Effectiveness of web‐based personalised feedback interventions for reducing alcohol consumption among university students: A systematic review and meta‐analysis
Issues Meta‐analysis was conducted to examine standalone web‐based personalised feedback interventions (PFI) delivered in non‐structured settings for reducing university students' alcohol consumption. Subgroup analyses by gender‐focus, type‐of‐content and accessibility were conducted. Character...
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| Veröffentlicht in: | Drug and alcohol review 2024-07, Vol.43 (5), p.1204-1225 |
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| creator | Pueyo‐Garrigues, María Carver, Hannah Parr, Amy Lavilla‐Gracia, María Alfaro‐Díaz, Cristina Esandi‐Larramendi, Nuria Canga‐Armayor, Navidad |
| description | Issues
Meta‐analysis was conducted to examine standalone web‐based personalised feedback interventions (PFI) delivered in non‐structured settings for reducing university students' alcohol consumption. Subgroup analyses by gender‐focus, type‐of‐content and accessibility were conducted. Characteristics of the sample, the intervention and study quality were examined as moderators.
Approach
Ten databases were searched from 2000 to 2023. Eligible articles involved only randomised controlled trials. Random‐effects meta‐analysis was conducted to calculate the effect size on weekly alcohol consumption comparing web‐PFIs and non‐active controls. Meta‐regressions were applied to explore effect moderators.
Key Findings
Thirty‐one studies were included in the narrative synthesis, 25 of which were meta‐analysed. Results found significant effect size differences on weekly alcohol consumption in favour of the intervention group in the short‐ (SMD = 0.11, 95% confidence interval [CI] 0.06, 0.15) and long‐term period (SMD = 0.09, 95% CI 0.02, 0.15). Subgroup analyses identified that interventions which were gender‐specific, multicomponent and had unlimited access had higher and significant effect sizes, although they were very similar with respect to comparative groups. Moderator analyses showed that times feedback was accessed significantly contributed to the effectiveness of the intervention. Effects diminished over time, although they remained significant.
Implications
The meta‐analysis evidences the effectiveness of web‐PFI for addressing university students' alcohol use, decreasing by 1.65 and 1.54 drinks consumed per week in the short‐ and long‐term, respectively.
Conclusions
The results offer empirical evidence that supports the significant, although small, effect of web‐PFI delivered remotely in universities. Future research should focus on increasing their impact by introducing booster sessions and content components based on students' preferences. |
| doi_str_mv | 10.1111/dar.13848 |
| format | Article |
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Meta‐analysis was conducted to examine standalone web‐based personalised feedback interventions (PFI) delivered in non‐structured settings for reducing university students' alcohol consumption. Subgroup analyses by gender‐focus, type‐of‐content and accessibility were conducted. Characteristics of the sample, the intervention and study quality were examined as moderators.
Approach
Ten databases were searched from 2000 to 2023. Eligible articles involved only randomised controlled trials. Random‐effects meta‐analysis was conducted to calculate the effect size on weekly alcohol consumption comparing web‐PFIs and non‐active controls. Meta‐regressions were applied to explore effect moderators.
Key Findings
Thirty‐one studies were included in the narrative synthesis, 25 of which were meta‐analysed. Results found significant effect size differences on weekly alcohol consumption in favour of the intervention group in the short‐ (SMD = 0.11, 95% confidence interval [CI] 0.06, 0.15) and long‐term period (SMD = 0.09, 95% CI 0.02, 0.15). Subgroup analyses identified that interventions which were gender‐specific, multicomponent and had unlimited access had higher and significant effect sizes, although they were very similar with respect to comparative groups. Moderator analyses showed that times feedback was accessed significantly contributed to the effectiveness of the intervention. Effects diminished over time, although they remained significant.
Implications
The meta‐analysis evidences the effectiveness of web‐PFI for addressing university students' alcohol use, decreasing by 1.65 and 1.54 drinks consumed per week in the short‐ and long‐term, respectively.
