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首页> 外文期刊>Journal of medical Internet research >Drinker Prototype Alteration and Cue Reminders as Strategies in a Tailored Web-Based Intervention Reducing Adults’ Alcohol Consumption: Randomized Controlled Trial
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Drinker Prototype Alteration and Cue Reminders as Strategies in a Tailored Web-Based Intervention Reducing Adults’ Alcohol Consumption: Randomized Controlled Trial

机译：量身定制的饮酒者原型改变和提示提醒作为基于网络的量身定制的减少成人饮酒量的策略：随机对照试验

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Background: Excessive alcohol use is a prevalent and worldwide problem. Excessive drinking causes a significant burden of disease and is associated with both morbidity and excess mortality. Prototype alteration and provision of a cue reminder could be useful strategies to enhance the effectiveness of online tailored interventions for excessive drinking.Objective: Through a Web-based randomized controlled trial, 2 strategies (ie, prototype alteration and cue reminders) within an existing online personalized feedback intervention (Drinktest) aimed to reduce adults’ excessive drinking. It was expected that both strategies would add to Drinktest and would result in reductions in alcohol consumption by intrinsic motivation and the seizure of opportunities to act.Methods: Participants were recruited online and through printed materials. Excessive drinking adults (N=2634) were randomly assigned to 4 conditions: original Drinktest, Drinktest plus prototype alteration, Drinktest plus cue reminder, and Drinktest plus prototype alteration and cue reminder. Evaluation took place at 1-month posttest and 6-month follow-up. Differences in drinking behavior, intentions, and behavioral willingness (ie, primary outcomes) were assessed by means of longitudinal multilevel analyses using a last observation carried forward method. Measures were based on self-reports.Results: All conditions showed reductions in drinking behavior and willingness to drink, and increased intentions to reduce drinking. Prototype alteration (B=–0.15, P<.05) and cue reminder usage (B=–0.15, P<.05) were both more effective in reducing alcohol consumption than when these strategies were not provided. Combining the strategies did not produce a synergistic effect. No differences across conditions were found regarding intentions or willingness.Conclusions: Although individuals’ awareness of their cue was reasonable, their reported alcohol consumption was nevertheless reduced. Individuals appeared to distance their self-image from heavier drinking prototypes. Thus, prototype alteration and cue reminder usage may be feasible and simple intervention strategies to promote reductions in alcohol consumption among adults, with an effect up to 6 months.Trial Registration: Nederlands Trial Register (NTR): 4169; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4169 (Archived by WebCite at http://www.webcitation.org/6VD2jnxmB).
机译：背景：过量饮酒是一个普遍存在的全球性问题。过量饮酒会导致严重的疾病负担，并与发病率和高死亡率相关。原型变更和提示提示可能是增强在线量身定制的过度饮酒干预措施有效性的有用策略。目的：通过基于网络的随机对照试验，现有在线样本中有2种策略（即原型更改和提示提醒）个性化反馈干预（Drinktest）旨在减少成年人的过量饮酒。预计这两种策略都会增加Drinktest，并通过内在动机和抓住采取行动的机会来减少饮酒。方法：通过在线和印刷材料招募参与者。过量饮酒的成年人（N = 2634）被随机分配到4种情况：原始Drinktest，Drinktest加原型变更，Drinktest加提示提醒以及Drinktest加原型更改和提示提醒。在1个月的测试后和6个月的随访中进行评估。饮酒行为，意图和行为意愿（即主要结局）的差异通过纵向多层次分析（使用最新观察结转方法）进行评估。结果：所有情况都显示饮酒行为和饮酒意愿降低，并且减少饮酒的意愿增强。与未提供这些策略时相比，原型变更（B = –0.15，P <.05）和提示提示用法（B = –0.15，P <.05）都在减少饮酒方面更有效。组合策略不会产生协同效果。结论：尽管个体对其暗示的认识是合理的，但是他们报告的饮酒量却减少了。个人似乎将自己的形象与较重的饮酒原型区分开。因此，改变原型和提示使用提示可能是可行的，并且是一种简单的干预策略，可以促进成年人减少饮酒，有效期长达6个月。试验注册：Nederlands试验注册（NTR）：4169; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4169（由WebCite存档，网址为http://www.webcitation.org/6VD2jnxmB）。

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