Cited by 170Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsDigital Mental Health Interventions

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Randomized Controlled Trial of Proactive Web-Based Alcohol Screening and Brief Intervention for University Students

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Kypri, Kypros·2009·Archives of Internal Medicine

DOI 10.1001/archinternmed.2009.249

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Abstract

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.

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Do Protective Behavioral Strategies Mediate the Effect of Preparty Motives on Event-Level Preparty Alcohol Use?
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Tobacco smoking in an Australian university sample and implications for health promotion
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Method
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Renner, K. A., Walker, N., Parag, V., & McCormick, R. (2012) · JMIR Research Protocols · doi:10.2196/resprot.1970 · Cited by 6
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BackgroundInfluential
Enrolment-latency in randomized behavior change trials: individual participant data meta-analysis showed association with attrition but not effect-size
Kypri, K., Bowe, S. J., Karlsson, N. E., & McCambridge, J. (2019) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2019.09.019 · Cited by 4
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e-Interventions for Alcohol Misuse
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Web-based screening and brief motivational intervention reduces alcohol use in heavy-drinking undergraduates at up to 6 months
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students: main findings from randomised controlled trial Alcohol assessment and feedback by email for university
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The Effects of a Web-Based Intervention to Reduce Alcohol Consumption Among Middle-Aged Women: Protocol for a Randomized Controlled Trial
Miller, M., Wright, C. C. J., Kuntsche, E. N., & Kuntsche, S. (2023) · JMIR Research Protocols · doi:10.2196/34842
“Of studies demonstrating the efficacy of web-based interventions with women, the majority have only included college students [6,7].”
Intervenciones de mHealth para reducir el impacto del consumo de sustancias en jóvenes: una revisión sistemática
Musso, E., Vera, B. D. V., Caneto, F., Godoy, J. C., & Fernández‐Calderón, F. (2024) · Quaderns de Psicologia · doi:10.5565/rev/qpsicologia.1981
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BackgroundInfluential
Social, Neuroscientific and Psychological Factors that Contribute to Alcohol Use Among Teenagers
Liu, H. (2025) · American journal of student research. · doi:10.70251/hyjr2348.33235240
Effects of a brief intervention on alcohol consumption and heavy episodic drinking among university students in Colombia. Results of a randomized controlled trial
Mejía‐Trujillo, J., Candel, M. J. J. M., Pérez‐Gómez, A., Mercken, L. A. G., & de Vries, H. (2026) · Drugs Education Prevention and Policy · doi:10.1080/09687637.2026.2729741
Alcohol and the emergency department. Screening and interventions to reduce harm
Patton, R. (2011) · OpenGrey (Institut de l'Information Scientifique et Technique)

Authors: Kypri, K.
Affiliations: University of Newcastle Australia (AU)
Corresponding author: Kypri, Kypros
ORCID: Kypri, Kypros
Venue: Archives of Internal Medicine
Publisher: American Medical Association (AMA)
Published: 2009-09-12
Volume: 169
Issue: 16
Pages: 1508
ISSN: 0003-9926 (ISSN-L)
DOI: 10.1001/archinternmed.2009.249
OpenAlex: W2151235672
Cited by: 170
References: 34
Citations by year: 2026: 2 · 2025: 1 · 2024: 6 · 2023: 4 · 2022: 5 · 2021: 7 · 2020: 2 · 2019: 5 · 2018: 13 · 2017: 12 · 2016: 15 · 2015: 17 · 2014: 18 · 2013: 20 · 2012: 18
FWCI: 9.57
Type: journal article
Language: en
Open access: green
figshare.com
Licence: cc-by
Locations: Archives of Internal Medicine (publishedVersion)
PubMed (publishedVersion)
eSpace (Curtin University) (submittedVersion)
Figshare (submittedVersion, cc-by)
Swinburne figshare (Swinburne University of Technology) (submittedVersion)
Funders: Healthway (15166)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords: alcohol screening, brief intervention, online intervention, university students, binge drinking, heavy drinking, alcoholism, personalized feedback, alcohol-related harm
MeSH terms: Adolescent, Alcohol Drinking, Female, Humans, Male, Mass Screening, Random Allocation, Students, Universities, Western Australia, Internet, Young Adult

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Randomized Controlled Trial of Proactive Web-Based Alcohol Screening and Brief Intervention for University Students

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