal, strategies for managing cravings, and strategies for improving social connections; 4) information on thought monitoring and challenging; 5) information on stress and strategies for problem-solving; 6) information on relapse prevention and opportunities to reflect on the Course experience. Lessons will be released gradually in a standardized order, with one lesson released each week for six weeks. Regular automatic emails inform clients about upcoming lessons. It is recommended that clients allocate one hour to review Course materials and additional time (determined by the client) to practice strategies each week. Each of the 6 lessons offers worksheets designed to facilitate skill acquisition. Clients will not receive therapist support/guidance during the 6-week intervention. Clients will no longer have access to the PSP Alcohol Reset Course after 26 weeks.

Study methods and procedures:

  1. Prospective participants will self-refer after learning about the resource from information on the PSPNET website, PSPNET social media, or family members, community organizations, colleagues, or healthcare providers who will be informed of the study through presentations, posters, flyers, social media, emails, newsletters, or word-of-mouth.
  2. Interested individuals can create a PSPNET account to complete informed consent and the online screening on our web application (https://courses.pspnet.ca/create-account).
  3. Interested individuals will be presented with a consent form before initiating the online screening to explain the process and provide information regarding confidentiality, limits of confidentiality, risks of participating, and data storage procedures.
  4. After interested individuals have consented to screening, they will be given access to the online screening questionnaires that assess a variety of clinical characteristics pre-treatment. Participants who meet inclusion criteria will be enrolled in the program.
  5. All participants who take part in the PSP Alcohol Reset Course will be asked to complete weekly questionnaires, with additional questionnaires delivered after 3 weeks, 6 weeks, and 12 weeks. All questionnaires will be administered online using the PSPNET web application. Manual emails and calls will be sent to remind participants of any active or incomplete surveys.
  6. Individual interviews (~30 minutes) will be conducted to explore participant experiences with the PSP Alcohol Reset Course. Participants will receive the interview invitation from the PSPNET email ~6 to 8 weeks after treatment to the email address they provided when creating their PSPNET account. Consenting interview participants will be asked to schedule an interview with a research team member.
  7. Once there are 60 participants, the team will evaluate how participants engage with the PSP Alcohol Reset Course over time. Due to the naturalistic online routine care setting of the PSP Alcohol Reset Course, participants will continue to be accepted past the initial 60 participants.

Significance: Potential significance of this project includes, but is not limited to:

  1. improved access to free, accessible, and confidential mental health treatment specialized for Canadian PSP;
  2. increased knowledge about PSP alcohol use and misuse rates across sample characteristics;
  3. increased knowledge about PSP engagement, outcomes, and satisfaction in ICBT for treating alcohol use; and
  4. inform further optimization of ICBT for alcohol use.
Conditions
Alcohol Misuse
Being tested
Self-Guided PSP Alcohol Reset Course
Keywords
Internet, Internet-delivered cognitive behaviour therapy, Digital Mental Health Interventions, Alcohol Misuse, Substance Misuse, Public Safety Personnel

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Self-Guided PSP Alcohol Reset CourseBehavioural

    The PSP Alcohol Reset Course is a six-week, self-guided, ICBT program which supports clients in self-managing alcohol concerns and reducing their alcohol consumption. Clients will receive access to 6 ICBT core lessons and 6 associated worksheets to enhance skill acquisition. The 6 lessons and 6 associated worksheets are released at a rate of 1 per week. Clients will not receive therapist support/guidance during the 6-week intervention.

Study groups in NCT07873684
Study groupRoleWhat they receive
ICBT for PSP with Alcohol ConcernsExperimentalTailored, self-guided, internet-delivered cognitive behavioural therapy for PSP with Alcohol Concerns (Self-Guided PSP Alcohol Reset Course)
Receives: Behavioral: Self-Guided PSP Alcohol Reset Course

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Preceding-Week Number of Standard Drinks from Baseline to Weeks 3, 6, and 12

    Change in preceding-week alcohol consumption in terms of the total number of standard drinks consumed during the previous 7 days. Measured using the adapted Timeline Followback (TLFB).

    Measured: Baseline and Weeks 3, 6, and 12

  2. Change in Preceding-Week Heavy Drinking Days from Baseline to Weeks 3, 6, and 12

    Change in preceding-week alcohol consumption in terms of the total number of heavy drinking days during the previous 7 days. Measured using the adapted Timeline Followback (TLFB).

    Measured: Baseline and Weeks 3, 6, and 12

Secondary outcomes (11)
  1. Change in Preceding-Week Alcohol Craving Levels from Baseline to Weeks 6 and 12

    Change in preceding-week alcohol craving levels (i.e., frequency, severity, and duration) during the previous 7 days. Measured using the Penn Craving Alcohol Scale (PCAS). Includes 5 items with response options ranging from 0 to 6. Items are summed to compute a total score ranging between 0-30, and higher total scores indicate higher levels of alcohol craving.

    Measured: Baseline, Week 6, and Week 12

  2. Change in Preceding-Year Alcohol-Related Problems and Behaviours from Baseline to Week 6

    Change in preceding-year alcohol-related problems and behaviours (i.e., quantity of alcohol consumption, functional and health consequences of alcohol consumption). Measured using the modified Alcohol Use Disorders Identification Test - Self Report (AUDIT - SR - Modified). Includes up to 15 items with varied response options. Ten items are summed to compute a total score ranging from 0-40. Greater scores indicate greater alcohol problems.

