College of Health and Human Services, School of Nursing, University of North Carolina at Charlotte, Charlotte, North Carolina, USA.
Department of Psychiatry, Weill Institute for Neurosciences, University of California, San Francisco, California, USA.
Subst Use Misuse. 2020;55(10):1667-1676. doi: 10.1080/10826084.2020.1756851. Epub 2020 May 12.
College students are among the most vulnerable groups to problems associated with high-risk drinking consequences such as illness, injury, sexual abuse, and death. Promising mobile health (mHealth) approaches, such as smartphone (SP) apps, can be used in interventions to address or prevent excessive drinking. : The aim of the investigation was to examine the efficacy of a theoretically based mHealth SP app for alcohol intervention in two independent samples (=379): Mandated participants (Study 1) and voluntary participants (Study 2). Study 1 included a controlled trial with Mandated participants randomized into either an in-person Brief Motivational Interviewing BMI (=70) or BMI + SP app intervention (=71). Study 2 included Voluntary participants who participated in either a Control group (=157) or the BMI + SP app intervention (=81). Participants in both studies completed baseline and 6-week assessments. : In Study 1, peak Blood Alcohol Concentration (BAC) of participants in the in-person BMI group had increased slightly at six weeks, while it had decreased for the app-based BMI + SP group. Study 2 participants using the BMI + SP app reported significant reductions in drinking and consequences; there were no changes in the (AO) Control group. The BMI + SP app was effective with both Mandated and Voluntary participants. Future testing with the BMI + SP app is needed to assess whether reach, adoptability, portability, and sustainability are greater with the mHealth smartphone app for alcohol intervention than in-person approaches.
大学生是与高风险饮酒后果相关问题（如疾病、伤害、性虐待和死亡）最脆弱的群体之一。有前途的移动健康（mHealth）方法，如智能手机（SP）应用程序，可以用于干预以解决或预防过度饮酒。：本研究旨在通过两个独立样本（=379）检验基于理论的 mHealth SP 应用程序对酒精干预的效果：有义务的参与者（研究 1）和自愿的参与者（研究 2）。研究 1 包括一项有义务的参与者的对照试验，随机分为面对面的简短动机访谈 BMI（=70）或 BMI+SP 应用程序干预（=71）。研究 2 包括自愿参加的参与者，他们参加了对照组（=157）或 BMI+SP 应用程序干预（=81）。两项研究的参与者都完成了基线和 6 周的评估。：在研究 1 中，面对面 BMI 组的参与者的血液酒精浓度（BAC）在六周时略有升高，而基于应用程序的 BMI+SP 组的 BAC 则有所下降。使用 BMI+SP 应用程序的研究 2 参与者报告饮酒量和后果显著减少；对照组（AO）没有变化。BMI+SP 应用程序对有义务的和自愿的参与者都有效。需要进一步使用 BMI+SP 应用程序进行测试，以评估在酒精干预方面，mHealth 智能手机应用程序的覆盖范围、采用度、便携性和可持续性是否大于面对面方法。
