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针对年轻人饮酒问题的移动应用程序的疗效和结果。

Efficacy and outcomes of a mobile app targeting alcohol use in young people.

机构信息

School of Psychology & Counselling, Institute of Health and Biomedical Innovation, Faculty of Health, Queensland University of Technology, Brisbane, Australia; School of Psychology, The University of Queensland, Brisbane, Australia.

School of Psychology & Counselling, Institute of Health and Biomedical Innovation, Faculty of Health, Queensland University of Technology, Brisbane, Australia; School of Psychology, The University of Queensland, Brisbane, Australia.

出版信息

Addict Behav. 2018 Feb;77:89-95. doi: 10.1016/j.addbeh.2017.09.020. Epub 2017 Sep 29.

DOI:10.1016/j.addbeh.2017.09.020
PMID:28992580
Abstract

Mobile apps provide a highly accessible way of reducing alcohol use in young people. This paper determines the 1-month efficacy and 2, 3 and 6month outcomes of the Ray's Night Out app, which aims to increase alcohol knowledge and reduce alcohol use in young people. User-experience design and agile development processes, informed by the Information-Motivation-Behavioral skills model and evidence-based motivational interviewing treatment approaches guided app development. A randomized controlled trial comparing immediate versus 1-month delayed access to the app was conducted in 197 young people (16 to 25years) who drank alcohol in the previous month. Participants were assessed at baseline, 1, 2, 3 and 6months. Alcohol knowledge, alcohol use and related harms and the severity of problematic drinking were assessed. App quality was evaluated after 1-month of app use. Participants in the immediate access group achieved a significantly greater increase in alcohol knowledge than the delayed access group at 1-month, but no differences in alcohol use or related problems were found. Both groups achieved significant reductions in the typical number of drinks on a drinking occasion over time. A reduction in maximum drinks consumed was also found at 1month. These reductions were most likely to occur in males and problem drinkers. Reductions in alcohol-related harm were also found. The app received a high mean quality (M=3.82/5, SD=0.51). The Ray app provides a youth-friendly and easily-accessible way of increasing young people's alcohol knowledge but further testing is required to determine its impact on alcohol use and related problems.

摘要

移动应用程序为减少年轻人饮酒提供了一种非常便捷的途径。本文旨在研究 Ray's Night Out 应用程序的 1 个月疗效以及 2、3 和 6 个月的结果,该应用程序旨在增加年轻人的酒精知识并减少其饮酒量。应用程序的开发过程中,采用了信息-动机-行为技能模型和基于证据的动机访谈治疗方法,充分考虑了用户体验设计和敏捷开发。该研究采用随机对照试验,比较了即时访问和延迟 1 个月访问该应用程序对 197 名年轻人(16-25 岁)的影响,这些年轻人在过去一个月内饮酒。参与者在基线、1、2、3 和 6 个月时进行评估。评估的指标包括酒精知识、饮酒量及相关危害、以及饮酒问题的严重程度。在使用应用程序 1 个月后评估应用程序质量。即时访问组在 1 个月时的酒精知识显著增加,而延迟访问组则没有显著变化,但在饮酒量或相关问题方面没有发现差异。两组在典型饮酒量方面均随着时间的推移而显著减少,在 1 个月时最大饮酒量也有所减少。这些减少最可能发生在男性和问题饮酒者中。还发现酒精相关危害减少。应用程序获得了较高的平均质量(M=3.82/5,SD=0.51)。Ray 应用程序为增加年轻人的酒精知识提供了一种友好易用且易于获取的方式,但需要进一步测试才能确定其对饮酒量和相关问题的影响。

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