Carrà Giuseppe, Crocamo Cristina, Bartoli Francesco, Carretta Daniele, Schivalocchi Alessandro, Bebbington Paul E, Clerici Massimo
Division of Psychiatry (Formerly Mental Health Sciences), University College London, London, United Kingdom; Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.
Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy; Unit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.
J Adolesc Health. 2016 May;58(5):520-6. doi: 10.1016/j.jadohealth.2016.01.008.
Binge drinking (BD) is common among young people. E-Health apps are attractive to them and may be useful for enhancing awareness. We aimed to investigate the impact of a publicly available evidence-based e-Health app (Digital-Alcohol Risk Alertness Notifying Network for Adolescents and Young Adults [D-ARIANNA]), estimating current risk of BD by questions, matching identified risk factors, and providing in percent an overall risk score, accompanied by appropriate images showing mostly contributing factors in summary graphics.
A natural, quasi-experimental, pre-/post-test study was conducted. Subjects were recruited in pubs, clubs, discos, or live music events. They were requested to self-administer D-ARIANNA and were re-evaluated after two further weeks.
Young (18-24 years) people (N = 590) reported reduced BD at follow-up (18% vs. 37% at baseline). To exclude systematic errors involving those lost at follow-up (14%), the diminution in BD was confirmed in an appropriate generalized estimating equation model with unweighted data on a last observation carried forward basis.
Our study provides evidence of population-level benefit at 2 weeks, attained with D-ARIANNA. This can be disseminated easily and economically among young people. However, additional components, including regular feedback and repeated administration by gamification, may be required to make this app suitable for longer term impact.
暴饮在年轻人中很常见。电子健康应用程序对他们有吸引力，可能有助于提高意识。我们旨在调查一款公开可用的循证电子健康应用程序（青少年和青年数字酒精风险警报通知网络 [D-ARIANNA]）的影响，该程序通过问题估计当前的暴饮风险，匹配已识别的风险因素，并以百分比形式提供总体风险评分，同时在总结图表中配以显示主要促成因素的适当图像。
进行了一项自然的、准实验性的前后测试研究。在酒吧、俱乐部、迪斯科舞厅或现场音乐活动中招募受试者。要求他们自行使用 D-ARIANNA，并在再过两周后进行重新评估。
年轻（18 - 24 岁）人群（N = 590）在随访时报告暴饮情况有所减少（随访时为 18%，基线时为 37%）。为排除涉及随访中失访者（14%）的系统误差，在一个适当的广义估计方程模型中，以前瞻性末次观察未加权数据确认了暴饮情况的减少。
我们的研究提供了证据，表明使用 D-ARIANNA 在两周时可实现人群水平的益处。这可以在年轻人中轻松且经济地传播。然而，可能需要额外的组件，包括定期反馈和通过游戏化进行重复使用，以使该应用程序适合产生长期影响。
