A Smartphone App and Personalized Text Messaging Framework (InDEx) to Monitor and Reduce Alcohol Use in Ex-Serving Personnel: Development and Feasibility Study.
A Smartphone App and Personalized Text Messaging Framework (InDEx) to Monitor and Reduce Alcohol Use in Ex-Serving Personnel: Development and Feasibility Study.
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DOI：
10.2196/10074
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发表时间：
2018-09-11
影响因子：
5
通讯作者：
Goodwin L
中科院分区：
文献类型：
--
作者：
Leightley D;Puddephatt JA;Jones N;Mahmoodi T;Chui Z;Field M;Drummond C;Rona RJ;Fear NT;Goodwin L
即使在退役后，武装部队人员自我报告的酗酒现象仍然很高。超过50%的退役人员符合有害酒精使用标准；然而，许多人没有承认他们存在问题。先前的研究表明，通过智能手机应用程序提供的干预措施适合促进酒精使用的自我监测，影响范围广泛，并且可能比其他类型的简短干预措施更具成本效益。目前还没有专门为武装部队设计的此类干预措施。本研究旨在描述定制智能手机应用程序和个性化短信（短信服务，SMS）框架的开发，并测试该应用程序在难以吸引的退伍军人中的可用性和可行性（作为用户参与度进行测量和报告）。应用程序开发使用敏捷方法（软件开发中使用的增量式迭代方法），并根据行为改变理论、参与者反馈和焦点小组提供信息。参与者是在 2017 年 5 月至 2017 年 6 月期间从现有的英国纵向军事健康和福祉队列研究中招募的，经过资格预筛选，并指导下载 Android 或 iOS 版本的“退役人员饮酒信息”(InDEx) 应用程序。通过该应用程序，参与者被要求记录饮酒量，完成一系列自我报告措施，并使用实施意图（如果-那么计划）设定目标。除了该应用程序之外，参与者还每天收到与特定行为改变技术相对应的自动个性化短信 (SMS)，其内容由健康行动过程方法告知，其预期目的是促进饮料日记的使用、建议替代行为并提供有关目标设定的反馈。参与该研究的邀请已发送给退役人员，其中 22.6% (31/137) 接受并下载了该应用程序。参与者在 4 周（28 天）内平均打开 InDEx 应用程序 15.0 次（四分位距 [IQR] 8.5-19.0）次，平均收到 36.1 (SD 3.2) 条短信 (SMS)，平均饮酒 13.0 (IQR 11.0-15.0) 天，平均饮酒 5.6 (IQR)第一周每天饮酒 3.3-11.8) 单位，到上周下降到 4.7 (IQR 2.0-6.9) 单位，并在 4.0 (IQR 3.0-4.0) 周内保持活跃。从初始化次数、交互次数以及使用 InDEx 所花费的时间可以看出，人员定期参与并使用该应用程序。未来的研究需要评估 InDEx 在减少武装部队人口酒精消费和酗酒方面的参与和功效。
Self-reported alcohol misuse remains high in armed forces personnel even after they have left service. More than 50% of ex-serving personnel meet the criteria for hazardous alcohol use; however, many fail to acknowledge that they have a problem. Previous research indicates that interventions delivered via smartphone apps are suitable in promoting self-monitoring of alcohol use, have a broad reach, and may be more cost-effective than other types of brief interventions. There is currently no such intervention specifically designed for the armed forces. This study sought to describe the development of a tailored smartphone app and personalized text messaging (short message service, SMS) framework and to test the usability and feasibility (measured and reported as user engagement) of this app in a hard-to-engage ex-serving population. App development used Agile methodology (an incremental, iterative approach used in software development) and was informed by behavior change theory, participant feedback, and focus groups. Participants were recruited between May 2017 and June 2017 from an existing United Kingdom longitudinal military health and well-being cohort study, prescreened for eligibility, and directed to download either Android or iOS versions of the ”Information about Drinking for Ex-serving personnel” (InDEx) app. Through the app, participants were asked to record alcohol consumption, complete a range of self-report measures, and set goals using implementation intentions (if-then plans). Alongside the app, participants received daily automated personalized text messages (SMS) corresponding to specific behavior change techniques with content informed by the health action process approach with the intended purpose of promoting the use of the drinks diary, suggesting alternative behaviors, and providing feedback on goals setting. Invitations to take part in the study were sent to ex-serving personnel, 22.6% (31/137) of whom accepted and downloaded the app. Participants opened the InDEx app a median of 15.0 (interquartile range [IQR] 8.5-19.0) times during the 4 week period (28 days), received an average of 36.1 (SD 3.2) text messages (SMS), consumed alcohol on a median of 13.0 (IQR 11.0-15.0) days, and consumed a median of 5.6 (IQR 3.3-11.8) units per drinking day in the first week, which decreased to 4.7 (IQR 2.0-6.9) units by the last week and remained active for 4.0 (IQR 3.0-4.0) weeks. Personnel engaged and used the app regularly as demonstrated by the number of initializations, interactions, and time spent using InDEx. Future research is needed to evaluate the engagement with and efficacy of InDEx for the reduction of alcohol consumption and binge drinking in an armed forces population.
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影响因子：
25.8
作者：
Gustafson, David H.;McTavish, Fiona M.;Chih, Ming-Yuan;Atwood, Amy K.;Johnson, Roberta A.;Boyle, Michael G.;Levy, Michael S.;Driscoll, Hilary;Chisholm, StevenM.;Dillenburg, Lisa;Isham, Andrew;Shah, Dhavan
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Shah, Dhavan
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Michie S
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Brown, Jamie
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Garnett, Claire;Crane, David;Winstock, Adam
通讯作者：
Winstock, Adam
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作者：
Lapham, Gwen;Hawkins, Eric;Bradley, Katharine
通讯作者：
Bradley, Katharine