Table 3.
Patient | Therapist |
Contacts the clinic for treatment of AUDa. | Offers the patient detoxification, MIb, and assessment. |
Decides to change habits and work focused. | Offers the patient a treatment course; informs the patient orally about Blend-A and that it is optional to participate, but it requires that the patient has a computer or a tablet; and hands out written information on Blend-A to the patient. |
Reads the information sheet at home and decides on participation in Blend-A. | At the first treatment session (flexibility according to resources): asks the patient about participation in Blend-A. |
Declines to participate in Blend-A. | Offers patient regular treatment course. |
Agrees to participate in Blend-A and signs consent form. | Photocopies the signed consent form and gives the copy to the patient and scans the original form and uploads it to the secure Blend-A Sharepoint. |
Receives from and agrees with therapist | Introduces the patient to Blend-A, adds the patient on the platform (administration module can be used by therapists and administrative workers), sends an invitation to the platform to the patient, informs the patient that emails from the platform provider may end up in spam filter, urges patient to store password in a safe place that the patient can remember, agrees with patient on number of sessions internet-based and face-to-face, and informs the patient that it is a possibility to bring a PC to the face-to-face sessions to be introduced to the platform. |
Accepts invitation to the platform. | Assigns patient to therapist, assigns treatment modules to the patient, offers to solve some of the first assignments together with the patient, and decides on homework assignments together with the patient. |
Uses the platform. | For the rest of the treatment course: receives an email when the patient has solved an assignment, reserves a time slot every week for written feedback on solved assignments (more time consuming in the beginning), and sends reminders to the patient if the assignments are not solved (brief, motivating approach). |
Attends treatment session face-to-face. | Completes treatment session with the patient entailing content from the platform. |
—c | Besides direct patient-therapist interaction: compiles mutual guideline for written feedback, undergoes professional sparring, and participates in treatment conferences. |
aAUD: alcohol use disorder.
bMI: motivational interviewing.
cPatient has no task during this step.