Drinking goal choice and outcomes in a Web-based alcohol intervention: Results from VetChange
Drinking goal choice and outcomes in a Web-based alcohol intervention: Results from VetChange
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DOI：
10.1016/j.addbeh.2014.10.036
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发表时间：
2015-03-01
影响因子：
4.4
通讯作者：
Keane, Terence M.
中科院分区：
文献类型：
--
作者：
Enggasser, Justin L.;Hermos, John A.;Keane, Terence M.
目的：本文的目的是描述选择适度和节制饮酒目标的参与者的特征，并根据针对返回的美国退伍军人进行基于网络的酒精干预期间的目标选择模式来检查治疗后饮酒结果。方法：我们对参加 VetChange（一项 8 个模块的临床试验）的 600 名退伍军人中的 305 名子样本进行了描述性二次分析。 认知行为干预。参与者首先在模块 3 中自行选择戒酒或适度饮酒目标，并在后续模块中每周选择一次。使用酒精使用障碍识别测试 (AUDIT)、快速饮酒筛查 (Q)S) 和问题简表 (SIP-2R) 来测量酒精使用和酒精相关问题。结果：最初的目标选择是 86.9% 适度饮酒，13.1% 戒酒。大约 20% 的参与者在干预过程中改变了最初选择的目标；最后的目标选择是 68.6% 的节制和 31.4% 的节制。最初选择适度饮酒的参与者在基线时报告的酗酒天数百分比较高；最初选择禁欲的参与者更有可能报告最近的药物滥用治疗并且年龄较大。在所有目标选择模式中，干预后的饮酒水平和酒精相关问题均显着降低（即仅适度、仅禁欲、适度至禁欲、以及禁欲至适度；所有测量值 p < 0.05 或更低）。基线饮酒严重程度与不同目标选择模式的结果没有差异。结论：针对返回的美国退伍军人进行的基于网络的酒精干预的参与者表现出饮酒方面的改善，无论他们选择的是戒酒还是适度饮酒目标，以及在干预过程中是否维持或改变目标。由爱思唯尔有限公司出版
Objectives: The objectives of the paper are to describe characteristics of participants who chose moderation and abstinence drinking goals, and to examine post-treatment drinking outcomes based on patterns of goal choice during a Web-based alcohol intervention for returning U.S. Veterans.Method: We conducted a descriptive secondary analysis of a subsample of 305 of 600 Veterans who participated in a clinical trial of VetChange, an 8-module, cognitive-behavioural intervention. Participants self-selected abstinence or moderation drinking goals, initially at Module 3, and weekly during subsequent modules. Alcohol use and alcohol-related problems were measured using the Alcohol Use Disorders Identification Test (AUDIT), Quick Drink Screen (Q)S), and Short Inventory of Problems (SIP-2R).Results: Initial goal choices were 86.9% moderation and 13.1% abstinence. Approximately 20% of participants from each initial choice changed goals during the intervention; last goal choices were 68.6% moderation and 31.4% abstinence. Participants who initially chose moderation reported higher percent heavy drinking days at baseline; participants who initially chose abstinence were more likely to report recent substance abuse treatment and were older. Post-intervention levels of alcohol use and alcohol-related problems were significantly reduced in all goal-choice patterns (i.e., Moderation Only, Abstinence Only, Moderation to Abstinence, and Abstinence to Moderation; all measures p < 0.05 or less). Baseline drinking severity did not differentially relate to outcomes across goal-choice patterns.Conclusions: Participants in a Web-based alcohol intervention for returning U.S. Veterans demonstrated improvements in drinking regardless of whether they chose an abstinence or moderation drinking goal, and whether the goal was maintained or changed over the course of the intervention. Published by Elsevier Ltd.