J. Med. Internet Res. - Curbing alcohol use in male adults through computer generated personalized advice: randomized controlled trial.

Tópicos

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Resumo

CKGROUND: In recent years, interventions that deliver online personalized feedback on alcohol use have been developed and appear to be a feasible way to curb heavy drinking. Randomized controlled trials (RCTs) among the general adult population, however, are scarce. The present study offers an RCT of Drinktest.nl, an online personalized feedback intervention in the Netherlands.OBJECTIVE: The aim of this study was to assess the effectiveness of computer-based personalized feedback on heavy alcohol use in male adults.METHODS: Randomization stratified by age and educational level was used to assign participants to either the intervention consisting of online personalized feedback or an information-only control condition. Participants were told as a cover story that they would evaluate newly developed health education materials. Participants were males (n = 450), aged 18 to 65 years, presenting with either heavy alcohol use (> 20 units of alcohol weekly) and/or binge drinking (> 5 units of alcohol at a single occasion at least 1 day per week) in the past 6 months. They were selected with a screener from a sampling frame of 25,000 households. The primary outcome measure was the percentage of the participants that had successfully reduced their drinking levels to below the Dutch guideline threshold for at-risk drinking.RESULTS: Intention-to-treat analysis showed that in the experimental condition, 42% (97/230) of the participants were successful in reducing their drinking levels to below the threshold at the 1-month follow-up as compared with 31% (67/220) in the control group (odds ratio [OR] = 1.7, number needed to treat [NNT] = 8.6), which was statistically significant ((2) (1) = 6.67, P = .01). At the 6-month follow-up, the success rates were 46% (105/230) and 37% (82/220) in the experimental and control conditions, respectively (OR = 1.4, NNT = 11.9), but no longer statistically significant ((2) (1) = 3.25, P = .07).CONCLUSIONS: Personalized online feedback on alcohol consumption appears to be an effective and easy way to change unhealthy drinking patterns in adult men, at least in the short-term.

Resumo Limpo

ckground recent year intervent deliv onlin person feedback alcohol use develop appear feasibl way curb heavi drink random control trial rcts among general adult popul howev scarc present studi offer rct drinktestnl onlin person feedback intervent netherlandsobject aim studi assess effect computerbas person feedback heavi alcohol use male adultsmethod random stratifi age educ level use assign particip either intervent consist onlin person feedback informationon control condit particip told cover stori evalu newli develop health educ materi particip male n age year present either heavi alcohol use unit alcohol week andor bing drink unit alcohol singl occas least day per week past month select screener sampl frame household primari outcom measur percentag particip success reduc drink level dutch guidelin threshold atrisk drinkingresult intentiontotreat analysi show experiment condit particip success reduc drink level threshold month followup compar control group odd ratio number need treat nnt statist signific p month followup success rate experiment control condit respect nnt longer statist signific p conclus person onlin feedback alcohol consumpt appear effect easi way chang unhealthi drink pattern adult men least shortterm

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