scholarly journals Identification of alcohol use disorders among women in the Republic of Khakassia

2021 ◽  
Vol 57 (4) ◽  
pp. 86-96
Author(s):  
E. V. Fadeeva ◽  
V. I. Garder ◽  
O. I. Indinok ◽  
Y. V. Patlasova
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Healthy Lifestyle ◽  
Psychological Support ◽  
Low Risk ◽  
Red Cross ◽  
Risk Level ◽  
Alcohol Dependency ◽  
Risky Alcohol ◽  
The Republic

The article presents results of a regional project to prevent and reduce the prevalence of alcohol consumption among women in the Republic of Khakassia (Eastern Siberia, Russian Federation). In addition to the main preventive goal of reducing alcohol consumption among groups of women covered by the project, there was an objective to conduct screening using the AUDIT test and provide motivational counseling in case of identifying alcohol-related problems. 691 women took part in screening, among them 202 at enterprises of the Republic of Khakassia, and 489 when seeking social/psychological support to the Khakass Republican Branch of the Russian Red Cross, as well as to local branches of the Red Cross in other cities of the Republic of Khakassia. Levels of risk related to alcohol use were identified, based on the results of the screening the studied groups of women. Depending on the risk level, three types of socio-psychological interventions were carried out: informing about harmful consequences of alcohol use and the need to maintain a healthy lifestyle; motivational counseling; motivating women for treatment of dependency.Majority of women who were screened at workplaces were more likely to use alcohol with low risk (78.2%), much smaller proportion of women had risky alcohol consumption (14.4%), alcohol consumption with harmful consequences (2.5%) or signs of alcohol dependency (2.0%). Among women who applied for social and psychological support to branches of the Russian Red Cross, prevalence of low-risk use was lower (43.4%), and risky alcohol use (31.3%), alcohol use with harmful consequences (10.6%) or signs of alcohol dependency (14.5%) were significantly higher.

scholarly journals Satisfaction With Life, Mental Health Problems and Potential Alcohol-Related Problems Among Norwegian University Students

2021 ◽  
Vol 12 ◽  
Author(s):  
Pia Jensen ◽  
Ellen Haug ◽  
Børge Sivertsen ◽  
Jens Christoffer Skogen
Keyword(s):  
Mental Health ◽  
Logistic Regression ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Satisfaction With Life ◽  
Mental Health Problems ◽  
Health Problems ◽  
Harmful Alcohol ◽  
Risky Alcohol ◽  
Alcohol Related Problems

Objective: Recent studies have shown that today's college students more than ever are struggling with mental health and alcohol problems. While poor satisfaction with life and mental health problems have been linked to higher alcohol consumption, there is still a lack of studies examining in detail the shape and nature of the relationship between mental health and alcohol consumption.Aim: To investigate the associations between satisfaction with life, mental health problems and potential alcohol-related problems among Norwegian university students. The shape of the associations was also examined.Methods: Data were drawn from a 2018 national survey of students in higher education in Norway (the SHoT-study). Associations between satisfaction with life, mental health problems and potential alcohol-related problems (AUDIT; risky and harmful alcohol use) were investigated using logistic regression. Both crude models and models adjusted for age, gender and marital status were conducted. To investigate the shape of the associations, logistic regression with quadric and cubic terms was tested.Results: Decreased satisfaction with life and increased mental health problems were associated with potential alcohol-related problems. For satisfaction with life, a curvilinear association with risky alcohol use and a linear association with harmful alcohol use was identified. For mental health problems, curvilinear associations were found for both risky and harmful alcohol use.Conclusion: Many students report potential alcohol-related problems. Students with harmful alcohol use seem to be more at risk of reduced satisfaction with life and increased mental health problems than students with risky alcohol use. Educational institutions may be an ideal setting for raising awareness of mental health issues and responsible alcohol consumption among students. The present study contributes with important information about the shape of the associations between satisfaction with life, mental health problems and potential alcohol-related problems in the student population.

