针对问题饮酒者的超简短干预：研究方案。
Ultra-brief intervention for problem drinkers: research protocol.
作者信息
Cunningham John A, Neighbors Clayton, Wild Cameron, Humphreys Keith
机构信息
Centre for Addiction and Mental Health, 33 Russell Street, Toronto, Ontario, M5S 2S1, Canada.
出版信息
BMC Public Health. 2008 Aug 26;8:298. doi: 10.1186/1471-2458-8-298.
BACKGROUND
Helping the large number of problem drinkers who will never seek treatment is a challenging issue. Public health initiatives employing educational materials or mass media campaigns have met with mixed success. However, clinical research has developed effective brief interventions to help problem drinkers. This project will employ an intervention that has been validated in clinical settings and then modified into an ultra-brief format suitable for use as a public health intervention. The major objective of this study is to conduct a randomized controlled trial to establish the effectiveness of an ultra-brief, personalized feedback intervention for problem drinkers.
METHODS/DESIGN: Problem drinkers recruited on a baseline population telephone survey conducted in a major metropolitan city in Canada will be randomized to one of three conditions - a personalized feedback pamphlet condition, a control pamphlet condition, or a no intervention control condition. In the week after the baseline survey, households in the two pamphlet conditions will be sent their respective pamphlets. Changes in drinking will be assessed post intervention at three-month and six-month follow-ups. Drinking outcomes will be compared between experimental conditions using Structural Equation Modeling. The primary hypothesis is that problem drinkers from households who receive the personalized feedback pamphlet intervention will display significantly improved drinking outcomes at three and six-month follow-ups as compared to problem drinkers from households in the no intervention control condition. Secondary hypotheses will test the impact of the intervention on help seeking, and explore the mediating or moderating role of perceived drinking norms, perceived alcohol risks and the problem drinker's social reasons for drinking.
DISCUSSION
This trial will provide information on the effectiveness of a pamphlet-based personalized feedback intervention for problem drinkers in a community setting.
TRIAL REGISTRATION
ClinicalTrials.gov registration #NCT00688584.
背景
帮助大量永远不会寻求治疗的问题饮酒者是一个具有挑战性的问题。采用教育材料或大众媒体宣传活动的公共卫生举措取得的成效参差不齐。然而，临床研究已经开发出有效的简短干预措施来帮助问题饮酒者。本项目将采用一种已在临床环境中得到验证的干预措施，然后将其修改为适合用作公共卫生干预措施的超简短形式。本研究的主要目标是进行一项随机对照试验，以确定针对问题饮酒者的超简短、个性化反馈干预措施的有效性。
方法/设计：在加拿大一个主要大城市进行的基线人群电话调查中招募的问题饮酒者将被随机分配到三个条件之一——个性化反馈手册条件、对照手册条件或无干预对照条件。在基线调查后的一周内，将向处于两个手册条件下的家庭发送各自的手册。在干预后的三个月和六个月随访中评估饮酒情况的变化。将使用结构方程模型在实验条件之间比较饮酒结果。主要假设是，与无干预对照条件下家庭中的问题饮酒者相比，接受个性化反馈手册干预的家庭中的问题饮酒者在三个月和六个月随访时的饮酒结果将有显著改善。次要假设将测试干预对寻求帮助的影响，并探讨感知饮酒规范、感知酒精风险以及问题饮酒者饮酒的社会原因的中介或调节作用。
讨论
本试验将提供有关在社区环境中针对问题饮酒者的基于手册的个性化反馈干预措施有效性的信息。
试验注册
ClinicalTrials.gov注册编号#NCT00688584。
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