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Online Alcohol Assessment and Feedback for Hazardous and Harmful Drinkers: Findings From the AMADEUS-2 Randomized Controlled Trial of Routine Practice in Swedish Universities
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Department of Medical Specialist in Motala.
Linköping University, Department of Computer and Information Science, Database and information techniques. Linköping University, Faculty of Science & Engineering.ORCID iD: 0000-0002-8678-1164
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-0279-5903
Cambridge Institute Public Heatlh, England.
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2015 (English)In: Journal of Medical Internet Research, ISSN 1438-8871, Vol. 17, no 7, e170- p.Article in journal (Refereed) Published
Abstract [en]

Background: Previous research on the effectiveness of online alcohol interventions for college students has shown mixed results. Small benefits have been found in some studies and because online interventions are inexpensive and possible to implement on a large scale, there is a need for further study. Objective: This study evaluated the effectiveness of national provision of a brief online alcohol intervention for students in Sweden. Methods: Risky drinkers at 9 colleges and universities in Sweden were invited by mail and identified using a single screening question. These students (N=1605) gave consent and were randomized into a 2-arm parallel group randomized controlled trial consisting of immediate or delayed access to a fully automated online assessment and intervention with personalized feedback. Results: After 2 months, there was no strong evidence of effectiveness with no statistically significant differences in the planned analyses, although there were some indication of possible benefit in sensitivity analyses suggesting an intervention effect of a 10% reduction (95% CI -30% to 10%) in total weekly alcohol consumption. Also, differences in effect sizes between universities were seen with participants from a major university (n=365) reducing their weekly alcohol consumption by 14% (95% CI -23% to -4%). However, lower recruitment than planned and differential attrition in the intervention and control group (49% vs 68%) complicated interpretation of the outcome data. Conclusions: Any effects of current national provision are likely to be small and further research and development work is

Place, publisher, year, edition, pages
Journal of Medical Internet Research / JMIR Publications , 2015. Vol. 17, no 7, e170- p.
Keyword [en]
alcohol drinking; behavior therapy; students; Internet; electronic mail; feedback
National Category
Basic Medicine Computer and Information Science
Identifiers
URN: urn:nbn:se:liu:diva-120461DOI: 10.2196/jmir.4020ISI: 000358010200001PubMedID: 26159179OAI: oai:DiVA.org:liu-120461DiVA: diva2:845564
Note

Funding Agencies|Swedish Council for Working Life and Social Research (FAS, in Swedish) [2010-0024]; Wellcome Trust Research Career Development fellowship in Basic Biomedical Science [WT086516MA]; Medical Research Council [U105260558]

Available from: 2015-08-12 Created: 2015-08-11 Last updated: 2015-08-12

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Bendtsen, PrebenBendtsen, MarcusKarlsson, Nadine
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Division of Community MedicineFaculty of Medicine and Health SciencesDepartment of Medical Specialist in MotalaDatabase and information techniquesFaculty of Science & Engineering
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Journal of Medical Internet Research
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