Schmied Emily, Hurtado Lauren, Robinson W Ken, Simon-Arndt Cynthia M, Moyer Iii Richard, Wilson Leslie, Reed Mark, Blakey Shannon M, Kan Marni
School of Public Health, San Diego State University, San Diego, CA, United States.
Institute for Behavioral and Community Health, San Diego, CA, United States.
JMIR Form Res. 2025 Apr 16;9:e67637. doi: 10.2196/67637.
As alcohol misuse remains pervasive within the military, evidence-based prevention programs that are feasible to implement and appropriately tailored to meet the needs and norms of military personnel are critically needed. Further, programs that target future military leaders, such as trainees, recruits, and cadets, may be especially impactful. eCHECKUP TO GO is a web-based, evidence-based brief alcohol intervention designed to reduce alcohol misuse through education and personalized feedback that may be suitable for military trainees. However, because it was developed for civilian students, efforts to adapt the content for military settings are needed.
This study aimed to evaluate the acceptability of a military version of eCHECKUP TO GO, tailored to include military-specific terminology and alcohol use statistics.
US Air Force Academy cadets were recruited to participate in a single-arm, mixed methods study. Following the completion of eCHECKUP TO GO, participants completed a survey that assessed satisfaction with specific aspects of the user experience, including ease of use, design, and relevance of the information and personalized feedback (range: 1=strongly disagree to 7=strongly agree). A subset of cadets also participated in a focus group to expound on the survey responses.
Survey participants included 22 cadets (n=12, 55% male; mean age 19.6, SD 1.8 years). In addition, 6 (27%) cadets participated in the focus group. Participants were satisfied with the program overall (mean 5.8, SD 0.9) and gave the highest ratings to ease of use (mean 6.6, SD 0.7), site design (mean 6.5, SD 0.6), and site interactivity (mean 6.4, SD 1.0). Items pertaining to tailoring, relevance, and amount of content specific to cadets scored lowest (mean 5.8, SD 1.4; mean 5.6, SD 1.4; and mean 5.5, SD 1.5, respectively). Most (n=15, 68%) participants said they would act upon the information they were provided. Focus group participants made suggestions for improved tailoring, such as increasing content on social aspects of drinking and military-specific risks of alcohol misuse (eg, Uniform Code of Military Justice violations).
Although the acceptability of eCHECKUP TO GO was high, continued efforts are needed to ensure the content accurately reflects the experiences of cadets. Researchers who design military health promotion interventions need to consider the varied contexts within the force and rigorously evaluate the acceptability of all content before implementation.
由于酗酒问题在军队中仍然普遍存在，因此迫切需要可行且经过适当调整以满足军事人员需求和规范的循证预防计划。此外，针对未来军事领导人的计划，如学员、新兵和军校学生，可能会产生特别大的影响。“eCHECKUP TO GO”是一种基于网络的循证简短酒精干预措施，旨在通过教育和个性化反馈来减少酒精滥用，可能适用于军事学员。然而，由于它是为 civilian students 开发的，因此需要努力使其内容适应军事环境。
本研究旨在评估针对军事环境进行调整、包含特定军事术语和酒精使用统计数据的“eCHECKUP TO GO”军事版的可接受性。
招募美国空军学院的学员参加一项单臂混合方法研究。在完成“eCHECKUP TO GO”后，参与者完成了一项调查，评估对用户体验特定方面的满意度，包括易用性、设计以及信息和个性化反馈的相关性（范围：1 = 强烈不同意至 7 = 强烈同意）。一部分学员还参加了焦点小组，以详细阐述调查回复。
调查参与者包括 22 名学员（n = 12，55%为男性；平均年龄 19.6 岁，标准差 1.8 岁）。此外，6 名（27%）学员参加了焦点小组。参与者总体上对该计划感到满意（平均 5.8，标准差 0.9），对易用性（平均 6.6，标准差 0.7）、网站设计（平均 6.5，标准差 0.6）和网站互动性（平均 6.4，标准差 1.0）给予了最高评分。与针对学员量身定制、相关性以及特定内容数量相关的项目得分最低（分别为平均 5.8，标准差 1.4；平均 5.6，标准差 1.4；平均 5.5，标准差 1.5）。大多数（n = 15，68%）参与者表示他们会根据所提供的信息采取行动。焦点小组参与者提出了改进量身定制的建议，例如增加关于饮酒社会方面和酒精滥用特定军事风险（如违反《军事司法统一法典》）的内容。
尽管“eCHECKUP TO GO”的可接受性较高，但仍需要持续努力以确保内容准确反映学员的经历。设计军事健康促进干预措施的研究人员需要考虑军队内部的不同情况，并在实施前严格评估所有内容的可接受性。
