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Can stand‐alone computer‐based interventions reduce alcohol consumption? A systematic review
Abstract
Aim To determine the effects of computer‐based interventions aimed at reducing alcohol consumption in adult populations. Methods The review was undertaken following standard Cochrane and Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidance for systematic reviews. The literature was searched until December 2008, with no restrictions on language. Randomized trials with parallel comparator groups were identified in the form of published and unpublished data. Two authors independently screened abstracts and papers for inclusion. Data extraction and bias assessment was undertaken by one author and checked by a second author. Studies that measured total alcohol consumption and frequency of binge drinking episodes were eligible for inclusion in meta‐analyses. A random‐effects model was used to pool mean differences. Results Twenty‐four studies were included in the review (19 combined in meta‐analyses). The meta‐analyses suggested that computer‐based interventions were more effective than minimally active comparator groups (e.g. assessment‐only) at reducing alcohol consumed per week in student and non‐student populations. However, most studies used the mean to summarize skewed data, which could be misleading in small samples. A sensitivity analysis of those studies that used suitable measures of central tendency found that there was no difference between intervention and minimally active comparator groups in alcohol consumed per week by students. Few studies investigated non‐student populations or compared interventions with active comparator groups. Conclusion Computer‐based interventions may reduce alcohol consumption compared with assessment‐only; the conclusion remains tentative because of methodological weaknesses in the studies. Future research should consider that the distribution of alcohol consumption data is likely to be skewed and that appropriate measures of central tendency are reported.
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“Hence, the positive findings of that numerous systematic reviews and meta-analyses of the effects of Web-based interventions for specific behaviors including smoking cessation [36], reducing alcohol consumption [37], safer sexual behaviors [34], and increasing physical activity [38] are reassuring even if the effect sizes tend to be small.”
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Resposta a necessidades em saúde mental de estudantes universitários: uma revisão rápida
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“However, research on ABI is marked by conflicting findings regarding efficacy and effectiveness across primary health care, emergency services, hospitals, criminal justice, workplaces, online, and other settings (23-29).”
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Multicultural web-based motivational interviewing for clients with a first-time DUI offense.
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“Most prior research testing early interventions for alcohol (and other drug use) has examined interventions delivered by therapists and/or static computer programs, with demonstrated efficacy in medical and university settings [62-74].”
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“If interventions focusing on dietary behavior [17], tobacco use [18], alcohol consumption [19] or depression [20] are already successfully proposed on the Internet, even with seniors [21], there is no reason for excluding PA from this innovative approach.”
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“When subjected to empirical tests of their effectiveness, self-guided Web-based interventions for problematic alcohol and substance use have consistently exhibited effect sizes that range from medium to disappointingly low [1,4,16-19].”
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O’Rourke, L., Humphris, G. M., & Baldacchino, A. (2016) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2016.07.021 · Cited by 26
“Previous reviews have specifically investigated computer-based (Khadjesari et al., 2011) or Internetbased approaches (White et al., 2010), however, there has been no systematic review focused upon electronic communication based interventions for hazardous young drinkers.”
Building the first step: a review of low-intensity interventions for stepped care
Mckellar, J. D., Austin, J. L., & Moos, R. H. (2012) · Addiction Science & Clinical Practice · doi:10.1186/1940-0640-7-26 · Cited by 26
“The content of these 77 articles was carefully examined by two reviewers who further excluded studies that had the following characteristics: provision of face-toface care, an insufficient follow-up rate to evaluate the intervention including failure to account for missing data, participant age <18, college samples (w…”
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“Several trials have been conducted evaluating the efficacy of these IBIs and, while the methodological rigor of the research varies [10], there is a growing body of research demonstrating the efficacy of IBIs to reduce heavy drinking on university campuses and in the general population [8,11-17].”
BackgroundShorter, G. W., Heather, N., Bray, J. W., Berman, A. H., Giles, E. L., O'Donnell, A. J., Barbosa, C., Clarke, M. J., Holloway, A. S., & Newbury‐Birch, D. (2019) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2019.80.299 · Cited by 26
“Systematic reviews of ABI trials do not always agree on the efficacy and effectiveness of ABIs to change alcohol use (e.g. Davoren et al., 2016; Kaner et al., 2018; Khadjesari et al., 2011; White et al., 2010).”
BackgroundSmartphone Application for Unhealthy Alcohol Use: A Pilot Study
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“A number of recent systematic reviews provide preliminary evidence of effectiveness for a range of computerized interventions [10,11].”
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“Computer-delivered interventions have been found to result in a reduction of 26 grams of alcohol per week (95% confidence interval (CI): −41 to −11) compared with minimally active comparator groups, such as assessment only and information-only websites [7].”
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“Reviews of technology-delivered interventions overall suggest positive effects for a range of problem behaviors, including for substance use (Khadjesari, Murray, Hewitt, Hartley, & Godfrey, 2011; Moore, Fazzino, Garnet, Cut-ter, & Barry, 2011; Portnoy, Scott-Sheldon, Johnson, & Carey, 2008; Riper…”
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“However, although computerized interventions have shown preliminary promise in accessing and treating suicidal ideation [27,28], as well as strong evidence in reducing problematic alcohol use [29-30], they are rarely tested on high risk individuals presenting with complex and multiple disorders [31].”
BackgroundOzer, E. M., Rowe, J., Tebb, K., Berna, M. S., Penilla, C., Giovanelli, A., Jasik, C. B., & Lester, J. C. (2020) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2020.04.022 · Cited by 21
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“However, these studies have largely focused nly on problematic alcohol use and have often targeted university tudent populations (Khadjesari et al., 2010; Moreira et al., 2009; ewman et al., 2011).”
Becker, S. J., Helseth, S. A., Janssen, T., Kelly, L. M., Escobar, K. I., Souza, T., Wright, T. G., & Spirito, A. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108457 · Cited by 20
Metadata
- Authors
- Khadjesari, Z., Murray, E., Hewitt, C., Hartley, S., & Godfrey, C.
- Affiliations
- The Royal Free Hospital (GB)
- University of York (GB)
- University of Leeds (GB)
- Corresponding author
- Khadjesari, Zarnie
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2010-11-18
- Volume
- 106
- Issue
- 2
- Pages
- 267-282
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W2113395701
- Semantic Scholar
- 141821c568f8383314be031bffa8a5e8809e9729
- Cited by
- 208
- References
- 82
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 9 · 2022: 6 · 2021: 13 · 2020: 10 · 2019: 11 · 2018: 18 · 2017: 20 · 2016: 17 · 2015: 28 · 2014: 21 · 2013: 16 · 2012: 24
- FWCI
- 1.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- computer-based intervention, alcohol consumption, binge drinking, alcohol consumption reduction, students, adults, skewed data, measures of central tendency, digital health interventions
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, Ethanol, Alcoholic Beverages, Data Interpretation, Statistical, Female, Humans, Male, Psychotherapy, Brief, Research Design, Students, Therapy, Computer-Assisted, Bias, Randomized Controlled Trials as Topic, Treatment Outcome
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