Self-reported alcohol consumption during participation in a text messaging-based online drinking moderation platform

IF 3 Q2 SUBSTANCE ABUSE
Nehal P. Vadhan, Hayley Treloar Padovano, Frederick J. Muench, Svetlana Levak, Nicholas Allen
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引用次数: 0

Abstract

Background

Many individuals with excessive alcohol consumption desire moderation but do not seek formalized treatment. Commercially available, technology-assisted options are flexible and highly accessible, yet often not empirically validated.

Methods

Individuals desiring alcohol moderation (age 21+) self-selected to use Sunnyside®, a web application with tailored and adaptive text messaging. The evaluable dataset included 46,411 members who completed a baseline assessment, enrolled in the program, and tracked their drinking at least once. An adaptive and customizable weekly plan was generated from typical drinking patterns, goals, and weekly reported progress. Personalized daily messages included reminders for real-time drink tracking, plans, and available interactive messaging with peer coaches. Generalized mixed-effect growth models characterized change in drinks per week and daily drinking for 12 weeks after enrollment. Models allowed for nonlinear change and individual variability across members and weeks.

Results

A majority (64.3%) of members reported typically drinking 7 of 7 days per week at baseline. During tracking, drinks per week decreased most in the initial weeks and slowed thereafter, with an overall 33% reduction in weekly drink counts. More severe alcohol-use patterns and concern over drinking at baseline were associated with greater relative benefit.

Conclusions

Drinking patterns appeared amenable to change during 12 weeks of daily drink tracking with Sunnyside®, a tailored web program to reduce drinking and improve overall wellness. Overall, the findings of this naturalistic study, one of the first of its kind, supplement data from randomized clinical trials and support the use of adaptive, technology-assisted tools for alcohol moderation.

Abstract Image

Abstract Image

参与基于短信的在线饮酒节制平台期间的自我报告饮酒量。
背景:许多过度饮酒者希望节制饮酒,但并不寻求正规治疗。商业上可获得的技术辅助方案非常灵活且易于使用,但往往未经经验验证:方法:希望节制饮酒的个人(21 岁以上)自主选择使用 Sunnyside®,这是一款具有定制和自适应短信功能的网络应用程序。可评估的数据集包括 46,411 名完成基线评估、注册该计划并至少跟踪一次其饮酒情况的成员。根据典型的饮酒模式、目标和每周报告的进展情况,生成了自适应和可定制的每周计划。个性化的每日信息包括实时饮酒跟踪提醒、计划以及与同伴教练的互动信息。广义混合效应增长模型描述了入组后 12 周内每周饮酒量和每日饮酒量的变化。模型考虑了非线性变化以及成员和周之间的个体差异:大多数成员(64.3%)表示,在基线时,他们通常每周 7 天中有 7 天喝酒。在跟踪过程中,每周饮酒量在最初几周下降最多,之后有所减缓,每周饮酒量总体下降了 33%。基线时较严重的饮酒模式和对饮酒的担忧与更大的相对受益相关:结论:在使用阳光®进行为期12周的每日饮酒跟踪期间,饮酒模式似乎可以改变,阳光®是一项量身定制的网络计划,旨在减少饮酒并提高整体健康水平。总之,这项自然研究是同类研究中的首例,其结果补充了随机临床试验的数据,并支持使用适应性技术辅助工具来节制饮酒。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
5.40
自引率
0.00%
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