Web-Based Self-Help for Problematic Alcohol Use: a Large Naturalistic Study.
Web-Based Self-Help for Problematic Alcohol Use: a Large Naturalistic Study.
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DOI：
10.1007/s12529-016-9618-z
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发表时间：
2017-10
影响因子：
2.7
通讯作者：
Berman AH
中科院分区：
文献类型：
--
作者：
Johansson M;Sinadinovic K;Hammarberg A;Sundström C;Hermansson U;Andreasson S;Berman AH
这项观察性研究调查了使用基于网络的自助计划的匿名互联网求助者的用户特征、干预使用模式和与酒精消费量减少相关的变量。根据酒精使用障碍识别测试（AUDIT） （n = 4165），为酒精使用危害最小的参与者提供了一个基于网络的认知行为治疗（CBT）项目，该项目有八个模块，为期10周。在基线和10周的随访中，参与者完成了时间线随访（TLFB）、审计、药物使用障碍识别测试（DUDIT）、医院焦虑和抑郁量表（HADS）、EuroQol-5维度（EQ-5D）、世界卫生组织生活质量量表（WHOQOL-BREF）、改变准备问卷（RCQ）和准备量表。在基线时比较随访完成者和未完成者，并报告随访完成者的结果。在随访中评估饮酒行为改变的预测因素。注册用户平均年龄为41.88岁（SD = 12.36）， 52%为女性；过去一周的平均基线饮酒量为27.27 (SD = 17.92)，根据公共卫生指南，62%属于可能依赖的审计类别，只有7%属于低风险消费。在随访中（n = 1043）， 53%的患者出现临床显著变化，酒精使用水平降低（χ2 = 254.403, p < 0.001）；平均饮酒量下降（t = 22.841, p < 0.001），低风险饮酒者比例上升至40%。作为男性，在基线准备、完成项目和获得其他支持方面得分较高，预示着低风险饮酒和临床显著改变，在随访中酒精使用水平较低。一个公开的基于网络的管理问题酒精使用的项目吸引了有大量酒精和健康相关问题的用户，对于随访完成者，这些问题的严重程度降低。
This observational study examined user characteristics, intervention use patterns, and variables associated with reductions in alcohol consumption for anonymous Internet help-seekers using a Web-based self-help program. A Web-based cognitive behavioral therapy (CBT) program with eight modules delivered over 10 weeks was offered to participants with at least hazardous use of alcohol according to the Alcohol Use Disorders Identification Test (AUDIT) (n = 4165). At baseline and 10-week follow-up, participants completed the Timeline-followback (TLFB), AUDIT, Drug Use Disorders Identification Test (DUDIT), Hospital Anxiety and Depression Scale (HADS), EuroQol-5 dimension (EQ-5D), World Health Organization Quality of Life Scale-abbreviated version (WHOQOL-BREF), Readiness to Change Questionnaire (RCQ), and Readiness Ruler. Follow-up completers and non-completers were compared at baseline, and follow-up completer outcomes were reported. Predictors of change in drinking behavior were evaluated at follow-up. Registered users were 41.88 years old on average (SD = 12.36), and 52 % were women; the mean baseline number of drinks during the past week was 27.27 (SD = 17.92) with 62 % in the AUDIT category of probable dependence and only 7 % having low-risk consumption according to public health guidelines. At follow-up (n = 1043), 53 % showed a clinically significant change to a lower level of alcohol use (χ2 = 254.403, p < 0.001); the mean alcohol consumption fell (t = 22.841, p < 0.001) and the proportion with low-risk consumption rose to 40 %. Being male, scoring higher on baseline readiness, completing the program, and accessing other support predicted low-risk drinking and clinically significant change to a lower level of alcohol use at follow-up. A publicly available Web-based program for managing problematic alcohol use attracted users with considerable alcohol- and health-related problems, which were changed to lower severity for follow-up completers.
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影响因子：
4.4
作者：
Bertholet, Nicolas;Cheng, Debbie M.;Saitz, Richard
通讯作者：
Saitz, Richard
影响因子：
5.9
作者：
Blankers, Matthijs;Koeter, Maarten W. J.;Schippers, Gerard M.
通讯作者：
Schippers, Gerard M.
DOI：
10.15288/jsa.2005.66.526
发表时间：
2005-07-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Collins, SE;Carey, KB;Smyth, J
通讯作者：
Smyth, J
影响因子：
4.4
作者：
CUNNINGHAM, JA;SOBELL, LC;TONEATTO, T
通讯作者：
TONEATTO, T
影响因子：
3.5
作者：
Herdman, M.;Gudex, C.;Lloyd, A.;Janssen, M. F.;Kind, P.;Parkin, D.;Bonsel, G.;Badia, X.
通讯作者：
Badia, X.