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A randomized controlled trial of an internet‐based intervention for alcohol abusers
John A. Cunningham, T. Cameron Wild, Joanne Cordingley and 2 more
Addiction · 2009 · Randomised trial
doi:10.1111/j.1360-0443.2009.02726.x
Abstract
Objective Misuse of alcohol imposes a major public health cost, yet few problem drinkers are willing to access in‐person services for alcohol abuse. The development of brief, easily accessible ways to help problem drinkers who are unwilling or unable to seek traditional treatment services could therefore have significant public health benefit. The objective of this project is to conduct a randomized controlled evaluation of the internet‐based Check Your Drinking (CYD) screener ( http://www.CheckYourDrinking.net ). Method Participants ( n = 185) recruited through a general telephone population survey were assigned randomly to receive access to the CYD, or to a no‐intervention control group. Results Follow‐up rates were excellent (92%). Problem drinkers provided access to the CYD displayed a six to seven drinks reduction in their weekly alcohol consumption (a 30% reduction in typical weekly drinking) at both the 3‐ and 6‐month follow‐ups compared to a one drink per week reduction among control group respondents. Conclusions The CYD is one of a growing number of internet‐based interventions with research evidence supporting its efficacy to reduce alcohol consumption. The internet could increase the range of help‐seeking options available because it takes treatment to the problem drinker rather than making the problem drinker come to treatment.
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References 44
- 1.
Rehm J, Taylor B, Room R. Global burden of disease from alcohol, illicit drugs and tobacco. Drug Alcohol Rev. 2006;25:503-13.
Not in our library10.1080/09595230600944453
- 2.
English D, Holman D, Milne E, Winter M, Hulse G, Codde G, et al. The Quantification of Drug Caused Morbidity and Mortality in Australia. 1995.
Not in our library
- 3.
McGinnis JM, Foege WH. Actual causes of death in the United States. JAMA. 1993;270:2207-12.
Not in our library
- 4.
Broadening the Base of Treatment for Alcohol Problems. 1990.
Not in our library
- 5.
Cahalan D, Galanter M. Studying drinking problems rather than alcoholism. Recent Developments in Alcoholism. 1987;363-72.
Not in our library10.1007/978-1-4899-1684-6_15
- 6.
Cunningham JA, Breslin FC. Only one in three people with alcohol abuse or dependence ever seek treatment. Addict Behav. 2004;29:221-3.
Not in our library10.1016/s0306-4603(03)00077-7
- 7.
Dawson DA, Grant BF, Stinson FS, Chou PS, Huang B, Ruan WJ. Recovery from DSM-IV alcohol dependence: United States, 2001–2002. Addiction. 2005;100:281-92.
Not in our library10.1111/j.1360-0443.2004.00964.x
- 8.
Room R, Babor T, Rehm J. Alcohol and public health. Lancet. 2005;365:519-30.
Not in our library10.1016/s0140-6736(05)17870-2
- 9.
Helping Patients Who Drink Too Much: A Clinician's Guide. 2005.
Not in our library
- 10.
Saitz R. Screening and brief intervention enter their 5th decade. Subst Abuse. 2007;28:3-6.
Not in our library10.1300/j465v28n03_02
- 11.
Denny CH, Serdula MK, Holtzman D, Nelson DE. Physician advice about smoking and drinking: are U.S. adults being informed? Am J Prev Med. 2003;24:71-4.
Not in our library10.1016/s0749-3797(02)00568-8
- 12.
Friedman PD, McCullough D, Chin MH, Saitz R. Screening and intervention for alcohol problems. A national survey of primary care physicians and psychiatrists. J Gen Intern Med. 2000;15:84-91.
Not in our library10.1046/j.1525-1497.2000.03379.x
- 13.
A Nation Online: How Americans are Expanding Their Use of the Internet. 2002.
Not in our library
- 14.
Cunningham JA, Selby PL, Kypri K, Humphreys KN. Access to the Internet among drinkers, smokers and illicit drug users: is it a barrier to the provision of interventions on the World Wide Web? Med Inform Internet Med. 2006;31:53-8.
Not in our library10.1080/14639230600562816
- 15.
Koski-Jännes A, Cunningham JA. Interest in different forms of self-help in a general population sample of drinkers. Addict Behav. 2001;26:91-9.
Not in our library10.1016/s0306-4603(00)00092-7
- 16.
Cunningham JA, Humphreys K, Koski-Jännes A. Providing personalized assessment feedback for problem drinking on the Internet: a pilot project. J Stud Alcohol. 2000;61:794-8.
Not in our library10.15288/jsa.2000.61.794
- 17.
Kypri K, Langley JD, Saunders JB, Cashell-Smith ML, Herbison P. Randomized controlled trial of web-based alcohol screening and brief intervention in primary care. Arch Intern Med. 2008;168:530-6.
Not in our library10.1001/archinternmed.2007.109
- 18.
Saitz R, Palfai TP, Freedner N, Winter MR, Macdonald A, Lu J, et al. Screening and brief intervention online for college students: the ihealth study. Alcohol Alcohol. 2007;42:28-36.
Not in our library10.1093/alcalc/agl092
- 19.
