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基于网络的个性化反馈与社会规范酒精干预对英国大学生的可行性和有效性:一项随机对照试验

The feasibility and effectiveness of a web-based personalised feedback and social norms alcohol intervention in UK university students: a randomised control trial.

作者信息

Bewick Bridgette M, Trusler Karen, Mulhern Brendan, Barkham Michael, Hill Andrew J

机构信息

Academic Unit of Psychiatry & Behavioural Sciences, Leeds Institute of Health Sciences, Charles Thackrah Building, University of Leeds, UK.

出版信息

Addict Behav. 2008 Sep;33(9):1192-8. doi: 10.1016/j.addbeh.2008.05.002. Epub 2008 May 14.

Abstract

OBJECTIVE

Alcohol misuse amongst University students is a serious concern, and research has started to investigate the feasibility of using e-health interventions. This study aimed to establish the effectiveness of an electronic web-based personalised feedback intervention through the use of a randomised control trial (RCT).

METHODS

506 participants were stratified by gender, age group, year of study, self-reported weekly consumption of alcohol and randomly assigned to either a control or intervention condition. Intervention participants received electronic personalised feedback and social norms information on their drinking behaviour which they could access by logging onto the website at any time during the 12-week period. CAGE score, average number of alcoholic drinks consumed per drinking occasion, and alcohol consumption over the last week were collected from participants at pre- and post-survey.

RESULTS

A significant difference in pre- to post-survey mean difference of alcohol consumed per occasion was found, with those in the intervention condition displaying a larger mean decrease when compared to controls. No intervention effect was found for units of alcohol consumed per week or for CAGE scores. Sixty-three percent of intervention participants agreed that the feedback provided was useful. Those intervention participants who were above the CAGE cut off were more likely to report that the website would make them think more about the amount they drank.

CONCLUSIONS

Delivering an electronic personalised feedback intervention to students via the World Wide Web is a feasible and potentially effective method of reducing student alcohol intake. Further research is needed to replicate this outcome, evaluate maintenance of any changes, and investigate the process of interaction with web-based interventions.

摘要

目的

大学生酒精滥用是一个严重问题,已有研究开始探讨使用电子健康干预措施的可行性。本研究旨在通过随机对照试验(RCT)确定基于网络的电子个性化反馈干预措施的有效性。

方法

506名参与者按性别、年龄组、学习年份、自我报告的每周饮酒量进行分层,并随机分配到对照组或干预组。干预组参与者会收到关于其饮酒行为的电子个性化反馈及社会规范信息,他们可在12周期间内随时登录网站获取这些信息。在调查前和调查后收集参与者的CAGE评分、每次饮酒场合饮用酒精饮料的平均数量以及过去一周的酒精摄入量。

结果

发现每次饮酒量的调查前至调查后平均差异存在显著差异,与对照组相比,干预组的平均减少量更大。未发现每周酒精摄入量或CAGE评分有干预效果。63%的干预组参与者认为提供的反馈有用。CAGE评分高于临界值的干预组参与者更有可能表示该网站会让他们更多地思考饮酒量。

结论

通过万维网向学生提供电子个性化反馈干预是一种可行且可能有效的减少学生酒精摄入量的方法。需要进一步研究来重复这一结果,评估任何变化的维持情况,并调查与基于网络的干预措施的互动过程。

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