基于互联网的针对年轻男性不健康饮酒的简短干预的四年随访。

Four-year follow-up of an internet-based brief intervention for unhealthy alcohol use in young men.

机构信息

Alcohol Treatment Center, Lausanne University Hospital, Lausanne, Switzerland.

Center for Addiction and Mental Health, Toronto, Ontario, Canada.

出版信息

Addiction. 2018 Aug;113(8):1517-1521. doi: 10.1111/add.14179. Epub 2018 Mar 7.

DOI:10.1111/add.14179

PMID:29396897

Abstract

AIM

To estimate the long-term efficacy of an internet-based brief intervention (IBI) in decreasing alcohol use among men on (1) number of drinks/week and (2) monthly or more binge drinking prevalence. In addition, overall changes in alcohol use were assessed.

DESIGN

Participants in a cohort study were recruited in a two parallel-group randomized controlled trial of an IBI versus no-intervention control condition, showing a positive intervention effect at 6 months. As part of the regular cohort assessments, participants were re-assessed 47 months after the initial trial, offering an opportunity to determine long-term efficacy.

SETTING

Young Swiss men from the general population.

PARTICIPANTS

Of 737 randomized trial participants with unhealthy alcohol use (> 14 drinks/week or ≥ 6 drinks/occasion at least monthly, or Alcohol Use Disorders Identification Test (AUDIT) ≥ 8), 626 completed a cohort assessment at mean ± standard deviation (SD) = 47.4 ± 2.6) months after their randomized trial baseline assessment.

INTERVENTION

IBI included normative and personalized feedback on alcohol use, risk indicators, information about alcohol and health and recommendations; controls: assessment only.

MEASUREMENTS

Self-reported number of drinks/week and monthly or more binge drinking prevalence.

FINDINGS

Comparisons at follow-up were adjusted for baseline drinking. Missing values were replaced with the last observation carried forward. There was no evidence of differences between the IBI and control group on either the number of drinks/week [IBI: 10.8 (14.2); control: 10.7 (14.1), P = 0.8] or monthly or more binge drinking prevalence (IBI: 65.1%; control: 63.5%, P = 0.5). Although there was no evidence of overall change from baseline in number of drinks/week [9.8 (7.9) at baseline, 10.8 (14.1) at 47 months, P = 0.051], there was evidence that monthly or more binge drinking prevalence had decreased during the follow-up time (84.9% at baseline, 64.3% at 47 months, P < 0.001).

CONCLUSIONS

An internet-based brief intervention directed at unhealthy alcohol use among young men does not appear to reduce drinking over the long-term.

摘要

目的

评估基于互联网的简短干预（IBI）在减少男性（1）每周饮酒量和（2）每月或更多 binge 饮酒发生率方面的长期疗效。此外，还评估了酒精使用的总体变化。

设计

在一项 IBI 与无干预对照组的平行群组随机对照试验中招募队列研究的参与者，在 6 个月时显示出积极的干预效果。作为常规队列评估的一部分，参与者在初始试验后 47 个月进行了重新评估，有机会确定长期疗效。

地点

瑞士普通人群中的年轻男性。

参与者

737 名随机试验参与者中，有 626 名参与者患有不健康的饮酒习惯（每周饮酒量> 14 杯或每月至少有 6 次饮酒量> 6 杯，或酒精使用障碍识别测试（AUDIT）> 8），在随机试验基线评估后平均（±标准差）= 47.4 ± 2.6 个月完成了队列评估。

干预措施

IBI 包括关于酒精使用、风险指标、酒精和健康信息以及建议的规范和个性化反馈；对照组：仅评估。

测量

每周饮酒量和每月或更多 binge 饮酒发生率。

结果

随访时的比较考虑了基线饮酒量。缺失值用最后一次观测值代替。IBI 组和对照组在每周饮酒量[IBI：10.8（14.2）；对照组：10.7（14.1），P=0.8]或每月或更多 binge 饮酒发生率（IBI：65.1%；对照组：63.5%，P=0.5）方面均无差异。尽管在每周饮酒量方面没有证据表明与基线相比有总体变化[基线时为 9.8（7.9），47 个月时为 10.8（14.1），P=0.051]，但有证据表明，在随访期间，每月或更多 binge 饮酒的发生率有所下降（基线时为 84.9%，47 个月时为 64.3%，P<0.001）。