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Cited by 56Substance Abuse Treatment and OutcomesDigital Mental Health InterventionsGambling Behavior and Treatments

Internet and paper self-help materials for problem drinking: is there an additive effect?

Cunningham, John A., Humphreys, Keith, Koski-Jännes, Anja, Cordingley, Joanne·2005·Addictive Behaviors
DOI 10.1016/j.addbeh.2005.03.003
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Abstract

The objective of this study was to conduct a preliminary evaluation of an Internet-based intervention for problem drinkers, comparing changes in drinking between respondents who only received the intervention to those who also received a self-help book. After receiving a personalized feedback summary on the Internet, 83 respondents provided complete baseline information and volunteered to participate in a 3-month follow-up survey. Half of the respondents were randomized to receive an additional self-help book. The follow-up was returned by 48 respondents (69% female). Repeated measures ANOVAs were conducted to compare drinking levels at baseline and 3-month follow-up among respondents who only received the Internet-based intervention. There was minimal support for an impact of the Internet intervention alone. In addition, hierarchical regression analyses were conducted to compare respondents in the two intervention conditions on their drinking at follow-up, controlling for baseline consumption. Respondents who received the additional self-help book reported drinking less and experiencing fewer consequences at follow-up as compared to respondents who received only the Internet-based intervention. While the results are promising, they cannot be taken as evidence of the efficacy of Internet-based personalized feedback as a stand-alone intervention because of the absence of a control group that did not receive the intervention. Further research on this topic should be a priority because of the potential for Internet-based interventions to reach problem drinkers underserved by traditional treatment.

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Crossref · 10.1016/j.addbeh.2005.03.003

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  • In general, the mean difference effect size comparison across the three effectiveness studies for which data were available suggests that, where a meaningful difference was found, the outcome favors the comparison group over web-based intervention conditions.

    “In general, the mean difference effect size comparison across the three effectiveness studies for which data were available (Chiauzzi et al., 2005; Cunningham et al., 2005; Moore et al., 2005) suggests that, where a meaningful difference was found, the outcome favors the comparison group over web-based intervention conditions (see Figure 2).”

    From The effectiveness of web-based interventions designed to decrease alcohol consumption–a systematic review (2008) · cites this paper as Cunningham et al., 2005

  • Of the five randomized trials, details of how randomization took place were reported in all but one (Cunningham et al., 2005).

    “Of the five randomized trials details of how randomization took place was reported in all but one (Cunningham et al., 2005).”

    From The effectiveness of web-based interventions designed to decrease alcohol consumption–a systematic review (2008) · cites this paper as Cunningham et al., 2005

  • In Cunningham et al. (2005), the web-based intervention alone resulted in a small reduction of AUDIT and unit quantity scores, but the effect size confidence intervals included zero.

    “The web-based intervention alone did result in a small reduction of AUDIT and unit quantity scores but in both instances the effect size confidence intervals include zero (see Table 3).”

    From The effectiveness of web-based interventions designed to decrease alcohol consumption–a systematic review (2008) · cites this paper as Cunningham et al. (2005)

  • Cunningham et al. (2005) found that the web-based intervention combined with self-help was more effective at reducing both AUDIT and unit quantity scores than the web-based intervention alone.

    “The web-based intervention combined with self-help was seen to be more effective at reducing both AUDIT and unit quantity scores (see Figure 2).”

    From The effectiveness of web-based interventions designed to decrease alcohol consumption–a systematic review (2008) · cites this paper as Cunningham et al. (2005)

  • Cunningham et al. (2005) found that the web-based intervention combined with self-help was more effective at reducing both AUDIT and unit quantity scores than the web-based intervention alone.

    “The web-based intervention combined with self-help was seen to be more effective at reducing both AUDIT and unit quantity scores (see Figure 2).”

    From The effectiveness of web-based interventions designed to decrease alcohol consumption–a systematic review (2008) · cites this paper as Cunningham et al, 2005

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Authors
Cunningham, J. A., Humphreys, K., Koski-Jännes, A., & Cordingley, J.
Affiliations
  • Centre for Addiction and Mental Health (CA)
  • United States Department of Veterans Affairs (US)
Corresponding author
Cunningham, John A.
ORCID
Venue
Addictive Behaviors
Publisher
Elsevier BV
Published
2005-09
Volume
30
Issue
8
Pages
1517-1523
ISSN
0306-4603 (ISSN-L)
DOI
10.1016/j.addbeh.2005.03.003
OpenAlex
W2155570646
Cited by
56
References
17
Citations by year
2026: 1 · 2021: 1 · 2020: 2 · 2018: 1 · 2017: 2 · 2015: 2 · 2014: 3 · 2012: 8
FWCI
3.82
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Addictive Behaviors (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
Keywords
problem drinking, online intervention, self-help books, personalized feedback, additive effects, alcohol consumption, alcohol-related consequences, digital health interventions, underserved populations
MeSH terms
Adult, Alcohol Drinking, Analysis of Variance, Books, Female, Health Education, Humans, Male, Surveys and Questionnaires, Self Care, Treatment Outcome, Alcohol-Related Disorders, Internet, Feedback, Psychological

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