Ameratunga Shanthi, Kool Bridget, Sharpe Sarah, Reid Papaarangi, Lee Arier, Civil Ian, Smith Gordon, Thornton Vanessa, Walker Matthew, Whittaker Robyn
Section of Epidemiology & Biostatistics, School of Population Health, University of Auckland, Private Bag 92019, Auckland Mail Centre 1142, Auckland, New Zealand.
Te Kupenga Hauora Māori, Faculty of Medical & Health Sciences, University of Auckland, Private Bag 92019, Auckland Mail Centre 1142, Auckland, New Zealand.
BMC Public Health. 2017 Jan 9;17(1):48. doi: 10.1186/s12889-016-3967-z.
Behavioural brief interventions (BI) can support people to reduce harmful drinking but multiple barriers impede the delivery and equitable access to these. To address this challenge, we developed YourCall™, a novel short message service (SMS) text message intervention incorporating BI principles. This protocol describes a trial evaluating the effectiveness of YourCall™ (compared to usual care) in reducing hazardous drinking and alcohol related harm among injured adults who received in-patient care.
METHODS/DESIGN: Participants recruited to this single-blind randomised controlled trial comprised patients aged 16-69 years in three trauma-admitting hospitals in Auckland, New Zealand. Those who screened positive for moderately hazardous drinking were randomly assigned by computer to usual care (control group) or the intervention. The latter comprised 16 informational and motivational text messages delivered using an automated system over the four weeks following discharge. The primary outcome is the difference in mean AUDIT-C score between the intervention and control groups at 3 months, with the maintenance of the effect examined at 6 and 12 months follow-up. Secondary outcomes comprised the health and social impacts of heavy drinking ascertained through a web-survey at 12 months, and further injuries identified through probabilistic linkage to national databases on accident insurance, hospital discharges, and mortality. Research staff evaluating outcomes were blinded to allocation. Intention-to-treat analyses will include assessment of interactions based on ethnicity (Māori compared with non-Māori).
If found to be effective, this mobile health strategy has the potential to overcome current barriers to implementing equitably accessible interventions that can reduce harmful drinking.
Universal Trial Number (UTN) U1111-1134-0028. ACTRN12612001220853 . Submitted 8 November 2012 (date of enrolment of first participant); Version 1 registration confirmed 19 November 2012. Retrospectively registered.
行为简短干预（BI）可帮助人们减少有害饮酒行为，但存在多种障碍阻碍其实施及公平获取。为应对这一挑战，我们开发了YourCall™，这是一种融合了BI原则的新型短信服务（SMS）文本信息干预措施。本方案描述了一项试验，旨在评估YourCall™（与常规护理相比）在减少接受住院治疗的成年伤者危险饮酒及酒精相关伤害方面的有效性。
方法/设计：招募参加这项单盲随机对照试验的参与者为新西兰奥克兰三家创伤收治医院中年龄在16 - 69岁的患者。那些中度危险饮酒筛查呈阳性的患者通过计算机随机分配至常规护理组（对照组）或干预组。干预组包括在出院后的四周内通过自动化系统发送的16条信息性和激励性文本信息。主要结局是干预组和对照组在3个月时平均酒精使用障碍识别测试-消费（AUDIT-C）评分的差异，并在6个月和12个月随访时检查效果的维持情况。次要结局包括通过12个月时的网络调查确定的重度饮酒对健康和社会的影响，以及通过与国家事故保险、医院出院和死亡率数据库的概率性关联识别出的进一步损伤。评估结局的研究人员对分组情况不知情。意向性分析将包括基于种族（毛利人与非毛利人）的相互作用评估。
如果被证明有效，这种移动健康策略有可能克服当前实施公平可及的能减少有害饮酒的干预措施的障碍。
通用试验编号（UTN）U1111 - 1134 - 0028。澳大利亚新西兰临床试验注册中心编号（ACTRN）12612001220853。于2012年11月8日提交（第一名参与者入组日期）；2012年11月19日确认版本1注册。回顾性注册。
