Efficacy of a web-based intervention with and without guidance for employees with risky drinking: Results of a three-arm randomized controlled trial

Publikation: Beiträge in ZeitschriftenZeitschriftenaufsätzeForschungbegutachtet

Authors

  • Leif Boß
  • Dirk Lehr
  • Michael Patrick Schaub
  • Raquel Paz Castro
  • Heleen Riper
  • Matthias Berking
  • David Daniel Ebert

Aims: To test the efficacy of a web-based alcohol intervention with and without guidance. Design: Three parallel groups with primary end-point after 6 weeks. Setting: Open recruitment in the German working population. Participants: Adults (178 males/256 females, mean age 47 years) consuming at least 21/14 weekly standard units of alcohol (SUA) and scoring ≥ 8/6 on the Alcohol Use Disorders Identification Test. Intervention: Five web-based modules including personalized normative feedback, motivational interviewing, goal setting, problem-solving and emotion regulation during 5 weeks. One intervention group received an unguided self-help version (n=146) and the second received additional adherence-focused guidance by eCoaches (n=144). Controls were on a waiting list with full access to usual care (n=144). Measurements: Primary outcome was weekly consumed SUA after 6 weeks. SUA after 6 months was examined as secondary outcome, next to numbers of participants drinking within the low-risk range, and general and work-specific mental health measures. Findings: All groups showed reductions of mean weekly SUA after 6 weeks (unguided: -8.0; guided: -8.5; control: -3.2). There was no significant difference between the unguided and guided intervention (P=0.324). Participants in the combined intervention group reported significantly fewer SUA than controls [B=-4.85, 95% confidence interval (CI)=-7.02 to -2.68, P <0.001]. The intervention groups also showed significant reductions in SUA consumption after 6 months (B=-5.72, 95% CI=-7.71 to -3.73, P <0.001) and improvements regarding general and work-related mental health outcomes after 6 weeks and 6 months. Conclusions: A web-based alcohol intervention, administered with or without personal guidance, significantly reduced mean weekly alcohol consumption and improved mental health and work-related outcomes in the German working population.

OriginalspracheEnglisch
ZeitschriftAddiction: The British journal of addiction to alcohol and other drugs
Jahrgang113
Ausgabenummer4
Seiten (von - bis)635-646
Anzahl der Seiten12
ISSN0965-2140
DOIs
PublikationsstatusErschienen - 04.2018

DOI

Zuletzt angesehen

Publikationen

  1. Forest structure and heterogeneity increase diversity and alter composition of host–parasitoid networks
  2. Unusual deactivation in the asymmetric hydrogenation of itaconic acid
  3. Insights into adoption of farming practices through multiple lenses
  4. Horizontal, but not vertical canopy structure is related to stand functional diversity in a subtropical slope forest
  5. How can Environmental Management contribute to Shareholder Value?
  6. Introduction lectures in entrepreneurship
  7. What do we know about new venture investment time patterns?
  8. A trainable object finder, selector and identifier for pollen, spores and other things
  9. Open-flow mixing and transfer operators
  10. Geometrical Characterization of Polyethylene Oxide Nanofibers by Atom Force Microscope and Confocal Laser Scanning Microscope
  11. "Learning by doing"
  12. “You’re Not Allowed to Give Us the Solution, but Can You Guide Us towards It?”
  13. The importance of product lifetime labelling for purchase decisions
  14. Minimal conditions of motor inductions of approach-avoidance states
  15. Analysis of brittle layer forming mechanism in Ti6Al4V sloping structures by SLM technology
  16. Audio Video Sampler
  17. Systemanalyse für Softwaresysteme
  18. The causal effects of exports on firm size and labor productivity: first evidence from a matching approach
  19. Functions of Constitutions
  20. Hot deformation behavior and processing map of Mg-3Sn-2Ca-0.4Al-0.4Zn alloy
  21. Comparative effectiveness of three versions of a stepped care model for insomnia differing in the amount of therapist support in internet-delivered treatment
  22. „Ist das dein Handy oder vibrierst du?“
  23. Political discourse as mediated and public discourse
  24. Paar normal oder paranormal
  25. A new magnesium alloy system
  26. An Analysis of Methane Mitigation as a Response to Climate Change
  27. Credit constraints, endogenous innovations, and price setting in international trade
  28. Abiotic and biotic drivers of tree trait effects on soil microbial biomass and soil carbon concentration
  29. “Greedy Buyers, Amoral Speculators and Lacking State Control”
  30. A Social–Ecological Systems Framework as a Tool for Understanding the Effectiveness of Biosphere Reserve Management
  31. Neue Rechte und Universität
  32. Bierbrausieb
  33. Is the reverse J-shaped diameter distribution universally applicable in European virgin beech forests?
  34. The effect of industrialization and globalization on domestic land-use
  35. Habitat models for the four-fingered skink (Carlia tetradactyla) at the microhabitat and landscape scale
  36. Experimental-numerical study of laser-shock-peening-induced retardation of fatigue crack propagation in Ti-17 titanium alloy
  37. Begriff und Merkmale junger Unternehmen
  38. Who are we and who are you? The strategic use of forms of address in political interviews
  39. Subsidies for learning in renewable energy technologies under market power and emission trading
  40. Best-Practice-Beispiel: Wie kann Mentoring in die neue Studienorganisation implementiert werden?
  41. Strukturen und Probleme des Brexit-Abkommens
  42. Ready for new business models?
  43. Small Particle Size Magnesium in One-pot Grignard-Zerewitinoff-like Reactions under Mechanochemical Conditions
  44. Trace metal dynamics in floodplain soils of the river Elbe
  45. Distinguishing between struggling and skilled readers based on their prosodic speech patterns in oral reading
  46. Irrtümer bei der Interpretation des "ökologischen Fehlschlusses"
  47. Hermann Bahr.
  48. Outsourcing kommoditisierter Geschäftsprozesse

Presse / Medien

  1. Rezension zu "Papierboot"