scholarly journals Effectiveness of a web-based self-help program to reduce alcohol use in adults with drinking patterns considered harmful, hazardous, or suggestive of dependence: first results from a randomized controlled trial in four low- to middle-income countries (Preprint)

10.2196/21686 ◽  
2020 ◽  
Author(s):  
Michael P. Schaub ◽  
Marcela Tiburcio ◽  
Nora Martinez-Velez ◽  
Atul Ambekar ◽  
Roshan Bhad ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Alcohol Use ◽  
Controlled Trial ◽  
Drinking Patterns ◽  
Middle Income ◽  
Web Based ◽  
Middle Income Countries ◽  
Randomized Controlled ◽  
Self Help ◽  
First Results

scholarly journals The Effectiveness of a Web-Based Self-Help Program to Reduce Alcohol Use Among Adults With Drinking Patterns Considered Harmful, Hazardous, or Suggestive of Dependence in Four Low- and Middle-Income Countries: Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Michael P Schaub ◽  
Marcela Tiburcio ◽  
Nora Martínez-Vélez ◽  
Atul Ambekar ◽  
Roshan Bhad ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Health Program ◽  
Controlled Trial ◽  
Alcohol Prevention ◽  
Middle Income ◽  
Web Based ◽  
Middle Income Countries ◽  
Randomized Controlled ◽  
Self Help ◽  
Audit Score

BACKGROUND Given the scarcity of alcohol prevention and use disorder treatments in many low- and middle-income countries (LMICs), the World Health Organization has launched an eHealth portal that includes the web-based self-help program “Alcohol e-Health.” OBJECTIVE We aimed to test the effectiveness of the Alcohol e-Health program in a randomized controlled trial. METHODS This was a two-arm, individually randomized, and controlled trial across four LMICs comparing the self-help program and a psychoeducation and internet access as usual waiting list. Participants were broadly recruited from community samples in Belarus, Brazil, India, and Mexico from January 2016 through January 2019. The primary outcome measure was change in the Alcohol Use Disorders Identification Test (AUDIT) score with a time frame of 6 months between baseline and follow-up. Secondary outcomes included self-reported numbers of standard drinks over the previous week and cessation of harmful or hazardous drinking (AUDIT score &lt;8). RESULTS For this study, we recruited 1400 predominantly male (n=982, 70.1%) at least harmful or hazardous alcohol drinkers. The mean age was 37.6 years (SD 10.5). The participants were recruited from Brazil (n=587), Mexico (n=509), India (n=212), and Belarus (n=92). Overall, complete case analysis identified higher AUDIT changes in the intervention group (<i>B</i>=−4.18, 95% CI −5.42 to −2.93, <i>P</i>&lt;.001, <i>d</i>=0.56) that were mirrored by changes in weekly standard drinks (<i>B</i>=−9.34, 95% CI −15.90 to −2.77, <i>P</i>=.005, <i>d</i>=0.28) and cessation rates for harmful or hazardous drinking (χ<sup>2</sup><sub>1</sub>=14.56, N=561, <i>P</i>&lt;.001). The supplementary intention-to-treat analyses largely confirmed these initial results. CONCLUSIONS The expansion of the Alcohol e-Health program to other LMICs with underdeveloped alcohol prevention and treatment systems for alcohol use disorders should be considered after successful replication of the present results. CLINICALTRIAL ISRCTN ISRCTN14037475; https://www.isrctn.com/ISRCTN14037475 INTERNATIONAL REGISTERED REPORT RR2-10.1111/add.14034

scholarly journals Alcohol e-Help: study protocol for a web-based self-help program to reduce alcohol use in adults with drinking patterns considered harmful, hazardous or suggestive of dependence in middle-income countries

Addiction ◽  
2017 ◽  
Vol 113 (2) ◽  
pp. 346-352 ◽  
Author(s):  
Michael P. Schaub ◽  
Marcela Tiburcio ◽  
Nora Martinez ◽  
Atul Ambekar ◽  
Yatan Pal Singh Balhara ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Study Protocol ◽  
Drinking Patterns ◽  
Middle Income ◽  
Web Based ◽  
Middle Income Countries ◽  
Self Help

scholarly journals Effectiveness of a Web-Based Guided Self-help Intervention for Outpatients With a Depressive Disorder: Short-term Results From a Randomized Controlled Trial

2016 ◽  
Vol 18 (3) ◽  
pp. e80 ◽  
Author(s):  
Robin Maria Francisca Kenter ◽  
Pim Cuijpers ◽  
Aartjan Beekman ◽  
Annemieke van Straten
Keyword(s):  
Randomized Controlled Trial ◽  
Depressive Disorder ◽  
Controlled Trial ◽  
Short Term ◽  
Web Based ◽  
Randomized Controlled ◽  
Self Help

scholarly journals Effectiveness of a Web-Based Self-Help Program for Suicidal Thinking in an Australian Community Sample: Randomized Controlled Trial

2018 ◽  
Vol 20 (2) ◽  
pp. e15 ◽  
Author(s):  
Bregje AJ van Spijker ◽  
Aliza Werner-Seidler ◽  
Philip J Batterham ◽  
Andrew Mackinnon ◽  
Alison L Calear ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Community Sample ◽  
Web Based ◽  
Suicidal Thinking ◽  
Randomized Controlled ◽  
Self Help ◽  
Australian Community

scholarly journals mHealth Messaging to Motivate Quitline Use and Quitting: Protocol for a Community-Based Randomized Controlled Trial in Rural Vietnam (Preprint)

