Internet‐based brief intervention for young men with unhealthy alcohol use: a randomized controlled trial in a general population sample

Autor:	Bernard Burnand, Jean-Bernard Daeppen, Gerhard Gmel, Jacques Gaume, John A. Cunningham, Nicolas Bertholet, Mohamed Faouzi
Rok vydání:	2015
Předmět:	Male medicine.medical_specialty Alcohol Drinking Feedback Psychological 030508 substance abuse Medicine (miscellaneous) Poison control Binge drinking Binge Drinking law.invention Alcohol Drinking/therapy Alcoholism/therapy Binge Drinking/therapy Humans Internet Patient Education as Topic/methods Switzerland Therapy Computer-Assisted Young Adult 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Alcohol and health Randomized controlled trial law Intervention (counseling) medicine 030212 general & internal medicine Young adult Alcohol Use Disorders Identification Test business.industry 3. Good health Alcoholism Psychiatry and Mental health Physical therapy Brief intervention 0305 other medical science business
Zdroj:	Addiction (Abingdon, England), vol. 110, no. 11, pp. 1735-1743
ISSN:	1360-0443 0965-2140
DOI:	10.1111/add.13051
Popis:	AIM: To test the efficacy of an internet-based brief intervention (IBI) in decreasing alcohol use among young Swiss men aged 21 year on average. DESIGN: 2 parallel-group randomized controlled trial with a 1:1 allocation ratio containing follow-up assessments at 1 and 6 months post-randomization SETTING: Internet-based study in a general population sample. PARTICIPANTS: 21 years old men from Switzerland with unhealthy alcohol use (>14 drinks/week or > =6 drinks/occasion at least monthly or Alcohol Use Disorders Identification Test (AUDIT) scores > =8) INTERVENTION: IBI consisting of 1) normative feedback 2) feedback on consequences of alcohol use 3) calorific value of reported consumption 4) computed blood alcohol concentration for reported consumption, 5) indication of risk 6) information on alcohol and health and 7) recommendations indicating low-risk drinking limits. Control condition: no intervention (assessment only). MEASUREMENTS: At 1 and 6 months: quantity/frequency questions on alcohol use (primary outcome: number of drinks/week) and binge drinking prevalence; at 6 months: AUDIT score, consequences of drinking (range: 0-12). FINDINGS: Follow-up rates were 92% at 1 month and 91% at 6 months. At 6 months, participants in the intervention group (n = 367) reported greater reductions in the number of drinks/week than participants in the control group (n = 370) (treatment by time interaction, IRR[95% CI] 0.86[0.78; 0.96]), but no significant differences were observed on binge drinking prevalence. There was a favorable intervention effect on AUDIT scores (IRR[95%CI] 0.93[0.88; 0.98]), but not on the number of consequences (IRR[95%CI] 0.93[0.84; 1.03]). CONCLUSIONS: An internet-based brief intervention directed at harmful alcohol use among young men led to a reduction in self-reported alcohol consumption and AUDIT scores compared with a no intervention control condition (assessment only). Language: en
Databáze:	OpenAIRE
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