Web-based alcohol intervention for Māori university students: double-blind, multi-site randomized controlled trial Kypri, Kypros, McCambridge, Jim, Vater, Tina, Bowe, Steven J., Saunders, John B., Cunningham, John A. and Horton, Nicholas J. 2013, Web-based alcohol intervention for Māori university students: double-blind, multi-site randomized controlled trial, Addiction, vol. 108, no. 2, pp. 331-338, doi: 10.1111/j.1360-0443.2012.04067.x. Attached Files Name Description MIMEType Size Downloads Title Web-based alcohol intervention for Māori university students: double-blind, multi-site randomized controlled trial Author(s) Kypri, Kypros McCambridge, Jim Vater, Tina Bowe, Steven J. orcid.org/0000-0003-3813-842X Saunders, John B. Cunningham, John A. Horton, Nicholas J. Journal name Addiction Volume number 108 Issue number 2 Start page 331 End page 338 Total pages 8 Publisher Wiley Place of publication London, Eng. Publication date 2013-02 ISSN 1360-0443 Keyword(s) Alcohol Brief intervention Feedback Indigenous health Summary AIMS: Like many indigenous peoples, New Zealand Māori bear a heavy burden of alcohol-related harm relative to their non-indigenous compatriots, and disparities are greatest among young adults. We tested the effectiveness of web-based alcohol screening and brief intervention (e-SBI) for reducing hazardous drinking among Māori university students. DESIGN: Parallel, double-blind, multi-site, randomized controlled trial. SETTING: Seven of New Zealand's eight universities. PARTICIPANTS: In April 2010, we sent e-mail invitations to all 6697 17-24-year-old Māori students to complete a brief web questionnaire including the Alcohol Use Disorders Identification Test (AUDIT)-C, a screening tool for hazardous and harmful drinking. Those screening positive were computer randomized to: <10 minutes of web-based alcohol assessment and personalized feedback (intervention) or screening alone (control). MEASUREMENTS: We conducted a fully automated 5-month follow-up assessment with observers and participants blinded to study hypotheses, design and intervention delivery. Pre-determined primary outcomes were: (i) frequency of drinking, (ii) amount consumed per typical drinking occasion, (iii) overall volume of alcohol consumed and (iv) academic problems. FINDINGS: Of the participants, 1789 were hazardous or harmful drinkers (AUDIT-C ≥ 4) and were randomized: 850 to control, 939 to intervention. Follow-up assessments were completed by 682 controls (80%) and 733 intervention group members (78%). Relative to controls, participants receiving intervention drank less often [RR = 0.89; 95% confidence interval (CI): 0.82-0.97], less per drinking occasion (RR = 0.92; 95% CI: 0.84-1.00), less overall (RR = 0.78; 95% CI: 0.69-0.89) and had fewer academic problems (RR = 0.81; 95% CI: 0.69-0.95). CONCLUSIONS: Web-based screening and brief intervention reduced hazardous and harmful drinking among non-help-seeking Māori students in a large-scale pragmatic trial. The study has wider implications for behavioural intervention in the important but neglected area of indigenous health. Language eng DOI 10.1111/j.1360-0443.2012.04067.x Field of Research 111713 Maori Health Socio Economic Objective 920399 Indigenous Health not elsewhere classified HERDC Research category C1.1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2012, The Authors Persistent URL http://hdl.handle.net/10536/DRO/DU:30074323 Document type: Journal Article Collection: Faculty of Health Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Fri, 10 Jul 2015, 22:09:36 EST Sat, 11 Jul 2015, 05:03:37 EST Mon, 13 Jul 2015, 08:40:40 EST Mon, 13 Jul 2015, 08:43:25 EST Mon, 13 Jul 2015, 08:49:57 EST Tue, 19 Jan 2016, 05:23:30 EST Tue, 09 Feb 2016, 12:06:15 EST Tue, 09 Feb 2016, 12:10:26 EST Sat, 25 Nov 2017, 01:38:05 EST Filtered Full Citation counts:   Cited 37 times in TR Web of Science Cited 36 times in Scopus Search Google Scholar Access Statistics: 156 Abstract Views, 2 File Downloads  -  Detailed Statistics Created: Fri, 10 Jul 2015, 22:09:36 EST

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