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Peer‐ and web‐based interventions for risky drinking among US National Guard members: Mission Strong randomized controlled trial.

Authors :
Blow, Frederic C.
Walton, Maureen
Ilgen, Mark
Ignacio, Rosalinda V.
Walters, Heather
Massey, Lynn
Barry, Kristen L.
McCormick, Richard
Coughlin, Lara N.
Source :
Addiction; Jul2023, Vol. 118 Issue 7, p1246-1257, 12p, 1 Diagram, 6 Charts, 1 Graph
Publication Year :
2023

Abstract

Aims: To test separatel the efficacy of a web‐based and a peer‐based brief intervention (BI), compared with an expanded usual care control (EUC) group, among military reserve component members using alcohoI in a hazardous and harmful manner. Design: In the randomized controlled trial, participants were assigned to: [1] web‐based BI with web‐based boosters (BI + web), [2] web‐based BI with peer‐based boosters (BI + peer) or [3] enhanced usual care (EUC). Setting: Michigan, USA. Participants: A total of 739 Michigan Army National Guard members who reported recent hazardous alcohol use; 84% were male, the mean age was 28 years. Intervention: The BI consisted of an interactive program guided by a personally selected avatar. Boosters were delivered either on the web or personally by a trained veteran peer. A pamphlet, given to all participants, included information on hazardous alcohol use and military‐specific community resources and served as the EUC condition. Measurements The primary outcome measure was binge drinking episodes in the past 30 days, measured at 12 months after the BI. Findings All randomized participants were included in the outcome analyses. In adjusted analyses, BI + peer [beta = −0.43, 95% confidence interval (CI) = −0.56 to −0.31, P < 0.001] and BI + web (beta = −0.34, 95% CI = −0.46 to −0.23, P < 0.001) reduced binge drinking compared with EUC. Conclusion: This satudy was a web‐based brief intervention for hazardous alcohol use, with either web‐ or peer‐based boosters, reduced binge alcohol use among Army National Guard members. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09652140
Volume :
118
Issue :
7
Database :
Complementary Index
Journal :
Addiction
Publication Type :
Academic Journal
Accession number :
164250360
Full Text :
https://doi.org/10.1111/add.16172