减少一般人群饮酒的数字干预措施:更新的系统性审查和元分析
Ivneet Sohi1, Kevin D Shield1,2,3, Jürgen Rehm1,2,3,4,5,6,7
1Centre for Addiction and Mental Health, Institute for Mental Health Policy Research, Toronto, Ontario, Canada.
Alcohol, clinical & experimental research
|October 21, 2023
概括
数字干预有效地减少了一般人口的酒精消费. 这些数字工具降低了每天的酒精摄入量,饮酒频率和严重的偶尔饮酒事件,提供了一个可扩展的公共卫生解决方案.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 数字健康数字健康
背景情况:
- 酒精消费对公众健康构成重大风险.
- 数字干预提供了一种可扩展的方法来改变行为.
- 之前的审查强调了数字工具在减少酒精使用方面的潜力.
研究的目的:
- 系统地审查数字干预措施在一般人口中减少酒精使用的有效性.
- 以最近的随机对照试验 (RCT) 更新2017年的审查.
- 对RCT进行二次分析,特别是在学生群体中进行.
主要方法:
- 系统地搜索MEDLINE数据库中发表的RCT 2017年1月至2022年6月.
- 包括标准侧重于数字干预与对照条件 (没有干预,最小或面对面).
- 结果包括酒精量的变化,频率,每天饮酒量,重度插曲性饮酒 (HED) 和AUDIT分数.
主要成果:
- 包括80项研究,其中35项发表于2017年以后.
- 数字干预显著降低了每天的酒精量 (4.12g),饮酒频率 (0.17天/周),HED事件 (1.11/月) 和AUDIT得分 (3.04分).
- 学生的酒精量,频率和HED显著减少,但每天饮酒量没有显著减少.
结论:
- 数字干预显示出在一般人群中减少酒精使用和相关危害的巨大潜力.
- 这些干预措施是广泛实施公共卫生的可行,可扩展的选择.
- 进一步的研究可能会完善针对不同人群的数字干预策略.
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