    Measured: Baseline and Week 6

  3. Change in Preceding-Two-Week Depressive Symptom Levels from Baseline to Weeks 3, 6, and 12

    Change in preceding-two-week depressive symptom levels (i.e., frequency of several symptoms). Measured using the Patient Health Questionnaire - 9 Item (PHQ-9). Includes 9 items with response options ranging from 0 (not at all) to 3 (nearly every day). Items are summed to compute a total score ranging from 0-27, and higher total scores indicate more severe self-reported levels of depressive symptoms.

    Measured: Baseline and Weeks 3, 6, and 12

  4. Change in Preceding-Two-Week Generalized Anxiety Symptom Levels from Baseline to Weeks 3, 6, and 12

    Change in preceding-two-week generalized anxiety symptom levels (i.e., frequency of several symptoms). Measured using the Generalized Anxiety Disorder - 7 Items (GAD-7). Includes 7 items with response options ranging from 0 (not at all) to 3 (nearly every day). Items are summed to compute a total score ranging from 0-21 and higher total scores indicate more severe self-reported levels of anxiety symptoms.

    Measured: Baseline and Weeks 3, 6, and 12

  5. Change in Preceding-Week Posttraumatic Stress Symptom Levels from Baseline to Weeks 3, 6, and 12

    Change in preceding-week posttraumatic stress symptom levels (i.e., severity of several symptoms). Measured using the PTSD Checklist Civilian - Short Version (PCL5-C-SV). Includes 6 items with response options ranging from 1 (not at all) to 5 (extremely). Items are summed to compute a total score ranging from 6-30 and higher total scores indicate more severe self-reported levels of posttraumatic stress symptoms.

    Measured: Baseline and Weeks 3, 6, and 12

  6. Change in Overall Functional Impairment from Baseline to Weeks 3, 6, and 12

    Description: Change in overall functional impairment (i.e., severity of difficulties related to work, social, and daily living activities due to mental health problems). Measured using the Work and Social Adjustment Scale (WSAS). Includes 5 items with response options ranging from 0 (no impairment) to 8 (severe impairment). Items are summed to compute a total score ranging from 0-40 and higher total scores indicate more severe levels of impairment.

    Measured: Baseline and Weeks 3, 6, and 12

  7. Baseline Level of Drug Use

    Clients' level of drug use (i.e., frequency and duration of drug use) at baseline. Includes up to 9 items with varied response formats. Four items are summed to compute a total score ranging from 0-16, with higher scores indicating higher levels of drug use. Levels of drug use will be reported descriptively.

    Measured: Baseline

  8. Clients' Goals for Alcohol Use at Baseline and Weeks 3 and 6

    Clients' goals for alcohol use at baseline and weeks 3 and 6, as measured with the Change Goal Questionnaire. Includes one item inquiring about whether the client's goal is to quit drinking alcohol completely, reduce alcohol consumption, maintain changes already made, learn more about alcohol and strategies for change, or another goal (with an additional follow-up item administered to clients endorsing this goal requesting specification). This brief questionnaire has been developed by the research team and does not have a total score. Goals related to alcohol use will be reported descriptively. .

    Measured: Baseline and Weeks 3 and 6

  9. Clients' Perceptions and Attitudes Towards ICBT at Baseline

    Clients' perceptions and attitudes towards ICBT (i.e., motivations for enrollment in ICBT, ratings of likelihood that ICBT will improve lifestyle and functioning, expected success of ICBT, level of confidence recommending ICBT to a friend, concerns related to participation in ICBT) as measured with the ICBT Feedback Questionnaire at baseline. Includes 13 items with varied response formats and does not have a total score. Item-level responses will be reported descriptively.

    Measured: Baseline

  10. Client Satisfaction with the PSP Alcohol Reset Course at Weeks 3 and 6

    Clients' satisfaction with the PSP Alcohol Reset course at Week 3 (i.e., perception that treatment was worth time and improved confidence managing alcohol use) and Week 6 (i.e., perceptions that treatment was worthwhile, improved confidence managing alcohol use, whether clients would recommend it to a friend, impact of course on future treatment seeking, whether clients experienced negative side effects, and open-ended items regarding aspects of the course perceived as helpful, liked, and disliked) as measured with the Treatment Satisfaction Questionnaire. Includes 11-14 items with varied response formats and does not have a total score. Item-level responses will be reported descriptively.

    Measured: Week 3 (two items only) and Week 6

  11. Client Sociodemographic and Occupational Characteristics

    Information on client sociodemographic and occupational characteristics (e.g., age, years of public safety service experience) will be collected. No scores are calculated. Item-level responses will be reported descriptively.

    Measured: Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Oct 2026
  2. Study start17 Sep 2026
  3. Primary completion31 Mar 2028 (estimated)
  4. Study completion31 Mar 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07873684
Sponsor's protocol ID
2026-2018
Status last verified
Sep 2026
First submitted
21 Sep 2026
Last updated
14 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • World Health Organization. Global status report on alcohol and health 2014. Geneva: World Health Organization; 2014.

  • Carey MG, Al-Zaiti SS, Dean GE, Sessanna L, Finnell DS. Sleep problems, depression, substance use, social bonding, and quality of life in professional firefighters. J Occup Environ Med. 2011 Aug;53(8):928-33. doi: 10.1097/JOM.0b013e318225898f.

    PubMed 21785370

Questions about this trial

What is this clinical trial studying?

A study testing Self-Guided PSP Alcohol Reset Course in people with Alcohol Misuse, run by University of Regina at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 14 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Heather D Hadjistavropoulos (306-585-5133, heather.hadjistavropoulos@uregina.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Preceding-Week Number of Standard Drinks from Baseline to Weeks 3, 6, and 12 (time frame: Baseline and Weeks 3, 6, and 12). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07873684, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2026.

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