Conclusions
The results offer empirical evidence that supports the significant, although small, effect of web‐PFI delivered remotely in universities. Future research should focus on increasing their impact by introducing booster sessions and content components based on students' preferences.</description><identifier>ISSN: 0959-5236</identifier><identifier>ISSN: 1465-3362</identifier><identifier>EISSN: 1465-3362</identifier><identifier>DOI: 10.1111/dar.13848</identifier><identifier>PMID: 38596854</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>Access ; Alcohol ; alcohol drinking ; alcohol drinking in college ; Alcohol use ; Analysis ; College students ; Colleges & universities ; Customization ; Drinks ; Feedback ; Gender ; internet‐based intervention ; Intervention ; Meta-analysis ; Moderators ; Systematic review ; University students</subject><ispartof>Drug and alcohol review, 2024-07, Vol.43 (5), p.1204-1225</ispartof><rights>2024 The Authors. published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.</rights><rights>2024 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3488-b044b31547f0f2a53f5c380d7b7a71d356a3bf2941f5368674a90a0660afca6d3</cites><orcidid>0000-0002-6846-2661 ; 0000-0002-3535-9043 ; 0000-0001-7613-576X ; 0000-0002-7919-5976 ; 0000-0001-5238-0082 ; 0000-0002-9053-9768</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fdar.13848$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fdar.13848$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38596854$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pueyo‐Garrigues, María</creatorcontrib><creatorcontrib>Carver, Hannah</creatorcontrib><creatorcontrib>Parr, Amy</creatorcontrib><creatorcontrib>Lavilla‐Gracia, María</creatorcontrib><creatorcontrib>Alfaro‐Díaz, Cristina</creatorcontrib><creatorcontrib>Esandi‐Larramendi, Nuria</creatorcontrib><creatorcontrib>Canga‐Armayor, Navidad</creatorcontrib><title>Effectiveness of web‐based personalised feedback interventions for reducing alcohol consumption among university students: A systematic review and meta‐analysis</title><title>Drug and alcohol review</title><addtitle>Drug Alcohol Rev</addtitle><description>Issues
Meta‐analysis was conducted to examine standalone web‐based personalised feedback interventions (PFI) delivered in non‐structured settings for reducing university students' alcohol consumption. Subgroup analyses by gender‐focus, type‐of‐content and accessibility were conducted. Characteristics of the sample, the intervention and study quality were examined as moderators.
Approach
Ten databases were searched from 2000 to 2023. Eligible articles involved only randomised controlled trials. Random‐effects meta‐analysis was conducted to calculate the effect size on weekly alcohol consumption comparing web‐PFIs and non‐active controls. Meta‐regressions were applied to explore effect moderators.
Key Findings
Thirty‐one studies were included in the narrative synthesis, 25 of which were meta‐analysed. Results found significant effect size differences on weekly alcohol consumption in favour of the intervention group in the short‐ (SMD = 0.11, 95% confidence interval [CI] 0.06, 0.15) and long‐term period (SMD = 0.09, 95% CI 0.02, 0.15). Subgroup analyses identified that interventions which were gender‐specific, multicomponent and had unlimited access had higher and significant effect sizes, although they were very similar with respect to comparative groups. Moderator analyses showed that times feedback was accessed significantly contributed to the effectiveness of the intervention. Effects diminished over time, although they remained significant.
Implications
The meta‐analysis evidences the effectiveness of web‐PFI for addressing university students' alcohol use, decreasing by 1.65 and 1.54 drinks consumed per week in the short‐ and long‐term, respectively.
Conclusions
The results offer empirical evidence that supports the significant, although small, effect of web‐PFI delivered remotely in universities. Future research should focus on increasing their impact by introducing booster sessions and content components based on students' preferences.</description><subject>Access</subject><subject>Alcohol</subject><subject>alcohol drinking</subject><subject>alcohol drinking in college</subject><subject>Alcohol use</subject><subject>Analysis</subject><subject>College students</subject><subject>Colleges & universities</subject><subject>Customization</subject><subject>Drinks</subject><subject>Feedback</subject><subject>Gender</subject><subject>internet‐based intervention</subject><subject>Intervention</subject><subject>Meta-analysis</subject><subject>Moderators</subject><subject>Systematic review</subject><subject>University students</subject><issn>0959-5236</issn><issn>1465-3362</issn><issn>1465-3362</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kUuO1DAQhi0EYpqBBRdAltjAIjNO_EiaXWsYHtJISAjWUcUug4ckblzJtLLjCByCk3ESHHpggYQ3Jau--qqkn7HHpTgr8zt3kM5K2ajmDtuUyuhCSlPdZRux1dtCV9KcsAdE10KISuvqPjuRjd6aRqsN-3HpPdop3OCIRDx6fsDu57fvHRA6vsdEcYQ-rB-P6DqwX3gYJ0x5YApxJO5j4gndbMP4iUNv4-fYc5s787BfCQ5DzJ15zDsShWnhNM0uT9MLvuO00IQDTMFmyU3AA4fR8QEnyEdAXr1QoIfsnoee8NFtPWUfX11-uHhTXL17_fZid1VYqZqm6IRSnSy1qr3wFWjptZWNcHVXQ106qQ3IzldbVXotTWNqBVsBwhgB3oJx8pQ9O3r3KX6dkaZ2CGSx72HEOFMrhdRalaKqMvr0H_Q6zinfu1J1ppqqXqnnR8qmSJTQt_sUBkhLW4p2ja7N0bW_o8vsk1vj3A3o_pJ_ssrA-RE4hB6X_5val7v3R-UveDioXg</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Pueyo‐Garrigues, María</creator><creator>Carver, Hannah</creator><creator>Parr, Amy</creator><creator>Lavilla‐Gracia, María</creator><creator>Alfaro‐Díaz, Cristina</creator><creator>Esandi‐Larramendi, Nuria</creator><creator>Canga‐Armayor, Navidad</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6846-2661</orcidid><orcidid>https://orcid.org/0000-0002-3535-9043</orcidid><orcidid>https://orcid.org/0000-0001-7613-576X</orcidid><orcidid>https://orcid.org/0000-0002-7919-5976</orcidid><orcidid>https://orcid.org/0000-0001-5238-0082</orcidid><orcidid>https://orcid.org/0000-0002-9053-9768</orcidid></search><sort><creationdate>202407</creationdate><title>Effectiveness