Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain; Research Institute for Evaluation and Public Policies (IRAPP), Universitat Internacional de Catalunya, Barcelona, Spain.
Research Institute for Evaluation and Public Policies (IRAPP), Universitat Internacional de Catalunya, Barcelona, Spain.
Drug Alcohol Depend. 2019 Dec 1;205:107597. doi: 10.1016/j.drugalcdep.2019.107597. Epub 2019 Sep 30.
To present a comparison between the effects on health due to a reduction in binge drinking (BD) and health-related quality of life (HRQoL), as a result of ALERTA ALCOHOL, an intervention aimed at reducing BD in Spanish adolescents.
A two-arm cluster randomized controlled trial was conducted with an intervention and a control group, randomized at the school level, following individuals over four months. The study population consisted of Andalusian adolescents aged 15 to 19 years who were enrolled in urban public high schools (n = 1247). Participants were assigned randomly to receive the intervention. The main outcomes studied were the number of occasions of BD in the last 30 days, which was directly obtained from the answers given by the adolescents, and HRQoL measured with the EQ-5D-5 L questionnaire. The model of estimation was the generalized estimating equations (GEE) approach.
The program showed a BD reduction at the 4-month follow-up, although it was not shown to significantly increase the HRQoL in adolescents who reduced the number of occasions of BD and had received the intervention. However, it was shown that those who would predictably reduce the number of occasions of BD controlled by several sociodemographic variables perceived a higher HRQoL, as did those who had a greater adherence to the program.
Higher adherence to a web-based computer-tailored intervention to prevent BD in adolescents has a positive effect on decreasing the number of occasions of BD in adolescents as well as on increasing participants' HRQoL, although this second effect is very small, which could be due to the short follow-up time. This fact is quite important and should be assessed extensively to corroborate the results and translate into health policy.
比较由于干预措施 ALERTA ALCOHOL 减少西班牙青少年暴饮（BD）的次数及其对健康相关生活质量（HRQoL）的影响。
这是一项在学校层面进行分组随机对照试验，干预组和对照组各有 1247 名 15 至 19 岁的安达卢西亚青少年参与。研究人群被随机分配接受干预措施。主要结局指标是过去 30 天内 BD 的次数，这是通过青少年的直接回答获得的，HRQoL 则通过 EQ-5D-5L 问卷进行测量。采用广义估计方程（GEE）方法进行估计模型。
该方案在 4 个月的随访中显示出减少 BD 的效果，但并未显示出显著增加减少 BD 次数且接受干预的青少年的 HRQoL。然而，研究表明，那些可预测性地减少由几个社会人口统计学变量控制的 BD 次数的青少年，以及那些对方案有更高依从性的青少年，感知到更高的 HRQoL。
更高程度地依从基于网络的计算机定制干预措施，以预防青少年的 BD，对减少青少年的 BD 次数以及增加参与者的 HRQoL 有积极影响，尽管这种影响非常小，这可能是由于随访时间短。这一事实非常重要，应进行广泛评估以证实结果并转化为卫生政策。
