Affiliation:
1. Addiction Center, Department of Psychiatry University of Michigan MI USA
2. Injury Prevention Center University of Michigan Ann Arbor MI USA
3. Department of Veteran Affairs Healthcare, System VA Center for Clinical Management Research (CCMR) Ann Arbor MI USA
4. Department of Biostatistics, School of Public Health University of Michigan Ann Arbor MI USA
5. Center for Healthcare Research and Policy, MetroHealth/Case Western Reserve University Cleveland OH USA
Abstract
AbstractAimsTo test separatel the efficacy of a web‐based and a peer‐based brief intervention (BI), compared with an expanded usual care control (EUC) group, among military reserve component members using alcohoI in a hazardous and harmful manner.DesignIn the randomized controlled trial, participants were assigned to: [1] web‐based BI with web‐based boosters (BI + web), [2] web‐based BI with peer‐based boosters (BI + peer) or [3] enhanced usual care (EUC).SettingMichigan, USA.ParticipantsA total of 739 Michigan Army National Guard members who reported recent hazardous alcohol use; 84% were male, the mean age was 28 years.InterventionThe BI consisted of an interactive program guided by a personally selected avatar. Boosters were delivered either on the web or personally by a trained veteran peer. A pamphlet, given to all participants, included information on hazardous alcohol use and military‐specific community resources and served as the EUC condition.MeasurementsThe primary outcome measure was binge drinking episodes in the past 30 days, measured at 12 months after the BI.FindingsAll randomized participants were included in the outcome analyses. In adjusted analyses, BI + peer [beta = −0.43, 95% confidence interval (CI) = −0.56 to −0.31, P < 0.001] and BI + web (beta = −0.34, 95% CI = −0.46 to −0.23, P < 0.001) reduced binge drinking compared with EUC.ConclusionThis satudy was a web‐based brief intervention for hazardous alcohol use, with either web‐ or peer‐based boosters, reduced binge alcohol use among Army National Guard members.
Funder
National Institute on Alcohol Abuse and Alcoholism
Subject
Psychiatry and Mental health,Medicine (miscellaneous)