of web‐based personalised feedback interventions for reducing alcohol consumption among university students: A systematic review and meta‐analysis</title><author>Pueyo‐Garrigues, María ; Carver, Hannah ; Parr, Amy ; Lavilla‐Gracia, María ; Alfaro‐Díaz, Cristina ; Esandi‐Larramendi, Nuria ; Canga‐Armayor, Navidad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3488-b044b31547f0f2a53f5c380d7b7a71d356a3bf2941f5368674a90a0660afca6d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Access</topic><topic>Alcohol</topic><topic>alcohol drinking</topic><topic>alcohol drinking in college</topic><topic>Alcohol use</topic><topic>Analysis</topic><topic>College students</topic><topic>Colleges & universities</topic><topic>Customization</topic><topic>Drinks</topic><topic>Feedback</topic><topic>Gender</topic><topic>internet‐based intervention</topic><topic>Intervention</topic><topic>Meta-analysis</topic><topic>Moderators</topic><topic>Systematic review</topic><topic>University students</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pueyo‐Garrigues, María</creatorcontrib><creatorcontrib>Carver, Hannah</creatorcontrib><creatorcontrib>Parr, Amy</creatorcontrib><creatorcontrib>Lavilla‐Gracia, María</creatorcontrib><creatorcontrib>Alfaro‐Díaz, Cristina</creatorcontrib><creatorcontrib>Esandi‐Larramendi, Nuria</creatorcontrib><creatorcontrib>Canga‐Armayor, Navidad</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Drug and alcohol review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pueyo‐Garrigues, María</au><au>Carver, Hannah</au><au>Parr, Amy</au><au>Lavilla‐Gracia, María</au><au>Alfaro‐Díaz, Cristina</au><au>Esandi‐Larramendi, Nuria</au><au>Canga‐Armayor, Navidad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of web‐based personalised feedback interventions for reducing alcohol consumption among university students: A systematic review and meta‐analysis</atitle><jtitle>Drug and alcohol review</jtitle><addtitle>Drug Alcohol Rev</addtitle><date>2024-07</date><risdate>2024</risdate><volume>43</volume><issue>5</issue><spage>1204</spage><epage>1225</epage><pages>1204-1225</pages><issn>0959-5236</issn><issn>1465-3362</issn><eissn>1465-3362</eissn><abstract>Issues
Meta‐analysis was conducted to examine standalone web‐based personalised feedback interventions (PFI) delivered in non‐structured settings for reducing university students' alcohol consumption. Subgroup analyses by gender‐focus, type‐of‐content and accessibility were conducted. Characteristics of the sample, the intervention and study quality were examined as moderators.
Approach
Ten databases were searched from 2000 to 2023. Eligible articles involved only randomised controlled trials. Random‐effects meta‐analysis was conducted to calculate the effect size on weekly alcohol consumption comparing web‐PFIs and non‐active controls. Meta‐regressions were applied to explore effect moderators.
Key Findings
Thirty‐one studies were included in the narrative synthesis, 25 of which were meta‐analysed. Results found significant effect size differences on weekly alcohol consumption in favour of the intervention group in the short‐ (SMD = 0.11, 95% confidence interval [CI] 0.06, 0.15) and long‐term period (SMD = 0.09, 95% CI 0.02, 0.15). Subgroup analyses identified that interventions which were gender‐specific, multicomponent and had unlimited access had higher and significant effect sizes, although they were very similar with respect to comparative groups. Moderator analyses showed that times feedback was accessed significantly contributed to the effectiveness of the intervention. Effects diminished over time, although they remained significant.
Implications
The meta‐analysis evidences the effectiveness of web‐PFI for addressing university students' alcohol use, decreasing by 1.65 and 1.54 drinks consumed per week in the short‐ and long‐term, respectively.
Conclusions
The results offer empirical evidence that supports the significant, although small, effect of web‐PFI delivered remotely in universities. Future research should focus on increasing their impact by introducing booster sessions and content components based on students' preferences.</abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>38596854</pmid><doi>10.1111/dar.13848</doi><tpages>22</tpages><orcidid>https://orcid.org/0000-0002-6846-2661</orcidid><orcidid>https://orcid.org/0000-0002-3535-9043</orcidid><orcidid>https://orcid.org/0000-0001-7613-576X</orcidid><orcidid>https://orcid.org/0000-0002-7919-5976</orcidid><orcidid>https://orcid.org/0000-0001-5238-0082</orcidid><orcidid>https://orcid.org/0000-0002-9053-9768</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Access Alcohol alcohol drinking alcohol drinking in college Alcohol use Analysis College students Colleges & universities Customization Drinks Feedback Gender internet‐based intervention Intervention Meta-analysis Moderators Systematic review University students |
| title | Effectiveness of web‐based personalised feedback interventions for reducing alcohol consumption among university students: A systematic review and meta‐analysis |
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