基于网络的酒精查和大学学生的简短干预:一个随机试验
Kypros Kypri1, Tina Vater2, Steven J Bowe3
1Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia2Injury Prevention Research Unit, University of Otago, Dunedin, New Zealand.
JAMA
|March 27, 2014
概括
基于网络的酒精查和针对年轻人的简短干预计划并没有显著减少饮酒频率或学术问题. 观察到每次消费的酒精少量减少,但考虑到消耗后,这在统计学上没有显著意义.
科学领域:
- 公共卫生 公共卫生
- 数字健康干预措施 数字健康干预措施
- 药物使用研究研究 药物使用研究
背景情况:
- 不健康的酒精使用是全球主要的健康问题,特别是在年轻人中.
- 基于网络的干预措施显示出希望,需要在现实环境中进行有效性试验.
研究的目的:
- 评估一项针对大学生的国家基于网络的酒精查和简短干预计划.
- 评估该计划对酒精消费,学术问题和危险饮酒行为的影响.
主要方法:
- 一个多站点的随机对照试验,涉及14991名17-24岁的大学生.
- 具有阳性AUDIT-C分数的参与者被随机分配到单独查或简短干预.
- 测量结果包括消费,饮酒频率,学术问题和狂饮/重度饮酒,随访5个月.
主要成果:
- 观察到每例典型场合 (RR 0.93,P=.005) 消费的酒精量有统计学意义的减少,但在敏感性分析中,这一发现并不强大.
- 饮酒频率,整体体量或学术问题没有显著减少.
- 对过度饮酒和重度饮酒风险的影响在统计学上并不显著.
结论:
- 全国基于网络的计划并没有显著减少整体酒精消费,饮酒频率或学术问题.
- 可能需要进一步的研究来优化对年轻成年人的基于网络的干预措施.
- 对每次消费的潜在小影响需要进一步调查.
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