Department of Psychiatry and Psychotherapy, University Hospital Munich, Ludwig Maximilian University of Munich, Nußbaumstr. 7, 80336 Munich, Germany.
University of Applied Labour Studies, Seckenheimer Landstr. 16, 68163 Mannheim, Germany.
Int J Environ Res Public Health. 2023 Aug 3;20(15):6514. doi: 10.3390/ijerph20156514.
In Germany, only about 10% of patients with alcohol use disorder (AUD) are treated by the professional help system. "The First 30 Days without Alcohol", an interactive e-health intervention, was developed to support people with "alcohol problems" to abstain from alcohol. The aim of this study was to examine the feasibility of the approach, the program's target group, if and why it is effective. In March 2022 an email was sent to all users who had completed the program. A link to a web-based survey regarding the target group's characteristics, its alcohol-use patterns, former attempts to change the problematic drinking behavior and experience with the program was introduced. The Alcohol Use Disorders Identification Test (AUDIT) was used prior and post intervention. A total of 718 participants completed the questionnaire. Of these, 99.2% suffered from AUD; 81.6% of participants were females, and about one third reported some form of psychiatric comorbidity; 46.6% did not use any additional help or assistance apart from the program; 78.3% reported to be abstinent after participation in the 30-day program, and the data show a significant AUDIT score reduction. Primary e-health interventions may contribute to the established addiction-help system. The intervention seems to reach predominantly highly educated and high-functioning females because of their characteristics.
在德国，只有大约 10%的酒精使用障碍（AUD）患者接受专业帮助系统的治疗。“头 30 天无酒精”是一种互动电子健康干预措施，旨在帮助有“酒精问题”的人戒酒。本研究旨在检验这种方法的可行性、该方案的目标人群、它是否有效以及为什么有效。2022 年 3 月，向所有完成该计划的用户发送了一封电子邮件。引入了一个基于网络的调查的链接，调查涉及目标人群的特征、其饮酒模式、以前改变问题饮酒行为的尝试以及对该计划的体验。在干预前后使用了酒精使用障碍识别测试（AUDIT）。共有 718 名参与者完成了问卷。其中，99.2%的人患有 AUD；81.6%的参与者为女性，约三分之一的人报告存在某种形式的精神共病；46.6%的人除了该计划外没有使用任何额外的帮助或援助；78.3%的人报告在参加 30 天计划后戒酒，并且数据显示 AUDIT 评分显著降低。初级电子健康干预措施可能有助于既定的成瘾帮助系统。由于其特点，该干预措施似乎主要针对受过高等教育和高功能的女性。
