User Ratings of a Web-Based Personalized Alcohol Misuse Prevention Feedback Program

This study evaluated the efficacy of a Web-based personalized feedback program aimed at reducing drinking in freshman intercollegiate athletes. The program was offered through the Athletic Department freshman seminar at a NCAA Division I university. Seminar sections were randomly assigned to one of two conditions: Web-based personalized feedback (WPF) or Web-based education (WE). Assessment measures were completed at baseline, 6 weeks, and 3 months. Athletes were classified as high-risk or low-risk drinkers based on baseline reports of binge drinking. Results indicated for high-risk athletes, students in the WPF condition reported significantly greater reductions in drinking and changes in beliefs about peer drinking than those in the WE condition. In addition, reductions in drinking were related to reductions in peer drinking estimates for athletes in the WPF group. Findings provide initial support for the efficacy of Web-based personalized feedback for reducing the quantity and frequency of heavy drinking in freshman intercollegiate athletes.

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Alcohol Consumption Reduction Among a Web-Based Supportive Community Using the Hello Sunday Morning Blog Platform: Observational Study (Preprint)

10.2196/preprints.9605 ◽

2017 ◽

Author(s):

Jessica Jane Louise Kirkman ◽

Briony Leo ◽

Jamie Christopher Moore

Keyword(s):

Public Health ◽

Alcohol Consumption ◽

Alcohol Misuse ◽

Drinking Behavior ◽

Alcohol Use Disorders ◽

Public Health Issue ◽

Sunday Morning ◽

Web Based ◽

Lower Alcohol ◽

Supportive Community

BACKGROUND Alcohol misuse is a major social and public health issue in Australia, with an estimated cost to the community of Aus $30 billion per annum. Until recently, a major barrier in addressing this significant public health issue is the fact that the majority of individuals with alcohol use disorders and alcohol misuse are not receiving treatment. OBJECTIVE This study aimed to assess whether alcohol consumption changes are associated with participation in Hello Sunday Morning’s blog platform, an online forum discussing experiences in abstaining from alcohol. METHODS The study reports on Hello Sunday Morning participants who signed up for a 3-month period of abstinence from November 2009 to November 2016. The sample comprised 1917 participants (female: 1227/1917, 64.01%; male: 690/1917, 35.99%). Main outcome measures were Alcohol Use Disorders Identification Test (AUDIT) scores, mood, program engagement metrics, and slip-ups. RESULTS Individuals who reported hazardous (preprogram AUDIT mean 11.92, SD 2.25) and harmful consumption levels (preprogram AUDIT mean 17.52, SD 1.08) and who engaged in the Hello Sunday Morning program reported a significant decrease in alcohol consumption, moving to lower risk consumption levels (hazardous, mean 7.59, SD 5.70 and harmful, mean 10.38, SD 7.43), 4 months following program commencement (P<.001). Those who reported high-risk or dependent consumption levels experienced the biggest reduction (preprogram mean 25.38, SD 4.20), moving to risky consumption (mean 15.83, SD 11.11), 4 months following program commencement (P<.001). These reductions in risk were maintained by participants in each group, 7 months following program commencement. Furthermore, those who engaged in the program more (as defined by more sign-ins, blogs posted, check-ins completed, and engagement with the community through likes and following) had lower alcohol consumption. Finally, those who experienced more slip-ups had lower alcohol consumption. CONCLUSIONS Participation in an online forum can support long-term behavior change in individuals wishing to change their drinking behavior. Importantly, reductions in AUDIT scores appeared larger for those drinking at high-risk and hazardous levels before program commencement. This has promising implications for future models of alcohol reduction treatment, as online forums are an anonymous, accessible, and cost-effective alternative or adjunct to treatment-as-usual. Further research is needed into the specific mechanisms of change within a Web-based supportive community, as well as the role of specific mood states in predicting risky drinking behavior.

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