一项基于网络的减少中年女性酒精摄入量干预措施的效果：一项随机对照试验方案

The Effects of a Web-Based Intervention to Reduce Alcohol Consumption Among Middle-Aged Women: Protocol for a Randomized Controlled Trial.

作者信息

Miller Mia, Wright Cassandra, Kuntsche Emmanuel, Kuntsche Sandra

机构信息

Menzies School of Health Research, Charles Darwin University, Darwin, Australia.

Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia.

出版信息

JMIR Res Protoc. 2023 Feb 2;12:e34842. doi: 10.2196/34842.

DOI:10.2196/34842

PMID:36729575

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9936363/

Abstract

BACKGROUND

In the last decade, alcohol consumption among middle-aged women (40-65 years old) in Australia increased, despite declines in overall population consumption. Web-based, brief interventions are promising for reducing alcohol consumption, with efficacy shown in a wide range of populations. However, no published interventions have been designed specifically for and tested with middle-aged women.

OBJECTIVE

This study aims to design and implement a web-based intervention intended to reduce alcohol consumption among middle-aged women.

METHODS

The study is a 3-arm randomized controlled trial with a web-based intervention plus ecological momentary assessment (EMA) group compared to an EMA-only and a pre-post only control group. The study is aimed at middle-aged women, defined as women aged between 40 and 65 years, who consume alcohol at least weekly or who have consumed 4 or more drinks on 1 occasion in the last month. The intervention aims to reduce alcohol consumption through 4 modules that provide information on the health impacts of alcohol, mindfulness, social influences, and alcohol marketing. Intervention participants will also fill out biweekly EMA assessments. The comparators are EMA-only and pre-post control only. The primary outcome is alcohol consumption at 8 weeks compared between groups. Secondary outcomes are awareness of alcohol-related harms, readiness to change alcohol consumption, health status, mental health, and social support.

RESULTS

Ethics approval for this project was received on September 11, 2019. The trial was registered on August 14, 2020. Recruitment has commenced, and the expected results will be available in 2022.

CONCLUSIONS

This web-based intervention aims to reduce alcohol consumption among middle-aged women, a currently understudied cohort in alcohol research.

TRIAL REGISTRATION

Australia New Zealand Clinical Trials Registry (ANZCTR) ACTRN12620000814976; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12620000814976.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/34842.

摘要

背景

在过去十年中，尽管澳大利亚总体人口的酒精消费量有所下降，但40至65岁中年女性的酒精消费量却有所增加。基于网络的简短干预措施有望减少酒精消费，并且在广泛人群中已显示出有效性。然而，尚未有专门为中年女性设计并针对她们进行测试的已发表干预措施。

目的

本研究旨在设计并实施一项基于网络的干预措施，以减少中年女性的酒精消费。

方法

该研究是一项三臂随机对照试验，将基于网络的干预措施加生态瞬时评估（EMA）组与仅进行EMA组以及仅进行前后对照的对照组进行比较。该研究针对的是中年女性，即年龄在40至65岁之间、每周至少饮酒一次或在上个月有过一次饮用4杯或更多酒经历的女性。该干预措施旨在通过四个模块减少酒精消费，这四个模块提供有关酒精对健康的影响、正念、社会影响和酒精营销的信息。干预参与者还将每两周填写一次EMA评估。比较组为仅进行EMA组和仅进行前后对照的组。主要结局是比较各组在8周时的酒精消费量。次要结局包括对与酒精相关危害的认识、改变酒精消费的意愿、健康状况、心理健康和社会支持。