Wilson Hollie Jai, Palk Gavan, Sheehan Mary Christina, Wishart Darren, Watson Barry
Queensland University of Technology, Kelvin Grove, QLD, Australia.
Int J Behav Med. 2017 Oct;24(5):694-702. doi: 10.1007/s12529-017-9664-1.
Digital interventions to reduce risk behaviours are emerging as effective public health measures; however, few have been applied to drink driving and associated alcohol use based on a harm reduction perspective. This paper reports on the design, development, and pilot of a novel intervention which aims to reduce repeat offending by first-time convicted drink driving offenders. It explores whether an online program is acceptable and user friendly and contains useful and relevant content, with a sample of first-time drink driving offenders recruited at the time of conviction.
Building upon existing research into interventions to reduce drink driving recidivism and problem alcohol use, a tailored program was designed to provide content specifically concerned with drink driving and with an additional component related to alcohol use. Following stakeholder and internal review, the 'Steering Clear First Offender Drink Driving Program' was subsequently piloted with 15 first-time drink driving offenders. Evaluative data was analysed both quantitatively and qualitatively.
The pilot results indicate that the participants found the program to be user friendly, as demonstrated by high scores in relation to navigation, online delivery, engagement, avatar usage and straightforwardness. They reported that they found the content to be useful and relevant and that the key learning area was in relation to the consequences of drink driving.
Online interventions for reducing risky behaviour such as drink driving may be useful and cost effective from a public health perspective. Potentially, they can directly address risky behaviours associated with alcohol use in high-risk cohorts that may not ordinarily receive intervention.
减少风险行为的数字干预措施正成为有效的公共卫生手段；然而，从减少伤害的角度来看，很少有措施应用于酒驾及相关酒精使用问题。本文报告了一项新型干预措施的设计、开发和试点情况，该措施旨在减少首次被定罪的酒驾违法者再次犯罪的情况。研究以一批在定罪时招募的首次酒驾违法者为样本，探讨一个在线项目是否可接受且用户友好，以及是否包含有用且相关的内容。
在现有关于减少酒驾累犯和酒精使用问题干预措施研究的基础上，设计了一个量身定制的项目，提供专门针对酒驾的内容以及一个与酒精使用相关的附加部分。经过利益相关者和内部审查后，“首次违法者酒驾避控项目”随后对15名首次酒驾违法者进行了试点。对评估数据进行了定量和定性分析。
试点结果表明，参与者认为该项目用户友好，在导航、在线交付、参与度、虚拟形象使用和直观性方面得分较高，这证明了这一点。他们报告称，觉得内容有用且相关，关键学习领域与酒驾后果有关。
从公共卫生角度来看，减少酒驾等风险行为的在线干预措施可能有用且具有成本效益。它们有可能直接解决高危人群中与酒精使用相关的风险行为，而这些人群通常可能得不到干预。