Perceptions of benefits and harms of alcohol consumption as predictors of alcohol cessation in adult cancer survivors.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 9595-9595
Author(s):  
Geoffrey Liu ◽  
Dan Pringle ◽  
Osvaldo Espin-Garcia ◽  
Chongya Niu ◽  
Mary Mahler ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Cancer Survivors ◽  
Healthy Lifestyle ◽  
Healthcare Providers ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Logistic Regression Models ◽  
Adult Cancer Survivors ◽  
Alcohol Cessation

9595 Background: Survivorship programs are being developed at many cancer centers, addressing secondary prevention and healthy lifestyle issues. We evaluated whether perceptions regarding the harms and benefits of alcohol use influenced alcohol cessation or recidivism in adult cancer survivors. Methods: 531 cancer patients of all subtypes were surveyed at a comprehensive cancer center for their alcohol habits before and after cancer diagnosis and their perception of benefits/harms for continued drinking. Multivariate logistic regression models evaluated the association of each variable with change in alcohol consumption after diagnosis adjusted for significant socio-demographic and clinico-pathological covariates. Results: Among 325 current drinkers at diagnosis, 55% quit or cut down their alcohol consumption 1 year after diagnosis, while 16% of 95 ex-drinkers at diagnosis restarted drinking at 1 year. Negative perceptions of the effects of alcohol on the individual patient were strongly associated with cessation: the adjusted odds ratio (aOR) of quitting were significant for a perceived negative effect on quality of life (aOR=2.2, p=0.006), survival (aOR=3.8, p=1.3E-5), fatigue (aOR=3.1, p=4.6E-5) or an increased chance in self-harm (aOR=2.6, p=0.01). Perceptions of how alcohol affected the average cancer patient had similar associations. While perceptions did not influence alcohol recidivism rates, receiving chemotherapy was the only variable associated with continued abstinence (aOR=5.5, p=0.007). Although only 8% of patients received alcohol cessation information from an oncologist, it had the greatest impact on cessation (aOR=6.6, p=0.006), an association not seen with other information sources or other healthcare providers. Conclusions: Perception to the negative effects of alcohol use on their health in cancer survivors strongly predicted for alcohol cessation. The oncologist had a most significant counselling role for alcohol cessation.

scholarly journals Risky Behaviours of Spanish University Students: Association with Mediterranean Diet, Sexual Attitude and Chronotype

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4042
Author(s):  
Pedro Manuel Rodríguez-Muñoz ◽  
Juan Manuel Carmona-Torres ◽  
Cristina Rivera-Picón ◽  
Ignacio Morales-Cané ◽  
Fabio Fabbian ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
University Students ◽  
Mediterranean Diet ◽  
Fast Food ◽  
Healthy Lifestyle ◽  
Heavy Drinking ◽  
Extrinsic Factors ◽  
Risky Alcohol ◽  
Risky Alcohol Consumption ◽  
The Mediterranean

The most common drugs that are consumed by young people are alcohol and tobacco, which are especially prevalent in universities. These risk behaviours can be determined by a series of intrinsic and extrinsic factors. The aim of this study was to evaluate the consumption of alcohol and tobacco by Spanish university students and the relationship between the Mediterranean diet, sexual attitudes and opinions, and chronotype. A multicentre observational study enrolled 457 students from two public universities in Spain. The study period was from December 2017 to January 2018. The majority of the participants consumed alcohol (90.2%), tobacco consumption was low (27.2%), with a high percentage of students (78.6%) having a low dependence on nicotine. The surveyed students demonstrated a high adherence to the Mediterranean diet, which was shown to be associated with less risky alcohol consumption. The Mediterranean diet is a part of healthy lifestyle, and avoiding heavy drinking results in the intention to maintain such a lifestyle. In addition, unhealthy eating habits (skipping breakfast, eating sweets and pastries daily, and fast-food consumption) had a tendency to induce risky alcohol consumption. Therefore, to promote healthy lifestyle habits, it is considered important to establish programs that promote healthy diets in university settings and to evaluate them periodically.

scholarly journals A Health Technician-delivered Brief Intervention linked to AUDIT for reduction of alcohol use in Chilean primary care: a randomized controlled trial

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Nicolas A. Barticevic ◽  
Fernando Poblete ◽  
Soledad M. Zuzulich ◽  
Victoria Rodriguez ◽  
Diego Quevedo ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Controlled Trial ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Controlled Trial ◽  
Secondary Outcome ◽  
Randomized Controlled ◽  
Risky Alcohol ◽  
Risky Alcohol Consumption ◽  
Audit Score

