Balance-a pragmatic randomized controlled trial of an online intensive self-help alcohol intervention
Abstract
AIMS: To compare a brief versus a brief plus intensive self-help version of 'Balance', a fully automated online alcohol intervention, on self-reported alcohol consumption. DESIGN: A pragmatic randomized controlled trial. Participants in both conditions received an online single session screening procedure including personalized normative feedback. The control group also received an online booklet about the effects of alcohol. The treatment group received the online multi-session follow-up program, Balance. SETTING: Online study in Norway. PARTICIPANTS: At-risk drinkers were recruited by internet advertisements and assigned randomly to one of the two conditions (n = 244). MEASUREMENTS: The primary outcome was self-reported alcohol consumption the previous week measured 6 months after screening. FINDINGS: Regression analysis, using baseline carried forward imputation (intent-to-treat), with baseline variables as covariates, showed that intervention significantly affected alcohol consumption at 6 months (B = 2.96; 95% confidence interval = 0.02-5.90; P = 0.049). Participants in the intensive self-help group drank an average of three fewer standard alcohol units compared with participants in the brief self-help group. CONCLUSIONS: The online Balance intervention, added to a brief online screening intervention, may aid reduction in alcohol consumption compared with the screening intervention and an educational booklet.
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At 6-month follow-up, the intensive self-treatment group decreased its use more than the brief self-treatment group.
“6-month follow-up: Intensive group ↓ its use more.”
From Online and Mobile Interventions for Problem Gambling, Alcohol, and Drugs: A Systematic Review (2017) · cites this paper as Brendryen et al. (2014)
At 2-month follow-up, there was no difference between intensive and brief self-treatment groups.
“2-month follow-up: no difference between the groups.”
From Online and Mobile Interventions for Problem Gambling, Alcohol, and Drugs: A Systematic Review (2017) · cites this paper as Brendryen et al. (2014)
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- Authors
- Brendryen, H., Lund, I. O., Johansen, A. B., Riksheim, M., Nesvåg, S., & Duckert, F.
- Affiliations
- University of Oslo (NO)
- SERAF—Norwegian Centre for Addiction Research University of Oslo Oslo Norway
- Corresponding author
- Brendryen, Håvar
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2013-11-21
- Volume
- 109
- Issue
- 2
- Pages
- 218-226
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W1603339734
- Cited by
- 39
- References
- 32
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 5 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 1
- FWCI
- 1.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Norges Forskningsråd
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- self-help intervention, personalized normative feedback, alcohol consumption reduction, at-risk drinkers, brief screening, automated intervention
- MeSH terms
- Adult, Alcohol Drinking, Female, Humans, Male, Pamphlets, Self Care, Self-Help Groups, Treatment Outcome, Remote Consultation, Internet, Feedback, Psychological, Cell Phone
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