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首页> 外文期刊>Archives of Internal Medicine >Randomized controlled trial of web-based alcohol screening and brief intervention in primary care.
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Randomized controlled trial of web-based alcohol screening and brief intervention in primary care.

机译：随机对照试验的基于web的酒精筛查和短暂的初级护理干预。

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BACKGROUND: There is compelling evidence supporting screening and brief intervention (SBI) for hazardous drinking, yet it remains underused in primary health care. Electronic (computer or Web-based) SBI (e-SBI) offers the prospects of ease and economy of access. We sought to determine whether e-SBI reduces hazardous drinking. METHODS: We conducted a randomized controlled trial in a university primary health care service. Participants were 975 students (age range, 17-29 years) screened using the Alcohol Use Disorders Identification Test (AUDIT). Of 599 students who scored in the hazardous or harmful range, 576 (300 of whom were women) consented to the trial and were randomized to receive an information pamphlet (control group), a Web-based motivational intervention (single-dose e-SBI group), or a Web-based motivational intervention with further interventions 1 and 6 months later (multidose e-SBI group). RESULTS: Relative to the control group, the single-dose e-SBI group at 6 months reported a lower frequency of drinking (rate ratio [RR], 0.79; 95% confidence interval [CI], 0.68-0.94), less total consumption (RR, 0.77; 95% CI, 0.63-0.95), and fewer academic problems (RR, 0.76; 95% CI, 0.64-0.91). At 12 months, statistically significant differences in total consumption (RR, 0.77; 95% CI, 0.63-0.95 [equivalent to 3.5 standard drinks per week]) and in academic problems (RR, 0.80; 95% CI, 0.66-0.97) remained, and the AUDIT scores were 2.17 (95% CI, -1.10 to -3.24) points lower. Relative to the control group, the multidose e-SBI group at 6 months reported a lower frequency of drinking (RR, 0.85; 95% CI, 0.73-0.98), less total consumption (RR, 0.79; 95% CI, 0.64-0.97 [equivalent to 3.0 standard drinks per week]), reduced episodic heavy drinking (RR, 0.65; 95% CI, 0.45-0.93), and fewer academic problems (RR, 0.78; 95% CI, 0.65-0.93). At 12 months, statistically significant differences in academic problems remained (RR, 0.75; 95% CI, 0.62-0.90), while the AUDIT scores were 2.02 (95% CI, -0.97 to -3.10) points lower. CONCLUSIONS: Single-dose e-SBI reduces hazardous drinking, and the effect lasts 12 months. Additional sessions seem not to enhance the effect. Trial Registration www.anzctr.org.au Identifier:ACTRN012607000103460.
机译：背景:有令人信服的证据支持筛选和简短干预(印度国家银行)有害饮酒,但它仍未得到充分利用在初级卫生保健。基于web的)印度国家银行(e-SBI)提供的前景方便和经济的访问。确定e-SBI减少危险喝酒。在大学初级卫生控制试验保健服务。范围,17 - 29岁)筛选使用酒精使用障碍的鉴别试验(审计)。学生在危险或有害的范围内,576(其中300是女性)同意审判,被随机分配接受基于网络的信息小册子(对照组)(单剂量e-SBI动机干预组),或一个基于web的动机干预进一步干预1和6个月后(多剂量e-SBI组)。对照组,单剂e-SBI小组6个月报告饮酒的频率较低(率比(RR), 0.79;(CI), 0.68 - -0.94),减少总消费(RR,0.77;问题(RR, 0.76;个月,在统计上有显著差异总消费(RR, 0.77;每周(相当于3.5标准饮料])在学术问题(RR, 0.80;0.66 - -0.97),和审计分数2.17 (95% CI, -1.10 - -3.24)分低。相对于对照组,使用e-SBI集团在6个月报告较低饮酒的频率(RR, 0.85;0.73 - -0.98),更少的总消费(RR, 0.79;CI, 0.64 - -0.97(相当于3.0标准饮料每周]),减少情景酗酒(RR,0.65;问题(RR, 0.78;个月,在统计上有显著差异学术问题仍然(RR, 0.75;0.62 - -0.90),而审计分数2.02 (95%CI, -0.97 - -3.10)分低。单剂e-SBI减少有害饮酒,和效果持续12个月。似乎没有提高的效果。注册www.anzctr.org.au标识符:ACTRN012607000103460。

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