Abstract Background Because of the shortage of health professionals in Chilean primary care, Health Technicians (HT) are providing Brief Interventions (BI) for risky alcohol consumption. We compared the efficacy of two AUDIT-linked interventions provided by HTs: an informative leaflet and a BI plus leaflet. Methods This is a parallel-group randomized controlled trial with 1:1 randomization. Participants were identified through screening with the Alcohol Use Disorders Identification Test (AUDIT) at five primary care centers between March 2016 and July 2017. People older than 18 years at intermediate-risk (AUDIT score 8 to 15, inclusive) were randomized to receive either an HT-delivered BI (n = 174) or an informative leaflet (n = 168). Only data from participants (n = 294) who completed the 6-month assessment were analyzed. The leaflet was delivered without further advice. It contains alcohol consumption limits, a change planner, and strategies to decrease drinking. The BI was a 5-min discussion on the leaflet´s content plus normative feedback, tailored information on alcohol and health, and a change plan. The change in the AUDIT risk category six months after randomization (primary outcome) was compared among groups with a Chi-squared test. Changes in the secondary outcomes, which were scores on the AUDIT and the AUDIT´s consumption items (AUDIT-C), were compared with T-tests. Mixed-effects linear models adjusted for potential confounders. Outcome adjudicators were blinded to group assignment. Results At 6-month follow-up, low-risk alcohol consumption was observed in 119 (80%) participants in the BI group, and in 103 (71%) in the leaflet group, with no difference among groups ($$\chi 2$$ χ 2 [1, N = 294] = 2.6, p = 0.1; adjusted odds ratio 0.6; 95% confidence interval [CI] 0.34, 1.05). The mean AUDIT score decreased by 5.76 points in the BI group, and by 5.07 in the leaflet group, which represents a 0.86 AUDIT point reduction attributable to the BI (secondary outcome) (T = 2.03, p = 0.043; adjusted mean difference 0.86 CI 0.06, 1.66). Conclusions The AUDIT-linked BI delivered by HTs was not associated with a greater reduction of risky alcohol consumption than an informative leaflet. Delivering a leaflet could be more efficient than a BI when provided by HTs; however, more research on the effectiveness of the leaflet is needed. Trial registration ClinicalTrials.gov NCT02642757 (December 30, 2015) https://clinicaltrials.gov/ct2/show/NCT02642757.

scholarly journals Risky alcohol consumption, dependency symptoms and minority stress in sexual minority young people

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Demant ◽  
B Saliba
Keyword(s):  
High Risk ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Young People ◽  
Binge Drinking ◽  
Sexual Minority ◽  
Minority Stress ◽  
Online Survey ◽  
Risky Alcohol ◽  
Risky Alcohol Consumption

Abstract Background Sexual Minority Young People (SMYP) use alcohol, tobacco and other drugs at disproportionate levels when compared to their heterosexual counterparts. Limited research has been conducted on dependency symptoms in this population as well as correlations between risky use of alcohol and minority stress including potential differences between identity subgroups. Methods A cross-sectional online survey was completed by 1,556 SMYPs (mean age: 22.6 years) from Australia. Variables include demographics, alcohol use, dependency symptoms and different dimensions of minority stress. Descriptive and correlational analyses, and binary logistic regressions were conducted. Results Most participants surveyed identified as gay or lesbian (59%) and as men (55%). Regular binge drinking (43%), as well as general high-risk alcohol use (52%), was prevalent in the sample. Dependency symptoms were also common in the sample including health, social, legal or financial problems as a result of alcohol consumption (17%). Meaningful differences in consumption and symptoms between subgroups were identified. Minority stress, including negative family reactions and homophobic harassment were significantly correlated with higher alcohol use and dependency symptoms. Conclusions High-risk alcohol consumption including binge drinking as well as dependency symptoms are highly prevalent in Australian SMYP but are not distributed equally across subgroups. Public health initiatives should consider targeting SMYP subgroups and concentrate on the role of alcohol as a potential maladaptive coping mechanism for minority stress. Key messages Risky alcohol consumption and dependency symptoms common in sexual minority young people but not equally distributed in subgroups. Minority stress likely to be linked to risky alcohol consumption and dependency symptoms.

scholarly journals Comparing theoretical models for the understanding of health-risk behaviour: Towards an integrative model of adolescent alcohol consumption

