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Technology-delivered interventions show promise for treating alcohol use disorder in primary care. Provider involvement and implementation strategies enhance the effectiveness of these digital health solutions.

Keywords:
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Area of Science:

  • Digital Health
  • Behavioral Health Interventions
  • Primary Care Research

Background:

  • Primary care settings are vital for identifying individuals at risk of alcohol use disorder.
  • Technology-delivered behavioral health interventions offer a scalable approach to address alcohol-related issues.
  • Limited synthesis exists on the collective findings of technology-based alcohol interventions in primary care.

Purpose of the Study:

  • To systematically review literature on technology-based alcohol interventions in primary care.
  • To categorize interventions, describe delivery characteristics, and assess efficacy.
  • To identify factors influencing the effectiveness of these interventions.

Main Methods:

  • A systematic review of studies published between 2000 and 2018 was conducted.
  • Searches included EBSCO databases, ProQuest Dissertations, and Cochrane Reviews.
  • 42 studies were included and coded independently by two investigators.

Main Results:

  • Published studies nearly tripled from 2010-2018 compared to 2000-2009.
  • 71% of studies reported reduced drinking or harm, and 42% showed superiority to treatment as usual.
  • High efficacy correlated with provider involvement and implementation strategies.

Conclusions:

  • There is a growing body of research on technology-based alcohol interventions in primary care.
  • These interventions demonstrate significant benefits, particularly when supported by provider engagement and strategic implementation.
  • The review provides insights for developing and implementing effective digital health solutions for alcohol use disorder in primary care.