Responsible Drinking: Internet-based, Interactive Computer Tailored Intervention

描述（由申请人提供）：在个人和社会层面上，过度饮酒与一系列严重且代价高昂的健康、社会和经济后果有关。这个研究项目是一个场所，通过它来生产和测试一种创新的、以科学为基础的、具有成本效益的方法，以一种私人的、方便的、个性化的方式干预那些报告非依赖水平的危险饮酒的就业成年人。负责任饮酒提供了计算机定制的干预课程，旨在提高人们根据国家低风险饮酒指南限制饮酒的准备程度，并提供了一个补充的动态门户网站，提供旨在激活和加强变革进程的额外信息、活动和战略。这两个电子卫生干预组成部分都是阶段匹配的，根据基于理论的行为改变策略进行个性化定制，并设计成具有互动性和吸引力。移动医疗（m-Health）技术，包括理论定制和阶段匹配的短信和移动设备浏览优化，将被整合，以支持行为改变过程、参与计划和方便交付。第一阶段的成功完成表明，负责任饮酒对于有风险的饮酒者来说是可以接受的，能够产生改变行为的意图，并且可以通过互联网向就业的成年人传播。第二阶段的主要目标是完成和加强电子健康干预组件的开发，增加移动健康技术，并在一项随机临床试验中评估其有效性，该试验涉及614名超过低风险饮酒水平的成年雇员。该应用程序通过提供以人口为基础的方法、基于理论基础结构的高级定制以及结合电子卫生和移动卫生技术，提供了创新。一个以证据为基础的二级预防项目将提供巨大的商业利益，帮助雇主、保险公司、疾病管理和健康公司减少过度饮酒带来的经济、个人和社会成本。

DESCRIPTION (provided by applicant): Excessive alcohol use is associated with a range of serious and costly health, social, and economic consequences at the individual and societal level. This program of research serves as a venue by which to produce and test an innovative, science-based, and cost-effective means to intervene in a private, convenient, and individualized way with employed adults who report non-dependent levels of risky drinking. Responsible Drinking offers computer-tailored intervention sessions directed at increasing readiness to limit drinking to national guidelines for low-risk drinking and a complementary dynamic web portal providing additional information, activities, and strategies designed to activate and reinforce the change process. Both e-Health intervention components are stage-matched, individually tailored based on theoretically grounded behavior change strategies, and designed to be interactive and engaging. Mobile health (m-Health) technologies, including theoretically tailored and stage-matched text messaging and mobile device browsing optimization, will be integrated to support the behavior change process, engagement in the program, and convenient delivery. The successful completion of Phase I demonstrates that Responsible Drinking is acceptable to risky drinkers, capable of producing intention to make behavior changes, and feasible to disseminate via the Internet to employed adults. The primary goals of Phase II are to complete and enhance the development of the e- Health intervention components, to add m-Health technologies, and to assess the effectiveness in a randomized clinical trial involving 614 employed adults who exceed low-risk drinking levels. This application offers innovation through offering a population-based approach, a sophisticated level of tailoring on theoretically grounded constructs, and combining e-Health and m-Health technologies. An evidence-based secondary prevention program will offer tremendous commercial benefit to help employers, insurers, disease management, and wellness companies reduce the financial, personal, and societal costs of excessive alcohol use. PUBLIC HEALTH RELEVANCE: Given the range and severity of health, social, and economic consequences of excessive alcohol use, promoting responsible drinking among non-dependent drinkers is of great public health importance. This research proposes to develop and test an Internet-based, individualized, and interactive program for employed adults who exceed the national guidelines for low-risk drinking. With a theoretical and science-based foundation and a cost-effective and easily deliverable platform, this intervention offers great promise to improve the health and well-being of populations of risky drinkers.