Efficacy of a Web-Based Screening and Brief Intervention to Prevent Problematic Alcohol Use in Korea: Results of a Randomized Controlled Trial.

Autor: Jo SJ; Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea., Lee HK; Department of Psychiatry, The Catholic University of Korea, Uijeongbu ST. Mary's Hospital, Gyeonggi, Korea., Kang K; Department of Nursing, Chungwoon University, Chungnam, Korea., Joe KH; Department of Mental Health Services, National Center for Mental Health, Seoul, Korea., Lee SB; Department of Social Welfare, Chung-Ang University, Seoul, Korea.
Jazyk: angličtina
Zdroj: Alcoholism, clinical and experimental research [Alcohol Clin Exp Res] 2019 Oct; Vol. 43 (10), pp. 2196-2202. Date of Electronic Publication: 2019 Aug 23.
DOI: 10.1111/acer.14169
Abstrakt: Background: Web-based alcohol screenings and brief interventions have been shown to be effective methods for changing drinking behavior. This study evaluated the efficacy of the online-based Brief Empowerment Program for Alcohol-Use Monitor (on-BEAM), a brief intervention applying personalized normative feedback (PNF) and components of motivational interviewing (MI) techniques.
Methods: A community-based, double-blind, parallel-group randomized controlled trial with individual randomization was conducted in Korea (registered at Clinical Research Information Service-KCT0003050). An e-mail about participating in a survey on drinking behavior was sent to 5,684 individuals, aged 20 to 40, that were registered as part of a research panel. Male and female participants with AUDIT-C scores of ≥4 and ≥3, respectively, were randomly assigned to either an intervention (received a drinking behavior assessment and the results with normative feedback) or control group (assessment and results without normative feedback). To evaluate the effects of the intervention with 2 sessions over the course of a month, a follow-up assessment was performed online 4 weeks after completion of the intervention. The main outcome was the number of standard drinks consumed during the past week measured using the timeline followback method. The rate ratios (RRs) were calculated to test the effects of the intervention.
Results: In total, 1,496 participants were randomized and 93% of them followed up. The intervention group reported consuming less alcohol during the past week (RR = 0.13; p = 0.012) than the control group. Additionally, the intervention group had fewer binge drinkers (RR = 0.69; p < 0.001) and a lower AUDIT-C score (RR = 0.59; p = 0.009) than the control group.
Conclusions: The web-based intervention, on-BEAM, which applies PNF and MI components related to high-risk drinking reduced the amount of alcohol consumption in our study population. Further research is needed to determine the duration of on-BEAM's effects and evaluate its effectiveness in the real world.
(© 2019 by the Research Society on Alcoholism.)
Databáze: MEDLINE
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