2021 ◽  
Author(s):  
Celine Larkin ◽  
Jessica Wijesundara ◽  
Hoa L Nguyen ◽  
Duc Anh Ha ◽  
Anh Vuong ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Smoking Cessation ◽  
Text Messaging ◽  
Health Workers ◽  
Controlled Trial ◽  
Text Messages ◽  
Community Based ◽  
Middle Income ◽  
Middle Income Countries ◽  
Randomized Controlled

BACKGROUND Tobacco kills more than 8 million people each year, mostly in low- and middle-income countries. In Vietnam, 1 in every 2 male adults smokes tobacco. Vietnam has set up telephone Quitline counseling that is available to all smokers, but it is underused. We previously developed an automated and effective motivational text messaging system to support smoking cessation among US smokers. OBJECTIVE The aim of this study is to adapt the aforementioned system for rural Vietnamese smokers to promote cessation of tobacco use, both directly and by increasing the use of telephone Quitline counseling services and nicotine replacement therapy. Moreover, we seek to enhance research and health service capacity in Vietnam. METHODS We are testing the effectiveness of our culturally adapted motivational text messaging system by using a community-based randomized controlled trial design (N=600). Participants were randomly allocated to the intervention (regular motivational and assessment text messages) or control condition (assessment text messages only) for a period of 6 months. Trial recruitment took place in four communes in the Hung Yen province in the Red River Delta region of Vietnam. Recruitment events were advertised to the local community, facilitated by community health workers, and occurred in the commune health center. We are assessing the impact of the texting system on 6-month self-reported and biochemically verified smoking cessation, as well as smoking self-efficacy, uptake of the Quitline, and use of nicotine replacement therapy. In addition to conducting the trial, the research team also provided ongoing training and consultation with the Quitline during the study period. RESULTS Site preparation, staff training, intervention adaptation, participant recruitment, and baseline data collection were completed. The study was funded in August 2017; it was reviewed and approved by the University of Massachusetts Medical School Institutional Review Board in 2017. Recruitment began in November 2018. A total of 750 participants were recruited from four communes, and 700 (93.3%) participants completed follow-up by March 2021. An analysis of the trial results is in progress; results are expected to be published in late 2022. CONCLUSIONS This study examines the effectiveness of mobile health interventions for smoking in rural areas in low- and middle-income countries, which can be implemented nationwide if proven effective. In addition, it also facilitates significant collaboration and capacity building among a variety of international partners, including researchers, policy makers, Quitline counselors, and community health workers. CLINICALTRIAL ClinicalTrials.gov NCT03567993; https://clinicaltrials.gov/ct2/show/NCT03567993. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/30947

A Web-Based, Computer-Tailored Intervention to Reduce Alcohol Consumption and Binge Drinking Among Spanish Adolescents: Cluster Randomized Controlled Trial (Preprint)

2019 ◽  
Author(s):  
José Manuel Martinez-Montilla ◽  
Liesbeth Mercken ◽  
Hein de Vries ◽  
Math Candel ◽  
Joaquín Salvador Lima-Rodríguez ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Regression Analysis ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Controlled Trial ◽  
Baseline Assessment ◽  
Web Based ◽  
Randomized Controlled ◽  
Cluster Randomized

BACKGROUND Alcohol consumption, including binge drinking (BD) and heavy episodic drinking (HED), is one of the leading risk factors among Spanish adolescents leading to significant social, health, and economic consequences. Reduction of BD and HED in adolescents can be achieved using Web-based, computer-tailored (CT) interventions, providing highly personalized feedback that is adapted to a person’s individual characteristics and needs. Randomized controlled trials assessing the effects of tailored BD reduction programs among Spanish adolescents are scarce. OBJECTIVE The aim of this study was to test the effectiveness of the Web-based, CT intervention Alerta Alcohol, aimed at the prevention of BD in Spanish adolescents. As a secondary outcome, effects on HED, weekly consumption, and any consumption were also assessed. The adherence and process evaluation were assessed. METHODS A cluster randomized controlled trial conducted among 15 Spanish schools was developed. Each school was randomized into either an experimental condition (EC) (N=742) or a control condition (CC) (N=505). Finally, 351 participants for the EC and 261 for the CC were included in the analysis (N=612). Baseline assessment took place in January and February 2017. Demographic variables and alcohol use were assessed at baseline. Follow-up assessment of alcohol use took place 4 months later in May and June 2017. Participants were compared according to their randomization group (EC versus CC). After the baseline assessment, participants in the EC started the intervention, which consisted of short stories about BD, in which CT feedback was based on the I-Change Model for behavior change. Participants in the CC group only received the baseline questionnaire. Effects of the intervention were assessed using a three-level mixed logistic regression analysis for BD, HED, and any consumption, and a three-level mixed linear regression analysis for weekly consumption. RESULTS In total, 1247 adolescents participated in the baseline assessment and 612 participated in the follow-up assessment; the attrition rate was 50.92%. The intervention was effective in reducing HED among adolescents; the odds of HED in the CC was nine times that in the experimental condition (<i>P</i>=.04). No effects were found for BD, weekly consumption, and any consumption. Process evaluations revealed that the adolescents were satisfied with the program (68.8%), would use the program again (52.9%), and would recommend it to someone else (62.8%). Females and non-binge drinkers showed better responses in the process evaluation. CONCLUSIONS Our intervention was effective regarding HED but not regarding BD, weekly consumption, and any consumption. It may be that limiting alcohol consumption to prevent HED was easier in the Spanish context than it was to carry out further steps, such as reducing other patterns of alcohol consumption. Hence, additional actions are needed to accomplish these latter goals, including community approaches and policy actions aimed at denormalizing alcohol consumption among Spanish adolescents. CLINICALTRIAL ClinicalTrials.gov NCT03288896; https://clinicaltrials.gov/ct2/show/NCT03288896 INTERNATIONAL REGISTERED REPORT RR2-10.1186/s12889-018-5346-4

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