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酒精与弱势男性:一项通过手机进行干预的可行性试验

Alcohol and disadvantaged men: A feasibility trial of an intervention delivered by mobile phone.

作者信息

Crombie Iain K, Irvine Linda, Falconer Donald W, Williams Brian, Ricketts Ian W, Jones Claire, Humphris Gerry, Norrie John, Slane Peter, Rice Peter

机构信息

Division of Population Health Sciences, University of Dundee, Dundee, United Kingdom.

School of Health and Social Care, Edinburgh Napier University, Edinburgh, United Kingdom.

出版信息

Drug Alcohol Rev. 2017 Jul;36(4):468-476. doi: 10.1111/dar.12455. Epub 2017 Mar 13.

DOI:10.1111/dar.12455
PMID:28295794
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5516166/
Abstract

INTRODUCTION AND AIMS

Disadvantaged men suffer substantial harm from heavy drinking. This feasibility study developed and evaluated the methods for a trial of a brief intervention delivered by text messages to disadvantaged men. It aimed to test the methods for recruitment and retention, to monitor engagement with the intervention and assess the overall acceptability of study methods.

DESIGN AND METHODS

Disadvantaged men aged 25-44 years who had ≥2 episodes of binge drinking (≥8 units in one session) in the preceding month were recruited. Two recruitment strategies were assessed: recruitment from general practice registers and by a community outreach strategy. Theoretically and empirically based text messages were tailored to the target group.

RESULTS

The study recruited 67 disadvantaged men at high risk of alcohol-related harm, exceeding the target of 60. Evaluation showed that 95% of text messages were delivered, and the men engaged enthusiastically with the intervention. Retention at follow up was 96%. Outcomes were successfully measured on all men followed up. This provided data for the sample size calculation for the full trial. Post-study evaluation showed high levels of satisfaction with the study.

DISCUSSION AND CONCLUSIONS

This study has shown that disadvantaged men can be recruited and follow-up data obtained in an alcohol intervention study. The study methods were acceptable to the participants. The men recruited were at high risk of alcohol-related harms. It also clarified ways in which the recruitment strategy, the baseline questionnaire and the intervention could be improved. The full trial is currently underway. [Crombie IK, Irvine L, Falconer DW, Williams B, Ricketts IW, Jones C, Humphris G, Norrie J, Slane P, Rice P. Alcohol and disadvantaged men: A feasibility trial of an intervention delivered by mobile phone. Drug Alcohol Rev 2017;36:468-476].

摘要

引言与目的

社会经济地位不利的男性因大量饮酒而遭受严重伤害。本可行性研究开发并评估了通过短信向社会经济地位不利的男性提供简短干预措施的试验方法。其目的是测试招募和留住参与者的方法,监测对干预措施的参与情况,并评估研究方法的总体可接受性。

设计与方法

招募年龄在25 - 44岁、前一个月有≥2次暴饮(一次≥8个单位)经历的社会经济地位不利的男性。评估了两种招募策略:从全科医生登记册中招募和通过社区外展策略招募。根据理论和实证为目标群体量身定制短信。

结果

该研究招募了67名面临酒精相关伤害高风险的社会经济地位不利的男性,超过了60名的目标。评估显示95%的短信已发送,男性积极参与了干预措施。随访时的留存率为96%。对所有接受随访的男性成功测量了结果。这为完整试验的样本量计算提供了数据。研究后评估显示对该研究的满意度很高。

讨论与结论

本研究表明,在酒精干预研究中可以招募社会经济地位不利的男性并获得随访数据。研究方法为参与者所接受。招募的男性面临酒精相关伤害的高风险。它还明确了可以改进招募策略、基线问卷和干预措施的方式。完整试验目前正在进行中。[克龙比IK,欧文L,法尔科纳DW,威廉姆斯B,里基茨IW,琼斯C,汉弗莱斯G,诺里J,斯莱恩P,赖斯P。酒精与社会经济地位不利的男性:通过手机进行干预的可行性试验。《药物与酒精评论》2017;36:468 - 476]

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/5516166/ac84501e8139/DAR-36-468-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/5516166/ac84501e8139/DAR-36-468-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea1c/5516166/ac84501e8139/DAR-36-468-g001.jpg

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