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

Aim To test the efficacy of an internet‐based brief intervention (IBI) in decreasing alcohol use among young Swiss men aged 21 years on average. Design Two parallel‐group randomized controlled trial with a 1 : 1 allocation ratio containing follow‐up assessments at 1 and 6 months post‐randomization S...

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Veröffentlicht in:Addiction (Abingdon, England) England), 2015-11, Vol.110 (11), p.1735-1743
Hauptverfasser: Bertholet, Nicolas, Cunningham, John A., Faouzi, Mohamed, Gaume, Jacques, Gmel, Gerhard, Burnand, Bernard, Daeppen, Jean-Bernard
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container_end_page 1743
container_issue 11
container_start_page 1735
container_title Addiction (Abingdon, England)
container_volume 110
creator Bertholet, Nicolas
Cunningham, John A.
Faouzi, Mohamed
Gaume, Jacques
Gmel, Gerhard
Burnand, Bernard
Daeppen, Jean-Bernard
description Aim To test the efficacy of an internet‐based brief intervention (IBI) in decreasing alcohol use among young Swiss men aged 21 years on average. Design Two 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 Twenty‐one‐year‐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 × time interaction, incidence rate ratio (RR) = 0.86, 95% confidence interval (CI) = 0.78; 0.96], but no significant differences were observed on binge drinking prevalence. There was a favourable intervention effect on AUDIT scores (IRR = 0.93, 95% CI = 0.88; 0.98), but not on the number of consequences (IRR = 0.93, 95% CI = 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).
doi_str_mv 10.1111/add.13051
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Design Two 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 Twenty‐one‐year‐old men from Switzerland with unhealthy alcohol use (&gt; 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 × time interaction, incidence rate ratio (RR) = 0.86, 95% confidence interval (CI) = 0.78; 0.96], but no significant differences were observed on binge drinking prevalence. There was a favourable intervention effect on AUDIT scores (IRR = 0.93, 95% CI = 0.88; 0.98), but not on the number of consequences (IRR = 0.93, 95% CI = 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).</description><identifier>ISSN: 0965-2140</identifier><identifier>EISSN: 1360-0443</identifier><identifier>DOI: 10.1111/add.13051</identifier><identifier>PMID: 26173842</identifier><identifier>CODEN: ADICE5</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Alcohol ; Alcohol Drinking - therapy ; Alcohol use ; Alcoholism - therapy ; Binge Drinking - therapy ; brief intervention ; Clinical trials ; Feedback, Psychological ; general population ; Humans ; Internet ; Male ; Patient Education as Topic - methods ; randomized trial ; Substance abuse treatment ; Switzerland ; Therapy, Computer-Assisted ; Young Adult ; young men</subject><ispartof>Addiction (Abingdon, England), 2015-11, Vol.110 (11), p.1735-1743</ispartof><rights>2015 Society for the Study of Addiction</rights><rights>2015 Society for the Study of Addiction.</rights><rights>Copyright © 2015 John Wiley &amp; Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5291-2f869ba48b26606fcc93bb191eb5bef82088646573759670935477b97b082e563</citedby><cites>FETCH-LOGICAL-c5291-2f869ba48b26606fcc93bb191eb5bef82088646573759670935477b97b082e563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fadd.13051$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fadd.13051$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27933,27934,45583,45584</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26173842$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bertholet, Nicolas</creatorcontrib><creatorcontrib>Cunningham, John A.</creatorcontrib><creatorcontrib>Faouzi, Mohamed</creatorcontrib><creatorcontrib>Gaume, Jacques</creatorcontrib><creatorcontrib>Gmel, Gerhard</creatorcontrib><creatorcontrib>Burnand, Bernard</creatorcontrib><creatorcontrib>Daeppen, Jean-Bernard</creatorcontrib><title>Internet-based brief intervention for young men with unhealthy alcohol use: a randomized controlled trial in a general population sample</title><title>Addiction (Abingdon, England)</title><addtitle>Addiction</addtitle><description>Aim To test the efficacy of an internet‐based brief intervention (IBI) in decreasing alcohol use among young Swiss men aged 21 years on average. Design Two 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 Twenty‐one‐year‐old men from Switzerland with unhealthy alcohol use (&gt; 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 × time interaction, incidence rate ratio (RR) = 0.86, 95% confidence interval (CI) = 0.78; 0.96], but no significant differences were observed on binge drinking prevalence. There was a favourable intervention effect on AUDIT scores (IRR = 0.93, 95% CI = 0.88; 0.98), but not on the number of consequences (IRR = 0.93, 95% CI = 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).