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 Pragmatic randomized controlled trial of an internet-based intervention for alcohol use among college students: perceived motivation as a moderating effect (Preprint)

2018 ◽  
Author(s):  
Andre Bedendo ◽  
Cleusa Pinheiro Ferri ◽  
Altay Alves Lino Souza ◽  
André Luiz Monezi Andrade ◽  
Ana Regina Noto
Keyword(s):  
College Students ◽  
Randomized Controlled Trial ◽  
Alcohol Use ◽  
Controlled Trial ◽  
Intervention Effects ◽  
Web Based ◽  
Pragmatic Randomized Controlled Trial ◽  
Randomized Controlled ◽  
Audit Score ◽  
Low Motivation

BACKGROUND aaa OBJECTIVE to evaluate the effectiveness of a web-based personalized normative feedback (PNF) intervention in reducing alcohol use and negative consequences among college students with different motivation levels for receiving the intervention. METHODS : Parallel-group pragmatic randomized controlled trial among college drinkers aged 18 to 30 years from all Brazilian regions. Participants were randomized to a Control (assessment only) or PNF group - 1) drinking profile; 2) normative comparisons; 3) practical costs; 4) alcohol consequences; 5) strategies to decrease risks. Outcomes were: AUDIT scores (primary outcome), the maximum number of drinks, the number of consequences, the frequency of use and number of typical drinks. Motivation for receiving the intervention was assessed with a continuous scale (range=0-10) and students were categorized either as having low motivation (score <3) or being motivated (score ≥3). Students were followed after 1, 3 and 6 months (N=4,460). Generalized mixed models assessed intervention effects via two paradigms: observed cases and attrition models (multiple imputation and pattern-mixture). RESULTS Regardless of motivation, the PNF reduced typical drinks after 1 and 3 months and maximum drinks after one month (observed and attrition models), compared to the control. When considering motivation, motivated students (N=3,552) receiving PNF reduced the typical drinks after one (b=-0.51, 95CI:-0.76;-0.27, p<0.001), three (b=-0.60, 95CI:-0.91;-0.29, p<0.001) and six months (b=-0.58, 95CI:-0.93;-0.23, p=0.001), compared to control. Attrition models showed that effects were more robust after 1 and 3 months. In contrast, students with low motivation in the PNF group increased their AUDIT score after 6 months. There were no other significant effects. CONCLUSIONS The web-based PNF for alcohol use among college students reduced only alcohol use among students, and motivation for receiving the intervention moderated the intervention effects. The intervention reduced the alcohol use only among motivated students, whereas low motivated students had an increased AUDIT score. CLINICALTRIAL NCT02058355. https://clinicaltrials.gov/ct2/show/NCT02058355

scholarly journals SMS education for the promotion of diabetes self-management in low & middle income countries: a pilot randomized controlled trial in Egypt

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Haitham Abaza ◽  
Michael Marschollek
Keyword(s):  
Glycemic Control ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Self Management ◽  
Chi Square ◽  
Middle Income ◽  
Middle Income Countries ◽  
Randomized Controlled ◽  
Secondary Outcomes ◽  
Management Behaviors

Abstract Background Due to the ubiquity of mobile phones in low and middle income countries, we aimed to examine the feasibility of SMS education among diabetic patients in Egypt, and assess the impact of educational text messages, compared to traditional paper-based methods, on glycemic control and self-management behaviors. Methods We conducted a 12-week randomized controlled trial at Misr University for Science & Technology hospital in Cairo-Egypt. Known as MUST diabetes awareness program, patients were included if they had diabetes, owned a mobile phone, and could read SMS messages or lived with someone that could read for them. Intervention patients received daily messages and weekly reminders addressing various diabetes care categories. We expected greater improvement in their glycemic control compared to controls who only received paper-based educational material. The primary outcome was the change in HbA1c, measured by the difference between endpoint and baseline values and by the number of patients who experienced at least 1% reduction from baseline to endpoint. Key secondary outcomes included blood glucose levels, body weight, treatment and medication adherence, self-efficacy, and diabetes knowledge. Data were analyzed using ANCOVA, chi-square, and t-tests. Results Thirty four intervention and 39 control patients completed the study. Over 12 weeks, 3880 messages were sent. Each intervention patient received 84 educational and 12 reminder messages plus one welcome message. Our primary outcome did not differ significantly (Δ 0.290; 95% CI -0.402 to 0.983; p = 0.406) between groups after 3 months, demonstrating a mean drop of −0.69% and −1.05% in the control and intervention group respectively. However, 16 intervention patients achieved the targeted 1% drop versus only 6 controls, suggesting clear association between study group and 1% HbA1c reductions (chi-square = 8.655; df = 1; p = 0.003). Secondary outcomes seemed in favor of intervention patients at endpoint, with considerable improvements in treatment and medication adherence, self-efficacy, and knowledge scores. Participants also indicated full satisfaction with the program. Conclusions SMS education is a feasible and acceptable method for improving glycemic control and self-management behaviors among Egyptian diabetics. However, whether it is more effective than traditional paper-based methods needs further investigation. Trial registration ClinicalTrials.govNCT02868320. Registered 9 August 2016. Retrospectively registered.

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
Sign in / Sign up

Export Citation Format

Share Document