FREEDOM 2.0: COMPREHENSIVE ALCOHOL DIGITAL BEHAVIOURAL CHANGE INTERVENTION

英国国民健康保险制度估计，大约9%的英国男性和3%的英国女性表现出酒精依赖的迹象。新冠肺炎改变了社会面貌，但并没有改变酗酒摧毁个人和家庭生活的方式。世卫组织发布了指导意见，强调了与酒精有关的新冠肺炎问题\*酗酒，尤其是酗酒会削弱免疫系统，从而降低应对传染病的能力。\*酒精会增加家庭暴力、虐待儿童等人际暴力行为的风险、频率和严重程度\*酗酒会增加急性呼吸窘迫综合征的风险。新冠肺炎最严重的并发症之一。新冠肺炎目前的社会和经济影响加剧了一些患者对酒精的依赖。研究公司Kantar的数据证实，2020年3月酒精销售额增长了22%。有心理健康和心理社会问题的患者中有相当大一部分也酗酒。**解决方案*完全个性化的DBCI减少酒精服务。**我们目前独特的数字计划(自由1.0)支持人们通过7步行为改变计划来重新定义个人生活目标，并维持对酒精的依赖的减少。该解决方案已经支持了近600名用户，获得了99%的客户满意度。该项目基于成功的健康认知行为疗法(CBT)、神经语言编程(NLP)培训计划和创始人安迪·史密斯撰写的《七个人中的清醒》一书。数字行为改变干预(DBCI)为接受短暂酒精干预的过度饮酒者提供了增加长期行为改变和持续成就的潜力。迫切需要一种**经济高效的酒精专用全面DBCI解决方案**，该解决方案可以很容易地扩展，并且可以随着未来人工智能的使用而开发，以提供更个性化的干预。我们的项目重点是开发定制的干预措施，将其纳入**完全个性化的酒精DBCI解决方案**的开发和部署**(自由2.0)。这将通过所有数字平台(网络/智能手机应用程序)和操作系统提供。我们将利用用户反馈和人工智能/数据分析来越来越多地开发更个性化的干预措施。FREEDOM 2.0将以独特、成熟和成熟的现有计划为基础，开发**成本效益高的全面DBCI解决方案**利用在线支持、激励和指导方法的最新思维。这反映了良好的指导和最近的试验表明，认知偏见再培训、自我监控、反馈和行动计划干预模块有助于减少饮酒。

**THE NEED**The NHS estimates that around 9% of men in the UK and 3% of UK women show signs of alcohol dependence1\. COVID-19 has changed the landscape of society, but not the way alcohol abuse destroys the lives of individuals and families.WHO has issued guidance highlighting the issues with alcohol with respect to COVID-19\* Alcohol use, especially heavy use, weakens the immune system and thus reduces the ability to cope with infectious diseases.\* Alcohol increases the risk, frequency and severity of perpetration of interpersonal violence such as domestic violence, child abuse\* Heavy use of alcohol increases the risk of acute respiratory distress syndrome (ARDS), one of the most severe complications of COVID-19\.The current societal and economic impact of COVID-19 have exacerbated the dependency on alcohol for some patients with data from research company Kantar confirming Alcohol sales increased _22 per cent_ in March 2020\. Significant proportion of patients with mental health and psychosocial issues also abuse alcohol.**SOLUTION****A fully personalised DBCI Alcohol reduction service.**Our current unique digital programme (FREEDOM 1.0) supports people with 7-steps behavioural change programming to redefine personal life goals and sustain a reduction in the reliance on alcohol. The solution has supported nearly 600 users and enjoys 99% client satisfaction ratings.This programme is based on successful wellness cognitive behaviour therapy (CBT), neurolinguistic programming (NLP) coaching programme and 'Sober in Seven' book written by the founder,Andy Smith.Digital behaviour change interventions (DBCIs) offer the potential to increase long term behaviour change and sustained achievement for excessive drinkers receiving an alcohol brief intervention. There is urgent need for a **cost-effective alcohol specific full DBCI solution** that can be easily scaled and with the future use of AI can be developed to provide a more personalised interventionOur project focuses on the development of tailored interventions to be incorporated into the development and deployment of **a fully personalised alcohol DBCI solution** (FREEDOM 2.0). This will be available via all digital platforms (web/smartphone app) and operating systems. We will utilise user feedback and AI/data analytics to increasingly develop a more personalised interventionFREEDOM 2.0 will build on the unique, established and proven existing programme to develop a **cost-effective full DBCI solution** utilising the latest thinking in online support, motivation and coaching approaches. This reflects the NICE guidance and recent trials which suggest cognitive bias retraining, self-monitoring, feedback, and action planning intervention modules enable drinking reduction.