Kool Bridget, Smith Emily, Raerino Kimiora, Ameratunga Shanthi
Section of Epidemiology and Biostatistics, School of Population Health, the University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.
BMC Res Notes. 2014 Jan 4;7:4. doi: 10.1186/1756-0500-7-4.
Brief interventions (BIs) have been shown to be effective in modifying hazardous drinking behaviours in a range of settings. However, they are underutilised in hospitals due to resource constraints. We explored the perspectives of admitted trauma patients about the appeal, acceptability and content of a Brief Intervention (BI) delivered via text messages.
Thirty mobile phone users (≥16 years old) admitted to Auckland City Hospital as a result of injury were recruited (December 2010 - January 2011). Participants were interviewed face-to-face during their hospital stay using a semi-structured interview guide that explored topics including perceptions of the proposed intervention to reduce hazardous drinking and related harm, and perceived acceptability of an m-health program. Where issues relating to content of messages were raised by participants these were also captured. In addition, a brief survey captured information on demographic information, mobile phone usage and type of phone, along with the frequency of alcohol use.
22 of the 30 participants were male, and almost half were aged 20 to 39 years. The majority of participants identified as New Zealand Europeans, six as Māori (New Zealand's indigenous population) and of the remainder two each identified as Pacific and of Asian ethnicity. Most (28/30) participants used a mobile phone daily. 18 participants were deemed to be drinking in a non-hazardous manner, seven were hazardous drinkers, and three were non-drinkers. Most participants (21/30) indicated that text messages could be effective in reducing hazardous drinking and related harms, with more than half (17/30) signalling they would sign-up. Factors identified that would increase receptiveness included: awareness that the intervention was evidence-based; participants readiness-to-change; informative messages that include the consequences of drinking and practical advice; non-judgemental messages; and ease-of-use. Areas of potential concern included: confidentiality and frequency of messages. The cultural relevance of the messages for Māori was highlighted as important.
This study indicates that trauma patients recognize potential benefits of mobile-health interventions designed to reduce hazardous drinking. The feedback provided will inform the development of an intervention to be evaluated in a randomised controlled trial.
简短干预措施已被证明在一系列环境中对改变危险饮酒行为有效。然而，由于资源限制，它们在医院中未得到充分利用。我们探讨了因伤入住奥克兰市医院的创伤患者对通过短信提供的简短干预措施的吸引力、可接受性和内容的看法。
招募了30名因伤入住奥克兰市医院的手机用户（≥16岁）（2010年12月至2011年1月）。在患者住院期间，使用半结构化访谈指南进行面对面访谈，探讨的主题包括对拟议的减少危险饮酒及相关危害干预措施的看法，以及对移动健康计划的可接受性。如果参与者提出与短信内容相关的问题，也会记录下来。此外，一项简短调查收集了有关人口统计信息、手机使用情况和手机类型以及饮酒频率的信息。
30名参与者中有22名男性，近一半年龄在20至39岁之间。大多数参与者为新西兰欧洲人，6名是毛利人（新西兰原住民），其余参与者中，各有2名分别为太平洋岛民和亚洲族裔。大多数（28/30）参与者每天使用手机。18名参与者被认为饮酒方式无危险，7名是危险饮酒者，3名不饮酒。大多数参与者（21/30）表示短信在减少危险饮酒及相关危害方面可能有效，超过一半（17/30）表示他们会报名参加。确定的会增加接受度的因素包括：意识到干预措施基于证据；参与者的改变意愿；包含饮酒后果和实用建议的信息性短信；非评判性短信；以及易用性。潜在关注领域包括：保密性和短信频率。短信对毛利人的文化相关性被强调为很重要。
本研究表明，创伤患者认识到旨在减少危险饮酒的移动健康干预措施的潜在益处。提供的反馈将为一项将在随机对照试验中进行评估的干预措施的制定提供信息。
