Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Psychiatry, The Catholic University of Korea, Uijeongbu ST. Mary's Hospital, Gyeonggi, Korea.
Alcohol Clin Exp Res. 2019 Oct;43(10):2196-2202. doi: 10.1111/acer.14169. Epub 2019 Aug 23.
Web-based alcohol screenings and brief interventions have been shown to be effective methods for changing drinking behavior. This study evaluated the efficacy of the online-based Brief Empowerment Program for Alcohol-Use Monitor (on-BEAM), a brief intervention applying personalized normative feedback (PNF) and components of motivational interviewing (MI) techniques.
A community-based, double-blind, parallel-group randomized controlled trial with individual randomization was conducted in Korea (registered at Clinical Research Information Service-KCT0003050). An e-mail about participating in a survey on drinking behavior was sent to 5,684 individuals, aged 20 to 40, that were registered as part of a research panel. Male and female participants with AUDIT-C scores of ≥4 and ≥3, respectively, were randomly assigned to either an intervention (received a drinking behavior assessment and the results with normative feedback) or control group (assessment and results without normative feedback). To evaluate the effects of the intervention with 2 sessions over the course of a month, a follow-up assessment was performed online 4 weeks after completion of the intervention. The main outcome was the number of standard drinks consumed during the past week measured using the timeline followback method. The rate ratios (RRs) were calculated to test the effects of the intervention.
In total, 1,496 participants were randomized and 93% of them followed up. The intervention group reported consuming less alcohol during the past week (RR = 0.13; p = 0.012) than the control group. Additionally, the intervention group had fewer binge drinkers (RR = 0.69; p < 0.001) and a lower AUDIT-C score (RR = 0.59; p = 0.009) than the control group.
The web-based intervention, on-BEAM, which applies PNF and MI components related to high-risk drinking reduced the amount of alcohol consumption in our study population. Further research is needed to determine the duration of on-BEAM's effects and evaluate its effectiveness in the real world.
基于网络的酒精筛查和简短干预已被证明是改变饮酒行为的有效方法。本研究评估了基于网络的简短干预应用个性化规范反馈（PNF）和动机访谈（MI）技术的 Brief Empowerment Program for Alcohol-Use Monitor（on-BEAM）的疗效。
在韩国进行了一项基于社区的、双盲、平行组随机对照试验，采用个体随机分组（在 Clinical Research Information Service-KCT0003050 注册）。向 5684 名年龄在 20 至 40 岁之间、作为研究小组一部分注册的个人发送了一封关于参加饮酒行为调查的电子邮件。AUDIT-C 评分男性≥4 分和女性≥3 分的参与者被随机分配到干预组（接受饮酒行为评估和规范反馈结果）或对照组（评估和无规范反馈结果）。为了评估为期一个月的两次干预的效果，在干预完成后 4 周进行了在线随访评估。主要结局是使用时间线回溯法测量的过去一周内消耗的标准饮料量。计算率比（RR）以检验干预的效果。
共有 1496 名参与者被随机分组，其中 93%的人进行了随访。与对照组相比，干预组报告过去一周饮酒量较少（RR=0.13；p=0.012）。此外，干预组暴饮者较少（RR=0.69；p<0.001），AUDIT-C 评分较低（RR=0.59；p=0.009）。
本研究中，应用与高危饮酒相关的 PNF 和 MI 成分的基于网络的干预措施 on-BEAM 减少了研究人群的饮酒量。需要进一步研究确定 on-BEAM 效果的持续时间，并评估其在现实世界中的有效性。
