Formative evaluation and three-month follow-up of an online personalized assessment feedback intervention for problem drinkers.

Formative evaluation and three-month follow-up of an online personalized assessment feedback intervention for problem drinkers.
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DOI:
10.2196/jmir.8.2.e5
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发表时间:
2006-04-12
影响因子:
7.4
通讯作者:
van Mierlo T
van Mierlo T
中科院分区:
医学2区
文献类型:
--
作者:
Cunningham JA;Humphreys K;Kypri K;van Mierlo T

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近年来,为问题饮酒者提供的在线服务已经开发出来。本文介绍了正在进行的努力,以改善这些服务之一,酒精帮助中心。本报告总结了添加到酒精帮助中心的一个组成部分检查您的饮酒(CYD)筛选器的新模块,使CYD筛选器对定期重度饮酒者以及常规酒精消费者更有用。参与者对CYD筛选器的最初反应以及三个月随访时他们饮酒习惯的变化。 CYD筛选器提供免费的个性化最终报告,将用户的饮酒情况与相同年龄,性别和原籍国的普通人群进行比较。收集当前饮酒量和人口统计学特征作为CYD筛查过程的一部分。向用户展示定制的最终报告后,他们会被热链接到志愿者反馈调查。自愿反馈调查询问了对青年发展中心最后报告的印象。同意参与的受访者在三个月后收到了一份后续调查。 我们招募了388名志愿者(69%为女性),他们是另一项免费在线电子健康服务的注册用户。在同意参加三个月随访的343名受访者中,138人访问了调查,97人提供了完整的数据(参与率= 40%;完成率= 70%)。与适度饮酒者相比,目前的问题饮酒者认为最终报告更有用(34% vs. 69%,χ21 = 41.5,P < .001)和准确(43% vs. 76%,χ21 = 36.0,P < .001)。参与三个月随访的受访者显示与基线相比饮酒减少(F4,76 = 12.2,P = 0.001)。 仍然可以进行改进,使CYD筛选器与特定人群更相关,特别是定期重度饮酒者。有必要进一步调整算法,使其能够提出仅与特定人群相关的问题。似乎还需要为那些认为自己很少酗酒的受访者进一步定制最后报告。这些改进将被进行,并计划进行一项随机对照试验,对CYD筛选剂进行严格的评估,作为一种干预措施,以帮助问题饮酒者。
In recent years, online services for problem drinkers have been developed. This paper describes ongoing efforts to improve one of these services, the Alcohol Help Center. This report summarizes new modules added to the Check Your Drinking (CYD) screener, a component of the Alcohol Help Center, to make the CYD screener more useful to periodic heavy drinkers, as well as to regular alcohol consumers. Participants’ initial reactions to the CYD screener and the changes in their drinking habits at a three-month follow-up are presented. The CYD screener provides a free personalized Final Report that compares the user’s drinking to that of others in the general population of the same age, gender, and country of origin. Current alcohol consumption and demographic characteristics are collected as part of the CYD screening process. After users were presented with a customized Final Report, they were hot-linked to a volunteer feedback survey. The voluntary feedback survey asked about impressions of the CYD Final Report. Respondents agreeing to participate were sent a follow-up survey after three months. We recruited 388 volunteers (69% female) who were registered users of another free-to-consumer online eHealth service. Of the 343 respondents agreeing to participate in the three-month follow-up, 138 accessed the survey, and 97 provided complete data (participation rate = 40%; completion rate = 70%). Compared to moderate drinkers, current problem drinkers judged the Final Report to be more useful (34% vs. 69%, χ21 = 41.5, P < .001) and accurate (43% vs. 76%, χ21 = 36.0, P < .001). Respondents who participated in the three-month follow-up displayed reductions in drinking compared to baseline (F4,76 = 12.2, P = .001). Improvements can still be made to make the CYD screener more relevant to specific populations, particularly periodic heavy drinkers. There is a need to further tailor algorithms that can present questions only relevant to specific populations. There also appears to be a need to further customize the Final Report for respondents who identify themselves as infrequent heavy drinkers. These improvements will be made, and a randomized controlled trial is planned to conduct a rigorous evaluation of the CYD screener as an intervention to help problem drinkers.
DOI: 10.15288/jsa.1997.58.365
发表时间: 1997-07-01
期刊: JOURNAL OF STUDIES ON ALCOHOL
影响因子: --
作者:
Grant, BF
通讯作者: Grant, BF
DOI: 10.1016/0306-4603(93)90036-9
发表时间: 1993-05-01
影响因子: 4.4
作者:
CUNNINGHAM, JA;SOBELL, LC;TONEATTO, T
通讯作者: TONEATTO, T
DOI: 10.3109/10826080009147481
发表时间: 2000-01-01
影响因子: 2
作者:
Bondy, SJ;Lange, P
通讯作者: Lange, P
DOI: 10.1016/s0306-4603(00)00092-7
发表时间: 2001-01-01
影响因子: 4.4
作者:
Koski-Jännes, A;Cunningham, J
通讯作者: Cunningham, J
DOI: 10.2196/jmir.7.1.e6
发表时间: 2005-03-19
影响因子: 7.4
作者:
Koo M;Skinner H
通讯作者: Skinner H