Responsible Drinking: Internet-based, Interactive Computer Tailored Intervention

描述(由申请人提供)：过度饮酒在个人和社会层面上与一系列严重且代价高昂的健康、社会和经济后果有关。这项研究计划作为一个场所，通过它来生产和测试一种创新的、基于科学的、具有成本效益的方法，以私人、方便和个性化的方式干预报告非依赖水平的危险饮酒的就业成年人。负责任的饮酒提供了计算机定制的干预会议，旨在提高对限制饮酒的准备程度，使其符合国家低风险饮酒指南，并提供补充的动态门户网站，提供旨在激活和加强变化进程的更多信息、活动和战略。这两个电子健康干预组成部分都是阶段匹配的，都是根据理论上扎根的行为改变战略单独定制的，并设计成具有互动性和吸引力。移动健康(m-Health)技术，包括理论上量身定做和阶段匹配的文本消息传递和移动设备浏览优化，将被集成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，负责任的饮酒是有风险的饮酒者可以接受的，能够产生改变行为的意图，并且可以通过互联网传播给有工作的成年人。第二阶段的主要目标是完成和加强电子健康干预组成部分的开发，增加移动健康技术，并在一项涉及614名超过低风险饮酒水平的受雇成年人的随机临床试验中评估其有效性。这一应用程序通过提供基于人群的方法、在理论上扎根的结构上的复杂程度的定制以及结合e-Health和m-Health技术来提供创新。一项基于证据的二级预防计划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降低过度饮酒的财务、个人和社会成本。 与公共健康相关：鉴于过度饮酒的健康、社会和经济后果的范围和严重性，在非依赖型饮酒者中促进负责任的饮酒对公共健康具有重要意义。这项研究建议为超过国家低风险饮酒指南的在职成年人开发和测试一个基于互联网的、个性化的互动计划。凭借理论和科学基础以及经济高效和易于实施的平台，这种干预措施为改善高风险饮酒者群体的健康和福祉提供了巨大的希望。

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.