</description><subject>Alcohol</subject><subject>Alcohol Drinking - therapy</subject><subject>Alcohol use</subject><subject>Alcoholism - therapy</subject><subject>Binge Drinking - therapy</subject><subject>brief intervention</subject><subject>Clinical trials</subject><subject>Feedback, Psychological</subject><subject>general population</subject><subject>Humans</subject><subject>Internet</subject><subject>Male</subject><subject>Patient Education as Topic - methods</subject><subject>randomized trial</subject><subject>Substance abuse treatment</subject><subject>Switzerland</subject><subject>Therapy, Computer-Assisted</subject><subject>Young Adult</subject><subject>young men</subject><issn>0965-2140</issn><issn>1360-0443</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc9u1DAQhyMEokvhwAsgS1zgkNZ_YifmVnWhW6mFSxHcLDuZdF0cO9gJZXkCHhvvbtsDEhK-jD365pM8v6J4SfARyedYd90RYZiTR8WCMIFLXFXscbHAUvCSkgofFM9SusEY142snhYHVJCaNRVdFL_P_QTRw1QanaBDJlrokd02f4CfbPCoDxFtwuyv0QAe3dppjWa_Bu2m9QZp14Z1cGhO8A5pFLXvwmB_ZVMb_BSDc_k6RatdlmbgGjzE_BjDODu98yc9jA6eF0967RK8uKuHxecP769OV-XFp7Pz05OLsuVUkpL2jZBGV42hQmDRt61kxhBJwHADfUNx04hK8JrVXIoaS8arujayNrihwAU7LN7svWMM32dIkxpsasE57SHMSZGaN5JJVv0PSqmkTV58Rl__hd6EOfr8kR3FOBW8ytTbPdXGkFKEXo3RDjpuFMFqm6TKSapdkpl9dWeczQDdA3kfXQaO98CtdbD5t0mdLJf3ynI_YdMEPx8mdPymxHZf6svHM3W5-rq6XF5xtWJ_AKmhtnU</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Bertholet, Nicolas</creator><creator>Cunningham, John A.</creator><creator>Faouzi, Mohamed</creator><creator>Gaume, Jacques</creator><creator>Gmel, Gerhard</creator><creator>Burnand, Bernard</creator><creator>Daeppen, Jean-Bernard</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7TK</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201511</creationdate><title>Internet-based brief intervention for young men with unhealthy alcohol use: a randomized controlled trial in a general population sample</title><author>Bertholet, Nicolas ; Cunningham, John A. ; Faouzi, Mohamed ; Gaume, Jacques ; Gmel, Gerhard ; Burnand, Bernard ; Daeppen, Jean-Bernard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5291-2f869ba48b26606fcc93bb191eb5bef82088646573759670935477b97b082e563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Alcohol</topic><topic>Alcohol Drinking - therapy</topic><topic>Alcohol use</topic><topic>Alcoholism - therapy</topic><topic>Binge Drinking - therapy</topic><topic>brief intervention</topic><topic>Clinical trials</topic><topic>Feedback, Psychological</topic><topic>general population</topic><topic>Humans</topic><topic>Internet</topic><topic>Male</topic><topic>Patient Education as Topic - methods</topic><topic>randomized trial</topic><topic>Substance abuse treatment</topic><topic>Switzerland</topic><topic>Therapy, Computer-Assisted</topic><topic>Young Adult</topic><topic>young men</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bertholet, Nicolas</creatorcontrib><creatorcontrib>Cunningham, John A.</creatorcontrib><creatorcontrib>Faouzi, Mohamed</creatorcontrib><creatorcontrib>Gaume, Jacques</creatorcontrib><creatorcontrib>Gmel, Gerhard</creatorcontrib><creatorcontrib>Burnand, Bernard</creatorcontrib><creatorcontrib>Daeppen, Jean-Bernard</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Addiction (Abingdon, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bertholet, Nicolas</au><au>Cunningham, John A.</au><au>Faouzi, Mohamed</au><au>Gaume, Jacques</au><au>Gmel, Gerhard</au><au>Burnand, Bernard</au><au>Daeppen, Jean-Bernard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Internet-based brief intervention for young men with unhealthy alcohol use: a randomized controlled trial in a general population sample</atitle><jtitle>Addiction (Abingdon, England)</jtitle><addtitle>Addiction</addtitle><date>2015-11</date><risdate>2015</risdate><volume>110</volume><issue>11</issue><spage>1735</spage><epage>1743</epage><pages>1735-1743</pages><issn>0965-2140</issn><eissn>1360-0443</eissn><coden>ADICE5</coden><abstract>Aim To test the efficacy of an internet‐based brief intervention (IBI) in decreasing alcohol use among young Swiss men aged 21 years on average. Design Two 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 Twenty‐one‐year‐old men from Switzerland with unhealthy alcohol use (&gt; 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 × time interaction, incidence rate ratio (RR) = 0.86, 95% confidence interval (CI) = 0.78; 0.96], but no significant differences were observed on binge drinking prevalence. There was a favourable intervention effect on AUDIT scores (IRR = 0.93, 95% CI = 0.88; 0.98), but not on the number of consequences (IRR = 0.93, 95% CI = 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).</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>26173842</pmid><doi>10.1111/add.13051</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Alcohol
Alcohol Drinking - therapy
Alcohol use
Alcoholism - therapy
Binge Drinking - therapy
brief intervention
Clinical trials
Feedback, Psychological
general population
Humans
Internet
Male
Patient Education as Topic - methods
randomized trial
Substance abuse treatment
Switzerland
Therapy, Computer-Assisted
Young Adult
young men
title Internet-based brief intervention for young men with unhealthy alcohol use: a randomized controlled trial in a general population sample
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