Targeting individuals with problematic alcohol use via web-based cognitive-behavioral self-help modules, personalized screening feedback or assessment only: a randomized controlled trial
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BACKGROUND/AIMS: Most problematic alcohol users never seek professional help to reduce their use, and Web-based interventions might fulfill users' unmet needs for professional support. METHODS: This randomized controlled trial compared two open Web-based interventions, one extended self-help program and one brief screening and feedback intervention, with an assessment-only control group. Participants were 633 Internet help seekers with at least hazardous alcohol use (Alcohol Use Disorders Identification Test, AUDIT ≥6 for women and ≥8 for men). RESULTS: All groups reduced their alcohol use at 3-month follow-up (p < 0.001), remaining stable at the 6- and 12-month follow-ups (n.s.) according to AUDIT-C and AUDIT scores (intention-to-treat, ITT, analysis). Per protocol (PP) analysis, including only participants who accessed the interventions and also reported accessing additional outside interventions during the trial, showed that about 75% of extended self-help participants moved from probable dependence, harmful or hazardous use to lower alcohol use levels at 3- and 6- and 12-month follow-ups, compared to about 40-60% of brief intervention users and controls who accessed extra help (p < 0.05). CONCLUSION: ITT analysis suggested parity over time for all interventions, including assessment only, in reducing problematic alcohol use. In contrast, PP analysis suggested that cognitive-behavioral extended self-help in combination with other interventions was more effective in changing alcohol use than brief intervention or assessment only.
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At 3-month follow-up, all groups showed a significant decrease on AUDIT and AUDIT-C; scores remained stable at 6 and 12 months.
“3-month follow-up: all groups show a significant ↓ on AUDIT and AUDIT-C; scores remain stable at 6- and 12 months.”
From Online and Mobile Interventions for Problem Gambling, Alcohol, and Drugs: A Systematic Review (2017) · cites this paper as Sinadinovic et al. (2014)
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- Authors
- Sinadinovic, K., Wennberg, P., Johansson, M., & Berman, A. H.
- Affiliations
- Karolinska Institutet (SE)
- Stockholm University (SE)
- Venue
- European Addiction Research
- Publisher
- S. Karger AG
- Published
- 2014
- Volume
- 20
- Issue
- 6
- Pages
- 305-318
- ISSN
- 1022-6877 (ISSN-L)
- 1421-9891
- OpenAlex
- W2012771571
- Cited by
- 70
- References
- 53
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 4 · 2022: 10 · 2021: 11 · 2020: 10 · 2019: 8 · 2018: 4 · 2017: 7 · 2016: 7 · 2015: 4 · 2014: 1
- FWCI
- 4.79
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Addiction Research (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- Socialstyrelsen
- 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
- alcohol abuse, online intervention, personalized feedback, alcohol consumption reduction, hazardous drinking, alcoholism, auditing
- MeSH terms
- Adolescent, Adult, Alcoholism, Diagnosis, Computer-Assisted, Feedback, Female, Humans, Male, Mass Screening, Middle Aged, Self Care, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome, Internet, Young Adult
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