Nadkarni Abhijit, Fernandes Danielle, Velleman Richard, Onyango Anastasia, Sambari Seema, D'Souza Ethel
Centre for Global Mental Health, Department of Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, United Kingdom.
Addictions and Related Research Group, Sangath, Porvorim, Goa, 403501, India.
Oxf Open Digit Health. 2024 Oct 29;2:oqae045. doi: 10.1093/oodh/oqae045. eCollection 2024.
The effectiveness of Brief Interventions (BIs) for hazardous drinking is well established. However, the implementation of BIs at scale in low- and middle-income countries such as India is rare, primarily due to human resource related barriers. This paper describes the testing of acceptability and feasibility, and the preliminary impact, of a mobile phone delivered BI in an uncontrolled treatment cohort and nested qualitative study. Consenting adult (≥18 years) participants with an Alcohol Use Disorder Identification Test score between 8 to 15 were recruited from educational institutions, workplaces and primary care settings. The TLFB (Time-Line Follow Back) was administered to participants at baseline and 3 months post recruitment. All participants received the BI through text messages or IVR (Interactive Voice Response) over eight weeks; and in-depth interviews were conducted with some participants. The mean pre and post outcomes were compared using paired t-test. Qualitative data was analysed using thematic analyses. 29 participants received the intervention and 16 (55%) completed the outcome assessments. Some key qualitative findings indicated the desire from participants for fewer messages and messages that did not require interaction; and more messages with motivational content and information on practical skills to reduce drinking. The percentage days abstinent was significantly higher at follow up than baseline in all those who had completed the TLFB at baseline and follow up. Feasibility and acceptability testing is an important component of the intervention development process to ensure that the resulting intervention is suitable for the context.
简短干预措施(BIs)对危险饮酒的有效性已得到充分证实。然而,在印度等低收入和中等收入国家大规模实施简短干预措施的情况却很少见,主要是由于与人力资源相关的障碍。本文描述了在一个非对照治疗队列和嵌套定性研究中,对通过手机提供的简短干预措施的可接受性和可行性以及初步影响进行的测试。从教育机构、工作场所和初级保健机构招募了年龄在18岁及以上、酒精使用障碍识别测试得分在8至15之间的成年参与者。在基线和招募后3个月对参与者进行时间线追溯法(TLFB)调查。所有参与者在八周内通过短信或交互式语音应答(IVR)接受简短干预措施;并对部分参与者进行了深入访谈。使用配对t检验比较前后的平均结果。定性数据采用主题分析法进行分析。29名参与者接受了干预,16名(55%)完成了结果评估。一些关键的定性研究结果表明,参与者希望减少信息数量以及不需要互动的信息;希望获得更多具有激励性内容和关于减少饮酒实用技能信息的信息。在基线和随访时均完成了时间线追溯法调查的所有参与者中,随访时的戒酒天数百分比显著高于基线时。可行性和可接受性测试是干预措施开发过程的一个重要组成部分,以确保最终的干预措施适合具体情况。