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. Temporal Dynamics of Ecosystem Services
  2. Problem-Based and Project-Based Learning for Sustainable Development
  3. Making an impression with open strategy
  4. An Approach for Ex-Post-Facto Analysis of Knowledge Graph-Driven Chatbots – The DBpedia Chatbot
  5. Towards an Extended Enterprise Architecture Meta-Model for Big Data
  6. Rapid ecosystem change challenges the adaptive capacity of local environmental knowledge
  7. Determinants of fair own wage perceptions
  8. In situ synchrotron radiation diffraction during solidification of Mgl5Gd
  9. Why the measurement of species diversity requires prior value judgements
  10. Three schools of transformation thinking
  11. Co-production of nature's contributions to people
  12. Systemanalyse für Softwaresysteme
  13. Feld oder Assemblage?
  14. Methods and compositions relating to a vaccine against prostate cancer
  15. Fostering pre-service teachers’ knowledge of ‘teaching games for understanding’ via video-based vs. text-based teaching examples
  16. Rethinking art's relation to its social context: the example of the Artist Placement Group
  17. A Review on Higher Education for Sustainable Development - Looking Back and Moving Forward
  18. Regulation of morally responsible agents with motivation crowding
  19. Generation of 3D representative volume elements for heterogeneous materials
  20. Dialectical conditions
  21. Fettflecken untersuchen mit Graphical Analysis
  22. Preference Organization and Cross-Cultural Variation in Request Responses: A Corpus-Based Comparison of British and American English
  23. An Interdisciplinary Approach to Improving Competition Policy and Intellectual Property Policy
  24. Umweltrechtsschutz in China
  25. Let’s Team Up with AI! Toward a Hybrid Intelligence System for Online Customer Service
  26. Using structure biodegradability relationships for environmentally benign design of organosilicons – An experimental comparison of organosilicons and their carbon analogues
  27. Globalization and the societal consensus of wealth tax cuts
  28. Pragmatic Competence in EIL
  29. Context, contexts and appropriateness
  30. Refugee Entrepreneurship and Organizing Social Integration: Insights from Organizational Theory
  31. Ist Cola sauer?
  32. Dogmatics
  33. Networking
  34. Experimentieren mit Modellen
  35. Soziologische Aspekte des Spiels
  36. Fleck, Glanz, Finsternis
  37. Labour process theory