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Published on: April 28, 2022
Feedback from recently returned veterans on an anonymous web-based brief alcohol intervention
Gwen T Lapham1, Eric J Hawkins, Laura J Chavez
1Health Services Research & Development (HSR&D), Northwest Center of Excellence, Veterans Affairs (VA) Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA. gwendolyn.lapham@va.gov
Electronic screening and brief intervention (e-SBI) may be an acceptable way to increase access to alcohol misuse services for Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) veterans. Veterans found anonymity and personalized feedback appealing but suggested improvements for greater effectiveness.
Area of Science:
- Behavioral Health
- Public Health
- Digital Health
Background:
- Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans have a higher risk of alcohol misuse.
- Innovative strategies are needed to improve access to alcohol screening and brief interventions (SBI) for this population.
- An adapted electronic SBI (e-SBI) website, previously effective in college students, was evaluated for OEF/OIF veterans.
Purpose of the Study:
- To adapt an existing e-SBI website for OEF/OIF veterans.
- To explore OEF/OIF veterans' impressions of the adapted e-SBI through qualitative interviews.
Main Methods:
- Outpatient OEF/OIF veterans with recent frequent alcohol consumption were recruited from a VA clinic.
- Veterans privately completed the anonymous e-SBI and then participated in semistructured interviews.
- Template analysis was used to analyze interview data, identifying a priori and emergent themes.
Main Results:
- All interviewed veterans received feedback on risky alcohol consumption via the e-SBI.
- Positive feedback was given for the standard-drinks image, financial/caloric feedback, brevity, and anonymity.
- Challenges included assessment portions and feedback on alcohol risk/normative drinking, though potential benefits were noted.
Conclusions:
- Qualitative findings suggest e-SBI is a potentially acceptable strategy for enhancing OEF/OIF veteran access to evidence-based alcohol SBI.
- Veterans desire e-SBIs that ensure anonymity, provide personalized feedback, consider drinking context, offer reduction strategies, and link to resources.
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