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Chronic Intermittent Ethanol Vapor Exposure Paired with Two-Bottle Choice to Model Alcohol Use Disorder
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Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders: A Systematic Review.

Eric A Dedert, Jennifer R McDuffie, Roy Stein

    Annals of Internal Medicine
    |August 4, 2015
    PubMed
    Summary
    This summary is machine-generated.

    Electronic interventions (e-interventions) show small, short-term reductions in alcohol consumption for adults and college students. However, evidence for longer-term, clinically significant effects remains limited.

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    Area of Science:

    • Public Health
    • Behavioral Science
    • Digital Health

    Background:

    • Electronic interventions (e-interventions) offer a potential avenue for improving the treatment of alcohol misuse.
    • The U.S. Department of Veterans Affairs funded this research.

    Purpose of the Study:

    • To assess the treatment intensity and efficacy of e-interventions for reducing alcohol consumption and related impairments.
    • To systematically review evidence comparing e-interventions to control groups in adults and college students.

    Main Methods:

    • Searched MEDLINE, Cochrane Library, EMBASE, and PsycINFO databases from January 2000 to August 2014.
    • Included English-language randomized controlled trials (RCTs) with at least 50 adults misusing alcohol, comparing e-interventions to controls with outcomes reported at 6 months or longer.
    • Data abstraction, trial quality, and strength of evidence were independently rated by two reviewers.

    Main Results:

    • Analyzed 28 unique trials, with brief feedback on alcohol consumption being the most common e-intervention.
    • A small reduction in alcohol consumption (approx. 1 drink/week) was observed at 6 months in adults and college students, but not at 12 months.
    • No statistically significant effects were found for meeting drinking limits, reducing binge-drinking episodes, or mitigating social consequences.

    Conclusions:

    • Low-intensity e-interventions demonstrate modest, short-term reductions in alcohol consumption.
    • Limited evidence supports clinically significant long-term effects or adherence to drinking guidelines.
    • Future e-interventions may benefit from increased intensity and integrated human support to enhance outcomes.