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Web-based interventions to decrease alcohol use in adolescents: a Delphi study about increasing effectiveness and

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Web-based interventions can reduce adolescent binge drinking by involving parents and teaching refusal skills. Strategies to reduce drop-out include tailored content, reminders, and incentives for engagement.

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Area of Science:

  • Public Health
  • Adolescent Health
  • Behavioral Science

Background:

  • Web-based computer-tailored (CT) interventions offer scalable solutions for behavior change.
  • Existing CT interventions show variable effectiveness and high dropout rates in adolescent populations.
  • Reducing adolescent binge drinking is a significant public health concern.

Purpose of the Study:

  • To identify expert-endorsed strategies for effective web-based interventions targeting adolescent binge drinking.
  • To explore methods for reducing participant dropout in these interventions.
  • To differentiate strategies for adolescents versus parental engagement.

Main Methods:

  • A three-round Delphi study involving experts in adolescent health and behavior.
  • Experts identified and rated the importance of strategies for decreasing binge drinking.
  • Experts proposed methods to enhance intervention adherence and reduce dropout.

Main Results:

  • Key strategies include parental rule-setting, consistent communication, and adolescent refusal skills training.
  • Intervention content (relevance, language, tailoring) is crucial for engagement.
  • Reminders and incentives were suggested to mitigate dropout.

Conclusions:

  • This study offers actionable strategies to improve the efficacy of web-based interventions for adolescent binge drinking.
  • Findings can inform the development of future interventions with higher retention and impact.
  • Addressing both behavioral change and adherence is vital for success.