Responsible Drinking: Internet-based, Interactive Computer Tailored Intervention

描述（由申请人提供）：过度饮酒与个人和社会层面的一系列严重和昂贵的健康，社会和经济后果有关。该研究计划作为一个场所，通过它来生产和测试一种创新的，以科学为基础的，具有成本效益的手段，以私人，方便和个性化的方式与报告非依赖性风险饮酒水平的就业成年人进行干预。负责任的饮酒提供了计算机定制的干预会议，旨在提高人们对限制饮酒的准备程度，以符合国家低风险饮酒指南，并提供了一个补充的动态门户网站，提供旨在激活和加强改变过程的额外信息，活动和战略。这两个电子健康干预组成部分是阶段匹配的，根据理论基础的行为改变战略单独定制，并设计为互动和参与。将整合移动的健康（m-Health）技术，包括理论上量身定制和阶段匹配的短信和移动终端浏览优化，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，负责任饮酒是可以接受的危险饮酒者，能够产生意图，使行为改变，并通过互联网传播到就业的成年人是可行的。第二阶段的主要目标是完成和加强电子保健干预组成部分的开发，增加移动保健技术，并在涉及614名超过低风险饮酒水平的就业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口的方法、对理论基础结构进行复杂程度的定制以及将电子保健和移动保健技术相结合来提供创新。循证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减少过度饮酒的财务，个人和社会成本。 公共卫生相关性：鉴于过度饮酒对健康、社会和经济后果的范围和严重性，在非依赖性饮酒者中促进负责任的饮酒具有重大的公共卫生意义。本研究旨在开发和测试一个基于互联网的，个性化的，互动的程序，为就业的成年人谁超过了国家低风险饮酒指南。凭借理论和科学基础以及具有成本效益且易于交付的平台，这种干预措施为改善风险饮酒者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.