Drug De-Addiction & Treatment Centre, Department of Psychiatry, PGIMER, Chandigarh, India.
Department of Data Science, Indian Institute of Technology (IIT), Palakkad, India.
Asia Pac Psychiatry. 2023 Jun;15(2-3):e12527. doi: 10.1111/appy.12527. Epub 2023 Mar 28.
We examined the feasibility and acceptability of digital screening and brief intervention (d-SBI) for alcohol misuse in college students; the effectiveness of d-SBI was our secondary outcome. We also explored the barriers and facilitators of d-SBI.
The study design is a mixed-methods, pilot, and cluster randomized trial. Five colleges from a northern city in India were randomly allocated to d-SBI and control groups. One hundred and ninety-one students were screened, and 25 (male = 23 and female = 2) participants (age 19.62 ± 2.58 years) fulfilled eligibility. All participants completed follow-up assessments at 3 months. In-depth interviews were done with 11 participants. Alcohol Use Disorder Identification Test (AUDIT) based screening brief intervention was provided on a web portal- or mobile application in the d-SBI group. The control group received digital screening and brief education. Direct questions and usage statistics assessed the measurement acceptability of the intervention. We compared the change in AUDIT scores in the intervention groups over 3 months post-intervention. Thematic analyses of transcripts of interviews were done by inductive coding.
Most participants reported that d-SBI was user-friendly (80%), advice was appropriate (80%), and perceived it to be useful (72%). Ninety-six percent of users, who logged in, completed screening. There was a significant decrease in AUDIT scores both in d-SBI (p < .001) and control groups (p < .001). Time and group significantly affected the mean AUDIT score, but time × group interaction was non-significant. Thematic analysis revealed six overarching themes.
Digital SBI for alcohol misuse is acceptable, feasible, and possibly effective among college students from low-resource settings.
我们研究了数字筛查和简短干预（d-SBI）在大学生酒精滥用中的可行性和可接受性；d-SBI 的有效性是我们的次要结果。我们还探讨了 d-SBI 的障碍和促进因素。
研究设计为混合方法、试点和聚类随机试验。印度北部一个城市的五所大学被随机分配到 d-SBI 和对照组。对 191 名学生进行了筛查，有 25 名（男性=23 名，女性=2 名）符合条件的参与者（年龄 19.62±2.58 岁）。所有参与者在 3 个月时完成了随访评估。对 11 名参与者进行了深入访谈。在 d-SBI 组中，通过网络门户或移动应用程序提供基于酒精使用障碍识别测试（AUDIT）的筛查简短干预。对照组接受数字筛查和简短教育。通过直接问题和使用统计数据评估干预措施的测量可接受性。我们比较了干预后 3 个月干预组中 AUDIT 评分的变化。通过归纳编码对访谈记录进行主题分析。
大多数参与者报告说，d-SBI 用户友好（80%），建议适当（80%），并认为它有用（72%）。登录的 96%的用户完成了筛查。d-SBI（p<0.001）和对照组（p<0.001）的 AUDIT 评分均显著下降。时间和组显著影响平均 AUDIT 评分，但时间×组交互作用不显著。主题分析揭示了六个总体主题。
在资源匮乏的环境中，数字 SBI 对大学生的酒精滥用是可接受的、可行的，而且可能是有效的。