2020 ◽  
Vol 16 (3) ◽  
pp. 418-436 ◽  
Author(s):  
Andrea Caputo
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Structural Equation ◽  
Explanatory Power ◽  
Subjective Norms ◽  
Integrative Model ◽  
Online Questionnaire ◽  
Risky Behaviour ◽  
Cross Sectional ◽  
Risky Alcohol

The aim of the present manuscript is to test and compare the theory of reasoned action (TRA), theory of planned behaviour (TPB) and prototype-willingness model (PWM) in predicting risky alcohol consumption among adolescents and to build an integrative model to get a more comprehensive understanding of such risky behaviour. A total sample of 518 adolescents (55% females; 13-19 aged) recruited from Italian schools (7th to 12th grade) participated in a cross-sectional research study and completed an online questionnaire. Risky alcohol use assessed through the AUDIT-C was the dependent variable; whereas, variables from the TRA, TPB, and PWM (i.e. attitude, subjective norms, perceived behavioural control, intention, prototype favourability and similarity, and willingness to alcohol use) were used as predictors. Data were analysed using structural equation modelling (SEM). The findings show that the integrative model had greater explanatory power and provided a better fit to the data, compared to the TRA, TPB, and PWM, indicating attitudes and subjective norms as the best predictors. In conclusion, perceived social approval from significant others and the volitional component have a central role in understanding adolescents’ alcohol consumption.

scholarly journals Users’ Intrinsic Goals Linked to Alcohol Dependence Risk Level and Engagement With a Health Promotion Website (Hello Sunday Morning): Observational Study (Preprint)

2018 ◽  
Author(s):  
Emma L Bradshaw ◽  
Baljinder K Sahdra ◽  
Rafael A Calvo ◽  
Alex Mrvaljevich ◽  
Richard M Ryan
Keyword(s):  
Health Promotion ◽  
Alcohol Use ◽  
Alcohol Dependence ◽  
Personal Growth ◽  
World Health ◽  
Risk Level ◽  
Alcohol Dependency ◽  
Sunday Morning ◽  
Extrinsic Goals ◽  
Intrinsic Goals

BACKGROUND Hello Sunday Morning (HSM) is a self-guided health promotion website with the aim to improve drinking culture. Members are encouraged to sign up for a 3-month period of alcohol abstention and record and track their progress and goals. OBJECTIVE This study used self-determination theory (SDT) to examine the nature of goals subscribed by HSM users to test the extent to which intrinsic goal pursuit was linked to lower alcohol dependency risk and higher engagement with the HSM website. METHODS HSM users (N=2216; 59.75%, 1324/2216, females; aged 18-79 years) completed the World Health Organization’s Alcohol Use Disorders Identification Test (WHO-AUDIT, which measures alcohol dependence risk level) at sign-up and at 4 and 6 months after sign-up. In addition, the website had a goals-subscription feature that allowed participants to share their goals. Two independent raters classified the goals according to a coding system we devised based on SDT, which proposes that intrinsic goals (eg, growth, relationships, community, and health) better promote positive outcomes than extrinsic goals (eg, wealth, fame, and image). RESULTS Although there was substantial (1016/2216, 45.84%) attrition of HSM users from sign-up to 6 months, the attrition rate could not be attributed to alcohol dependency risk because people in different WHO-AUDIT risk zones were equally likely to be missing at 4 and 6 months after sign-up. The SDT-driven coding of goals yielded the following categories: wealth and image (extrinsic goals); relationships, personal growth, community engagement, and physical health (intrinsic goals); and alcohol use-related goals (which were hard to classify as either extrinsic or intrinsic). Alcohol dependence risk level correlated positively with goals related to money (r=.16), personal growth (r=.17), relationships (r=.10), and alcohol use (r=.25). Website engagement correlated negatively with alcohol dependence risk level (r=.10) and positively with relationship (r=.10) and community goals (r=.12). CONCLUSIONS HSM users with higher alcohol dependence risk tended to engage with the website less, but to the extent that they did, they tended to subscribe to goals related to alcohol use and improving their personal growth, relationships, and finances. In line with SDT, engagement with goals—particularly the intrinsic goals of connecting with close-others and the broader community—related to increased website engagement. Web-based tools intended to promote healthy behaviors in users may be effective in engaging their users if the users’ experience on the website supports the pursuit of intrinsic goals.

