An Internet-based intervention for problem drinking

基于互联网的饮酒问题干预措施

基本信息

批准号：
7334765
负责人：
JOHN A CUNNINGHAM
金额：
$ 9.44万
依托单位：
CENTRE FOR ADDICTION AND MENTAL HEALTH
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-01-01 至 2009-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7334765
关键词：
Address Adult Alcohol abuse Alcohol consumption Alcohols American Canada Charge Condition Control Groups Development Effectiveness Equation Evaluation Feedback General Population Health Impact evaluation Individual Institute of Medicine (U.S.)Internet Intervention Mediating Mediator of activation protein Mental Health Minority Modeling Numbers Outcome Participant Population Principal Investigator Proliferating Provider Public Health Randomized Randomized Controlled Trials Recruitment Activity Reporting Research Research Personnel Resources Respondent Risk Role Route Science Services Site Societies Testing Underserved Population United States Voice Woman Work addiction alcohol abuse therapy base design drinking efficacy evaluation experience follow-up improved interest population survey problem drinker programs self help social treatment program

项目摘要

Self-change interventions have great potential to aid the many problem drinkers who do not seek formal treatment. Because self-change interventions circumvent some of the barriers associated with traditional treatment services, they may help reduce the harm associated with alcohol abuse among untreated individuals, whose number far exceeds that of the minority who ever access formal alcohol treatment programs. Self-change/self-help materials have the added advantage of being relatively inexpensive, increasing their potential for wide distribution and attendant public health impact. The Internet is one promising route for distributing such materials to a large segment of the population. Three-quarters of Canadians and Americans use the Internet, including a large number who seek health-related information on line. Drinking self-change websites abound on the Internet, but because none has been scientifically evaluated it is unknown whether such sites do more good than harm. By being the first large scale, controlled evaluation, this project intends to advance the science of Internet-mediated intervention as well as provide valuable public health information on the effectiveness of Internet-delivered self-change materials. Specifically, the major objective of this project is to conduct a randomized controlled evaluation of the impact of an Internet-based self-help intervention for problem drinkers in the general population. Participants will be recruited through an ongoing general population survey conducted for the Centre for Addiction and Mental Health (N = 170 after attrition), and will be randomly assigned to be sent a World Wide Web page Internet address and password for the personalized alcohol feedback program or to a no intervention control group. Three and six-month drinking outcomes will be compared between experimental conditions using structural equation modeling. The primary hypothesis is that respondents in the Internet personalized alcohol feedback condition will display significantly improved drinking outcomes at three and six-month follow-ups as compared to respondents in the no intervention control condition. Secondary hypotheses will address the mediating or moderating role of perceived drinking norms, perceived risk and the problem drinker's social reasons for drinking.

自我改变干预措施具有巨大的潜力，可以帮助许多不寻求正式的饮酒者治疗。因为自我改变干预措施规避了与传统相关的一些障碍治疗服务，它们可能有助于减少未经治疗的酒精滥用的危害个人的人数远远超过了曾经获得正式酒精治疗的少数人的数字程序。自我改变/自助材料具有相对便宜的额外优势，提高了他们对广泛分配和随之而来的公共卫生影响的潜力。互联网是一个向大部分人口分配此类材料的有希望的途径。四分之三加拿大人和美国人使用互联网，包括大量寻求与健康有关的信息线。互联网上的自我改变网站比比皆是，但因为没有一个科学评估此类站点是否做得多于危害，这是未知的。通过是第一个大规模的该项目受控评估，旨在推进互联网介导的干预措施的科学以及提供有关互联网传递自我改变材料有效性的宝贵公共卫生信息。具体而言，该项目的主要目的是对影响进行随机对照评估基于Internet的自助干预措施对普通人群中的饮酒者。参与者会通过为成瘾和心理中心进行的一项正在进行的一般人口调查招募健康（损耗后的n = 170），并将随机分配给全球网页互联网个性化酒精反馈计划或无干预控制组的地址和密码。实验条件之间使用结构性比较三个月和六个月的饮酒结果方程建模。主要假设是互联网中的受访者个性化酒精反馈病情将在三个月和六个月的随访中显示出明显改善的饮酒结果与无干预控制条件下的受访者相比。次要假设将解决调解或调节感知的饮酒规范，感知的风险和问题饮酒者的社交作用喝酒的原因。