Feedback from recently returned veterans on an anonymous web-based brief alcohol intervention
Feedback from recently returned veterans on an anonymous web-based brief alcohol intervention
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DOI：
10.1186/1940-0640-7-17
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发表时间：
2012-08-28
影响因子：
3.7
通讯作者：
Bradley, Katharine
中科院分区：
文献类型：
--
作者：
Lapham, Gwen;Hawkins, Eric;Bradley, Katharine
背景资料：持久自由行动和伊拉克自由行动（OEF/OIF）的退伍军人滥用酒精的风险增加，需要创新的方法来改善他们获得酒精筛查和简短干预（SBI）的机会。本研究改编了一个电子SBI（电子SBI）的网站显示是有效的OEF/OIF退伍军人在大学生和报告的调查结果，从采访OEF/OIF退伍军人对他们的印象eSBI.Methods：门诊退伍军人OEF/OIF谁喝>= 3天，在过去的一周被招募从美国退伍军人事务部（VA）部署健康诊所候诊室。退伍军人私下预先测试了匿名的e-SBI，然后完成了个人半结构化的录音采访。他们的反应进行了分析，使用模板分析，以探索领域确定先验以及紧急domains.Results：在采访中，所有9个OEF/OIF退伍军人（1名妇女和8名男子）表示，他们已经收到了反馈的风险酒精消费。参与者普遍喜欢标准饮料的形象，酒精相关的热量和金钱的反馈，以及网站的简洁和匿名（先验域）。他们还经历了部分e-SBI评估的挑战，并认为有关酒精风险和规范饮酒的反馈是有问题的，但描述了来自e-SBI（紧急领域）的潜在好处。最有吸引力的电子SBI将确保匿名性，并提供个性化的透明反馈酒精相关的风险，考虑饮酒的背景下，战略，以减少饮酒，和更多的资源，退伍军人更严重的酒精missions.Conclusions：结果的定性探索性研究表明，电子SBI可能是一个可以接受的策略，增加OEF/OIF老兵获得循证酒精SBI。
Background: Veterans of Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) are at increased risk for alcohol misuse, and innovative methods are needed to improve their access to alcohol screening and brief interventions (SBI). This study adapted an electronic SBI (e-SBI) website shown to be efficacious in college students for OEF/OIF veterans and reported findings from interviews with OEF/OIF veterans about their impressions of the eSBI.Methods: Outpatient veterans of OEF/OIF who drank >= 3 days in the past week were recruited from a US Department of Veterans Affairs (VA) Deployment Health Clinic waiting room. Veterans privately pretested the anonymous e-SBI then completed individual semistructured audio-recorded interviews. Their responses were analyzed using template analysis to explore domains identified a priori as well as emergent domains.Results: During interviews, all nine OEF/OIF veterans (1 woman and 8 men) indicated they had received feedback for risky alcohol consumption. Participants generally liked the standard-drinks image, alcohol-related caloric and monetary feedback, and the website's brevity and anonymity (a priori domains). They also experienced challenges with portions of the e-SBI assessment and viewed feedback regarding alcohol risk and normative drinking as problematic, but described potential benefits derived from the e-SBI (emergent domains). The most appealing e-SBIs would ensure anonymity and provide personalized transparent feedback about alcohol-related risk, consideration of the context for drinking, strategies to reduce drinking, and additional resources for veterans with more severe alcohol misuse.Conclusions: Results of this qualitative exploratory study suggest e-SBI may be an acceptable strategy for increasing OEF/OIF veteran access to evidenced-based alcohol SBI.