scholarly journals The impact of promoting revised UK low-risk drinking guidelines on alcohol consumption: interrupted time series analysis

2020 ◽  
Vol 8 (14) ◽  
pp. 1-108
Author(s):  
John Holmes ◽  
Emma Beard ◽  
Jamie Brown ◽  
Alan Brennan ◽  
Inge Kersbergen ◽  
...  
Keyword(s):  
Public Health ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Behaviour Change ◽  
Health Research ◽  
Alcohol Use Disorders ◽  
Low Risk ◽  
Interrupted Time Series Analysis ◽  
Identification Test ◽  
The Impact

Background The UK’s Chief Medical Officers revised the UK alcohol drinking guidelines in 2016 to ≤ 14 units per week (1 unit = 10 ml/8 g ethanol) for men and women. Previously, the guideline stated that men should not regularly consume more than 3–4 units per day and women should not regularly consume more than 2–3 units per day. Objective To evaluate the impact of promoting revised UK drinking guidelines on alcohol consumption. Design Interrupted time series analysis of observational data. Setting England, March 2014 to October 2017. Participants A total of 74,388 adults aged ≥ 16 years living in private households in England. Interventions Promotion of revised UK low-risk drinking guidelines. Main outcome measures Primary outcome – alcohol consumption measured by the Alcohol Use Disorders Identification Test – Consumption score. Secondary outcomes – average weekly consumption measured using graduated frequency, monthly alcohol consumption per capita adult (aged ≥ 16 years) derived from taxation data, monthly number of hospitalisations for alcohol poisoning (International Statistical Classification of Diseases and Related Health Problems, Tenth Revision: T51.0, T51.1 and T51.9) and assault (International Statistical Classification of Diseases and Related Health Problems, Tenth Revision: X85–Y09), and further measures of influences on behaviour change. Data sources The Alcohol Toolkit Study, a monthly cross-sectional survey and NHS Digital’s Hospital Episode Statistics. Results The revised drinking guidelines were not subject to large-scale promotion after the initial January 2016 announcement. An analysis of news reports found that mentions of the guidelines were mostly factual, and spiked during January 2016. In December 2015, the modelled average Alcohol Use Disorders Identification Test – Consumption score was 2.719 out of 12.000 and was decreasing by 0.003 each month. After the January 2016 announcement, Alcohol Use Disorders Identification Test – Consumption scores did not decrease significantly (β = 0.001, 95% confidence interval –0.079 to 0.099). However, the trend did change significantly such that scores subsequently increased by 0.005 each month (β = 0.008, 95% confidence interval 0.001 to 0.015). This change is equivalent to 0.5% of the population moving each month from drinking two or three times per week to drinking four or more times per week. Secondary analyses indicated that the change in trend began 6 months before the guideline announcement. The secondary outcome measures showed conflicting results, with no significant changes in consumption measures and no substantial changes in influences on behaviour change, but immediate reductions in hospitalisations of 7.3% for assaults and 15.4% for alcohol poisonings. Limitations The pre-intervention data collection period was only 2 months for influences on behaviour change and the graduated frequency measure. Our conclusions may be generalisable only to scenarios in which guidelines are announced but not promoted. Conclusions The announcement of revised UK low-risk drinking guidelines was not associated with clearly detectable changes in drinking behaviour. Observed reductions in alcohol-related hospitalisations are unlikely to be attributable to the revised guidelines. Promotion of the guidelines may have been prevented by opposition to the revised guidelines from the government's alcohol industry partners or because reduction in alcohol consumption was not a government priority or because practical obstacles prevented independent public health organisations from promoting the guidelines. Additional barriers to the effectiveness of guidelines may include low public understanding and a need for guidelines to engage more with how drinkers respond to and use them in practice. Trial registration Current Controlled Trials ISRCTN15189062. Funding This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 8, No. 14. See the NIHR Journals Library website for further project information.

