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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.

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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 iD for 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
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