Balance-a pragmatic randomized controlled trial of an online intensive self-help alcohol intervention
Balance-a pragmatic randomized controlled trial of an online intensive self-help alcohol intervention
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DOI：
10.1111/add.12383
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发表时间：
2014-02-01
期刊：
影响因子：
6
通讯作者：
Duckert, Fanny
中科院分区：
文献类型：
--
作者：
Brendryen, Havar;Lund, Ingunn Olea;Duckert, Fanny
目的比较“平衡”（一种全自动在线酒精干预）的简短与简短加强化自助版本对自我报告饮酒量的影响。设计一项实用的随机对照试验。这两种情况的参与者都接受了在线单次筛选程序，包括个性化的规范反馈。对照组还收到一本关于酒精影响的在线小册子。治疗组接受在线多期随访计划，即挪威的 Balance.SettingOnline 研究。参与者通过互联网广告招募高危饮酒者，并随机分配到两种条件之一 (n=244)。测量主要结果是筛选后 6 个月测量的前一周自我报告的饮酒量。结果回归分析，使用基线结转插补（意向治疗），以基线变量作为协变量，显示干预显着影响 6 个月时的饮酒量（B=2.96；95% 置信区间=0.02-5.90；P=0.049）。与简短自助组的参与者相比，强化自助组的参与者平均少喝了三个标准酒精单位。结论与筛查干预和教育小册子相比，在简短的在线筛查干预的基础上添加在线平衡干预可能有助于减少饮酒量。
AimsTo compare a brief versus a brief plus intensive self-help version of Balance', a fully automated online alcohol intervention, on self-reported alcohol consumption.DesignA pragmatic randomized controlled trial. Participants in both conditions received an online single session screening procedure including personalized normative feedback. The control group also received an online booklet about the effects of alcohol. The treatment group received the online multi-session follow-up program, Balance.SettingOnline study in Norway.ParticipantsAt-risk drinkers were recruited by internet advertisements and assigned randomly to one of the two conditions (n=244).MeasurementsThe primary outcome was self-reported alcohol consumption the previous week measured 6 months after screening.FindingsRegression analysis, using baseline carried forward imputation (intent-to-treat), with baseline variables as covariates, showed that intervention significantly affected alcohol consumption at 6 months (B=2.96; 95% confidence interval=0.02-5.90; P=0.049). Participants in the intensive self-help group drank an average of three fewer standard alcohol units compared with participants in the brief self-help group.ConclusionsThe online Balance intervention, added to a brief online screening intervention, may aid reduction in alcohol consumption compared with the screening intervention and an educational booklet.