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一项针对问题饮酒者的简短个性化反馈干预的随机对照试验的 12 个月随访结果。

Twelve-month follow-up results from a randomized controlled trial of a brief personalized feedback intervention for problem drinkers.

机构信息

Centre for Addiction and Mental Health, 33 Russell St., Toronto, ON, Canada, M5S 2S1.

出版信息

Alcohol Alcohol. 2010 May-Jun;45(3):258-62. doi: 10.1093/alcalc/agq009. Epub 2010 Feb 10.

Abstract

AIMS

To examine the impact of a web-based personalized feedback intervention, the Check Your Drinking (CYD; www.CheckYourDrinking.net) screener at 12-month follow-up.

METHODS

Respondents (N = 185) were recruited from a general population telephone survey of Ontario, Canadian adults (> or =18 years) by asking risky drinkers if they were willing to help develop and evaluate Internet-based interventions for drinkers. Those randomly assigned to the intervention condition were provided with the web address and a unique password to a study-specific copy of the CYD. Respondents assigned to the control condition were sent a written description of the different components of the CYD and asked how useful they thought each of the components might be. Respondents were followed up at 3, 6 and 12 months.

RESULTS

By the 12-month follow-up, the impact of the intervention previously reported at 3 and 6 months of CYD on problem drinkers' alcohol consumption was no longer apparent (P > 0.05).

CONCLUSIONS

Recognizing that many people with alcohol concerns will never seek treatment, recent years have seen an increase in efforts to find ways to take treatment to problem drinkers. The CYD is one such intervention that has a demonstrated effect on reducing alcohol consumption in the short term (i.e. 6 months). Other more intensive Internet-based interventions or interventions via other modalities may enhance this positive outcome over the short and long term among problem drinkers who would be otherwise unlikely to access treatment for their alcohol concerns.

摘要

目的

在 12 个月的随访中,考察基于网络的个性化反馈干预措施——Check Your Drinking(CYD;www.CheckYourDrinking.net)筛查器的效果。

方法

通过询问风险饮酒者是否愿意帮助开发和评估针对饮酒者的基于互联网的干预措施,从安大略省加拿大成年人(>或=18 岁)的一般人群电话调查中招募受访者(N=185)。随机分配到干预组的受访者提供了网络地址和一个唯一的密码,以访问特定于研究的 CYD 副本。分配到对照组的受访者收到了 CYD 不同组成部分的书面描述,并被问及他们认为每个组成部分可能有多大用处。受访者在 3、6 和 12 个月时进行了随访。

结果

在 CYD 的 3 个月和 6 个月随访中,干预措施对饮酒问题者饮酒量的影响与之前报道的结果不再明显(P>0.05)。

结论

鉴于许多有饮酒问题的人不会寻求治疗,近年来人们一直在努力寻找将治疗方法带给有问题的饮酒者的方法。CYD 就是这样一种干预措施,它在短期内(即 6 个月)对减少饮酒量有明显效果。其他更强化的基于互联网的干预措施或通过其他方式的干预措施可能会增强这一积极结果,尤其是在那些可能不会因为饮酒问题而寻求治疗的有问题的饮酒者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9584/2857148/1fa41d75bd09/agq009fig1.jpg

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