Mental Contrasting With Implementation Intentions Reduces Drinking When Drinking Is Hazardous: An Online Self-Regulation Intervention
Autor: | Gabriele Oettingen, Andreas Kappes, Sandra Wittleder, Peter M. Gollwitzer, Jon Morgenstern, Melanie Jay |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male alcohol computer-mediated health promotion Mental Contrasting with Implementation Intentions (MCII) self-guided brief intervention self-regulation Alcohol Drinking media_common.quotation_subject BF Alcohol abuse 050109 social psychology Intention 050105 experimental psychology Self-Control Young Adult ddc:150 Arts and Humanities (miscellaneous) Behavior Therapy RA0421 Hazardous waste Environmental health Intervention (counseling) medicine Humans 0501 psychology and cognitive sciences Aged media_common Alcohol Use Disorders Identification Test 05 social sciences Behavior change Public Health Environmental and Occupational Health Self-control Middle Aged medicine.disease Confidence interval Alcoholism Therapy Computer-Assisted Female Worry |
Zdroj: | Health Education & Behavior. 46:666-676 |
ISSN: | 1552-6127 1090-1981 |
DOI: | 10.1177/1090198119826284 |
Popis: | Introduction. Drinking alcohol has detrimental health consequences, and effective interventions to reduce hazardous drinking are needed. The self-regulation intervention of Mental Contrasting with Implementation Intentions (MCII) promotes behavior change across a variety of health behaviors. In this study, we tested if online delivery of MCII reduced hazardous drinking in people who were worried about their drinking. Method. Participants ( N = 200, female = 107) were recruited online. They were randomized to learn MCII or solve simple math problems (control). Results. Immediately after the intervention, participants in the MCII condition (vs. control) reported an increased commitment to reduce drinking. After 1 month, they reported having taken action measured by the Readiness to Change drinking scale. When drinking was hazardous (Alcohol Use Disorders Identification Test ≥ 8, n = 85), participants in the MCII condition indicated a decreased number of drinking days, exp(β) = 0.47, CI (confidence interval) [−1.322, −.207], p = .02, and drinks per week, exp(β) = 0.57, CI [0.94, 5.514], p = .007, compared with the control condition. Discussion. These findings demonstrate that a brief, self-guided online intervention ( Mdn = 28 minutes) can reduce drinking in people who worry about their drinking. Our findings show a higher impact in people at risk for hazardous drinking. Conclusion. MCII is scalable as an online intervention. Future studies should test the cost-effectiveness of the intervention in real-world settings. |
Databáze: | OpenAIRE |
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