Walters ST, Miller E, Chiauzzi E. Wired for wellness: e-Interventions for addressing college drinking. J Subst Abuse Treat. 2005;29:139-45.
Not in our library10.1016/j.jsat.2005.05.006
- 20.
Linke S, Brown A, Wallace P. Down your drink: a web-based intervention for people with excessive alcohol consumption. Alcohol Alcohol. 2004;39:29-32.
Not in our library10.1093/alcalc/agh004
- 21.
Hester RK, Squires DD, Delaney HD. The Drinker's Check-up: 12-month outcomes of a controlled clinical trial of a stand-alone software program for problem drinkers. J Subst Abuse Treat. 2005;28:159-69.
Not in our library10.1016/j.jsat.2004.12.002
- 22.
Riper H, Kramer J, Smit F, Conijn B, Schippers G, Cuijpers P. Web-based self-help for problem drinkers: a pragmatic randomized trial. Addiction. 2008;103:218-27.
Not in our library10.1111/j.1360-0443.2007.02063.x
- 23.
Saitz R, Helmuth ED, Aromaa SE, Guard A, Belanger M, Rosenbloom DL. Web-based screening and brief intervention for the spectrum of alcohol problems. Prev Med. 2004;39:969-75.
Not in our library10.1016/j.ypmed.2004.04.011
- 24.
Bewick BM, Trusler K, Barkham M, Hill AJ, Cahill J, Mulhern B. The effectiveness of web-based interventions designed to decrease alcohol consumption—a systematic review. Prev Med. 2008;47:17-26.
Not in our library10.1016/j.ypmed.2008.01.005
- 25.
Doumas DM, Hannah E. Preventing high-risk drinking in youth in the workplace: a web-based normative feedback program. J Subst Abuse Treat. 2008;34:263-71.
Not in our library10.1016/j.jsat.2007.04.006
- 26.
Doumas DM, Haustveit T. Reducing heavy drinking in intercollegiate athletes: evaluation of a web-based personalized feedback program. The Sport Psychologist. 2008;22:213-29.
Not in our library
- 27.
Doumas DM, McKinley LL, Book P. Evaluation of two Web-based alcohol interventions for mandated college students. J Subst Abuse Treat. 2009;36:65-74.
Not in our library10.1016/j.jsat.2008.05.009
- 28.
Cunningham JA, Van Mierlo T. Methodological issues in the evaluation of Internet-based intervention for problem drinkers. Drug Alcohol Rev. 2009;28:12-7.
Not in our library10.1111/j.1465-3362.2008.00001.x
- 29.
Eysenbach G. The law of attrition. J Med Internet Res. 2005;7:e11.
Not in our library10.2196/jmir.7.1.e11
- 30.
Dawson DA, Grant BF, Stinson FS, Zhou Y. Effectiveness of the derived Alcohol Use Disorders Identification Test (AUDIT-C) in screening for alcohol use disorders and risk drinking in the US general population. Alcohol Clin Exp Res. 2005;29:844-54.
Not in our library10.1097/01.alc.0000164374.32229.a2
- 31.
Miller WR, Sovereign RG, Krege B. Motivational interviewing with problem drinkers: II. The Drinker's Check-up as a preventive intervention. Behav Psychother. 1988;16:251-68.
Not in our library
- 32.
Brown JM, Miller WR. Impact of motivational interviewing on participation and outcome in residential alcoholism treatment. Psychol Addict Behav. 1993;7:211-8.
Not in our library
- 33.
Agostinelli G, Brown JM, Miller WR. Effects of normative feedback on consumption among heavy drinking college students. J Drug Educ. 1995;25:31-41.
Not in our library10.2190/xd56-d6wr-7195-eal3
- 34.
Sobell LC, Cunningham JA, Sobell MB, Agrawal S, Gavin DR, Leo GI, et al. Fostering self-change among problem drinkers: a proactive community intervention. Addict Behav. 1996;21:817-33.
Not in our library10.1016/0306-4603(96)00039-1
- 35.
Cunningham JA, Humpheys K, Kypri K, van Mierlo T. Formative evaluation and three-month follow-up of an online personalized assessment feedback intervention for problem drinkers. J Med Internet Res. 2006;8:e5.
Not in our library10.2196/jmir.8.2.e5
- 36.
Babor TF, De La Fuente MF, Saunders JB, Grant M. AUDIT—The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Health Care. 1989.
Not in our library
- 37.
Saunders JB, Conigrave KM. Early identification of alcohol problems. Can Med Assoc J. 1990;143:1060-9.
Not in our library
- 38.
Kühlhorn E, Leifman H. Alcohol surveys with high and low coverage rate: a comparative analysis of survey strategies in the alcohol field. J Stud Alcohol. 1993;54:542-4.
Not in our library10.15288/jsa.1993.54.542
- 39.
Romelsjö A, Leifman H, Nyström S. A comparative study of two methods for the measurement of alcohol consumption in the general population. Int J Epidemiol. 1995;24:929-36.
Not in our library10.1093/ije/24.5.929
- 40.
The Physicians' Guide to Helping Patients with Alcohol Problems. 1995.
Not in our library
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