Web-based screening and brief intervention for hazardous drinking: a double-blind randomized controlled trial
Web-based screening and brief intervention for hazardous drinking: a double-blind randomized controlled trial
复制标题
DOI：
10.1111/j.1360-0443.2004.00847.x
复制
发表时间：
2004-11-01
期刊：
影响因子：
6
通讯作者：
Gallagher, SJ
中科院分区：
文献类型：
--
作者：
Kypri, K;Saunders, JB;Gallagher, SJ
背景强有力的证据表明，筛查和短暂干预对减少危险饮酒的有效性。然而，在卫生保健系统中实施该计划的问题突出，尤其是一些医生不愿意主动与病人讨论酒精问题。目的是确定一种新的基于网络的筛查和简短干预（e-SBI）减少危险饮酒的有效性。设计一种双重的方法：采用随机双盲对照试验，研究地点：某大学学生卫生服务中心，对象：167名大学生（17-26岁）在接待区招募，并完成了3分钟的基于网络的屏幕，包括酒精使用障碍识别测试（AUDIT）问卷。其中，112人检测呈阳性，104人研究对象为52名女性，均同意随访。测量饮酒频率、典型场合饮酒量、总饮酒量、重度发作频率（女性> 80 g乙醇，男性> 120 g乙醇），个人问题数量，干预参与者被随机分配到10-15分钟的基于网络的评估和个性化的饮酒反馈对照组和干预组的平均基线AUDIT评分分别为16.6（SD = 6.0）和16.6（SD = 5.7）。在6周时，接受e-SBI的参与者报告总消耗量显著降低（几何平均值比= 0.74; 9.5%置信区间：0.56-0.96），重度发作频率降低（0.63; 0.42-0.92）和个人问题减少（0.70; 0.54-0.91）。在6个月时，个人问题仍然较低（0.76; 0.60-0.97），但消费没有显着差异。在6个月，学术问题是较低的干预组相对于控制（0.72; 0.51-1.02）。结论电子SBI减少危险饮酒的大学生，在一定程度上发现在一般人群中的预防者提供的简短干预措施。e-SBI作为一种战略，以非侵入性的方式减少酒精相关的伤害，吸引目标群体，并能够纳入初级保健。需要进行研究，以复制研究结果，确定干预效果的持续时间，并调查干预措施的运作机制。
Background Strong evidence exists for the efficacy of screening and brief intervention for reducing hazardous drinking. However, problems have been highlighted with respect to its implementation in health-care systems, not least of which is a reluctance of some doctors to discuss alcohol proactively with their patients.Aims To determine the efficacy of a novel web-based screening and brief intervention (e-SBI) to reduce hazardous drinking.Design A double-blind randomized controlled trial.Setting A university student health service.Participants A total of 16 7 students (17-26 years) were recruited in the reception area and completed a 3-minute web-based screen including the Alcohol Use Disorder Identifiation Test (AUDIT) questionnaire. Of these, 112 tested positive, and 104 (52 females) who consented to follow-up were included in the trial.Measurements Drinking frequency, typical occasion quantity, total volume, heavy episode frequency (females > 80 g ethanol, males > 120 g ethanol), number of personal problems, an academic problems score.Intervention Participants were randomized to 10-15 minutes of web-based assessment and personalized feedback on their drinking (intervention, n = 5 1) or to a leaflet-only control group (n = 5 3).Findings Mean baseline AUDIT scores for control and intervention groups were 16.6 (SD = 6.0) and 16.6 (SD = 5.7). At 6 weeks, participants receiving e-SBI reported significantly lower total consumption (geometric mean ratio = 0.74; 9 5 % confidence interval: 0.56-0.96), lower heavy episode frequency (0.63; 0.42-0.92) and fewer personal problems (0.70; 0.54-0.91). At 6 months personal problems remained lower (0.76; 0.60-0.97), although consumption did not differ significantly. At 6 months, academic problems were lower in the intervention group relative to controls (0.72; 0.51-1.02).Conclusions e-SBI reduced hazardous drinking among university students, to an extent similar to that found for practitioner-delivered brief interventions in the general population. e-SBI offers promise as a strategy to reduce alcohol-related harm in a way that is non-intrusive, appealing to the target group, and capable of being incorporated into primary care. Research is required to replicate the findings, to determine the duration of intervention effects, and to investigate the mechanisms by which the intervention operates.