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Randomized controlled trial of proactive web-based alcohol screening and brief intervention for university students

Kypri, Kypros, Hallett, Jonathan, Howat, Peter, McManus, Alexandra, Maycock, Bruce, Bowe, Steven and Horton, Nicholas J. 2009, Randomized controlled trial of proactive web-based alcohol screening and brief intervention for university students, Archives of Internal Medicine, vol. 169, no. 16, pp. 1508-1514.

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Title Randomized controlled trial of proactive web-based alcohol screening and brief intervention for university students
Author(s) Kypri, Kypros
Hallett, Jonathan
Howat, Peter
McManus, Alexandra
Maycock, Bruce
Bowe, StevenORCID iD for Bowe, Steven orcid.org/0000-0003-3813-842X
Horton, Nicholas J.
Journal name Archives of Internal Medicine
Volume number 169
Issue number 16
Start page 1508
End page 1514
Total pages 7
Publisher American Medical Association
Place of publication Chicago, III.
Publication date 2009-09-14
ISSN 1538-3679
Keyword(s) Adolescent
Alcohol Drinking
Female
Humans
Internet
Male
Mass Screening
Random Allocation
Students
Universities
Western Australia
Young Adults
Summary BACKGROUND: University students drink more heavily than their nonstudent peers and are often unaware that their drinking is risky and exceeds normative levels. We tested the efficacy of a proactive Web-based alcohol screening and brief intervention program. METHODS: A randomized controlled trial was conducted at an Australian university in 2007. Invitations were sent to 13 000 undergraduates (age range, 17-24 years) to complete a Web-based Alcohol Use Disorders Identification Test. Of 7237 students who responded, 2435 scored in the hazardous/harmful range (> or =8) and were randomized, and 2050 (84%) completed at least 1 follow-up assessment. Intervention was 10 minutes of Web-based motivational assessment and personalized feedback. Controls received only screening. Follow-up assessments were conducted at 1 and 6 months with observers and participants blinded to allocation. Outcome measures were drinking frequency, typical occasion quantity, overall volume, number of personal problems, an academic problems score, prevalence of binge drinking, and prevalence of heavy drinking. RESULTS: Mean (SD) baseline Alcohol Use Disorders Identification Test scores for control and intervention groups were 14.3 (5.1) and 14.2 (5.1), respectively. After 1 month, participants receiving intervention drank less often (rate ratio [RR], 0.89; 95% confidence interval [CI], 0.83-0.94), smaller quantities per occasion (RR, 0.93; 95% CI, 0.88-0.98), and less alcohol overall (RR, 0.83; 95% CI, 0.78-0.90) than did controls. Differences in alcohol-related harms were nonsignificant. At 6 months, intervention effects persisted for drinking frequency (RR, 0.91; 95% CI, 0.85-0.97) and overall volume (RR, 0.89; 95% CI, 0.82-0.96) but not for other variables. CONCLUSION: Proactive Web-based screening and intervention reduces drinking in undergraduates, and such a program could be implemented widely.
Language eng
Field of Research 11 Medical And Health Sciences
111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920414 Substance Abuse
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2009, American Medical Association
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30080781

Document type: Journal Article
Collections: Faculty of Health
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.