How accurately do general practitioners detect concurrent tobacco use and risky alcohol consumption? A cross-sectional study in Australian general practice

2018 ◽  
Vol 24 (5) ◽  
pp. 378
Author(s):  
Jamie Bryant ◽  
Breanne Hobden ◽  
Kristy Forshaw ◽  
Christopher Oldmeadow ◽  
Justin Walsh ◽  
...  
Keyword(s):  
General Practice ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
General Practitioners ◽  
Tobacco Use ◽  
Self Report ◽  
Evidence Based ◽  
Preventative Health ◽  
Risky Alcohol ◽  
Risky Alcohol Consumption

The negative health consequences of tobacco and risky alcohol consumption are compounded when used concurrently. Australian preventative health guidelines recommend that general practitioners (GPs) assess and provide evidence-based intervention. No studies, however, have examined the accuracy of GP detection of concurrent tobacco use and risky alcohol consumption or the factors associated with accurate detection. This study aimed to examine the: (i) accuracy of GP detection of concurrent tobacco and risky alcohol use compared to patient self-report; and (ii) GP and patient characteristics associated with accurate detection following a single clinical encounter. Patients attending 12 Australian general practices completed a survey assessing smoking and alcohol consumption. For each participating patient, GPs completed a checklist to indicate the presence of these risk factors. GP judgements were compared to patient self-report. Fifty-one GPs completed a health risk checklist for 1332 patients. Only 23% of patients who self-reported concurrent tobacco and risky alcohol use identified by their GP. Patients who visited their GP four to six times in the last year were most likely to have concurrent tobacco and risky alcohol use were identified. It is imperative to establish systems to increase detection of preventative health risks in general practice to enable the provision of evidence-based treatments.

scholarly journals Users’ Intrinsic Goals Linked to Alcohol Dependence Risk Level and Engagement With a Health Promotion Website (Hello Sunday Morning): Observational Study

10.2196/10022 ◽  
2018 ◽  
Vol 5 (4) ◽  
pp. e10022 ◽  
Author(s):  
Emma L Bradshaw ◽  
Baljinder K Sahdra ◽  
Rafael A Calvo ◽  
Alex Mrvaljevich ◽  
Richard M Ryan
Keyword(s):  
Health Promotion ◽  
Alcohol Use ◽  
Alcohol Dependence ◽  
Personal Growth ◽  
World Health ◽  
Risk Level ◽  
Alcohol Dependency ◽  
Sunday Morning ◽  
Extrinsic Goals ◽  
Intrinsic Goals

Background Hello Sunday Morning (HSM) is a self-guided health promotion website with the aim to improve drinking culture. Members are encouraged to sign up for a 3-month period of alcohol abstention and record and track their progress and goals. Objective This study used self-determination theory (SDT) to examine the nature of goals subscribed by HSM users to test the extent to which intrinsic goal pursuit was linked to lower alcohol dependency risk and higher engagement with the HSM website. Methods HSM users (N=2216; 59.75%, 1324/2216, females; aged 18-79 years) completed the World Health Organization’s Alcohol Use Disorders Identification Test (WHO-AUDIT, which measures alcohol dependence risk level) at sign-up and at 4 and 6 months after sign-up. In addition, the website had a goals-subscription feature that allowed participants to share their goals. Two independent raters classified the goals according to a coding system we devised based on SDT, which proposes that intrinsic goals (eg, growth, relationships, community, and health) better promote positive outcomes than extrinsic goals (eg, wealth, fame, and image). Results Although there was substantial (1016/2216, 45.84%) attrition of HSM users from sign-up to 6 months, the attrition rate could not be attributed to alcohol dependency risk because people in different WHO-AUDIT risk zones were equally likely to be missing at 4 and 6 months after sign-up. The SDT-driven coding of goals yielded the following categories: wealth and image (extrinsic goals); relationships, personal growth, community engagement, and physical health (intrinsic goals); and alcohol use-related goals (which were hard to classify as either extrinsic or intrinsic). Alcohol dependence risk level correlated positively with goals related to money (r=.16), personal growth (r=.17), relationships (r=.10), and alcohol use (r=.25). Website engagement correlated negatively with alcohol dependence risk level (r=.10) and positively with relationship (r=.10) and community goals (r=.12). Conclusions HSM users with higher alcohol dependence risk tended to engage with the website less, but to the extent that they did, they tended to subscribe to goals related to alcohol use and improving their personal growth, relationships, and finances. In line with SDT, engagement with goals—particularly the intrinsic goals of connecting with close-others and the broader community—related to increased website engagement. Web-based tools intended to promote healthy behaviors in users may be effective in engaging their users if the users’ experience on the website supports the pursuit of intrinsic goals.

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