Internet-based self-assessment of drinking—3-month follow-up data

Koski-Jännes, Anja; Cunningham, John A.; Tolonen, Kari; Bothas, Heikki

doi:10.1016/j.addbeh.2006.05.020

Cited by 25 publications

(31 citation statements)

References 21 publications

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“…This online service, in common with other studies [24,40], was used by as many women as men. This is an important difference from traditional alcohol treatment services, where women tend to be underrepresented and report that the services they receive do not meet their needs [41].…”

Section: Discussionmentioning

confidence: 99%

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Internet-Based Interactive Health Intervention for the Promotion of Sensible Drinking: Patterns of Use and Potential Impact on Members of the General Public

Linke¹,

Murray²,

Butler³

et al. 2007

J Med Internet Res

126

121

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Background Heavy drinking is responsible for major health and social problems. Brief interventions have been shown to be effective, but there have been difficulties in reaching those who might benefit from them. Pilot studies have indicated that a Web-based intervention is likely to be acceptable to heavy drinkers and may produce some health benefits. However, there are few data on how many people might use such a program, the patterns of use, and potential benefits.Objectives The aim was to examine the demographic characteristics of users of a free, Web-based, 6-week intervention for heavy drinkers and to describe the methods by which users identified the site, the pattern of site use and attrition, the characteristics associated with completing the program, and the self-reported impact on alcohol-related outcomes.Methods Cohort study. Visitors to the Web site were offered screening with the Fast Alcohol Screening Test, and those scoring above the cutoff for risky drinking were invited to register with the program. Demographic information was collected routinely at registration, and questionnaires were completed at the end of weeks 1 and 6. The outcome measures assessed dependency (Short Alcohol Dependency Data Questionnaire), harms (modified Alcohol Problems Questionnaire), and mental health (Clinical Outcomes in Routine Evaluation–Outcome Measure).Results The records of 10000 users were analyzed. The mean age was 37.4 years, 51.1% were female, 37.5% were single, and 42.4% lived with children. The majority were White British, lived in the United Kingdom, and reported occupations from the higher socioeconomic strata. Over 70% connected to the Down Your Drink (Down Your Drink) site from another Internet-based resource, whereas only 5.8% heard about the site from a health or other professional. Much of the Web site use (40%) was outside normal working hours. Attrition from the program was high, with only 16.5% of registrants completing the whole 6 weeks. For those who completed the program, and the final outcome measures, measures of dependency, alcohol-related problems, and mental health symptoms were all reduced at week 6.Conclusions The Web-based intervention was highly used, and those who stayed with the program showed significant reductions in self-reported indicators of dependency, alcohol-related problems, and mental health symptoms; however, this association cannot be assumed to be causal. Programs of this type may have the potential to reach large numbers of heavy drinkers who might not otherwise seek help. There are significant methodological challenges and further research is needed to fully evaluate such interventions.

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Section: Discussionmentioning

confidence: 99%

“…A modified version of this Internet-based tool was piloted in Finland. In a relatively small cohort study (n = 343), at 3-month follow-up, users had reduced their drinking compared to baseline [24]. …”

Section: Introductionmentioning

confidence: 99%

Internet-Based Interactive Health Intervention for the Promotion of Sensible Drinking: Patterns of Use and Potential Impact on Members of the General Public

Linke¹,

Murray²,

Butler³

et al. 2007

J Med Internet Res

126

121

View full text Add to dashboard Cite

show abstract

“…However, most of the published studies evaluate brief, self-help interventions (Koski-Jannes et al, 2007;Hester & Squires, in press;Rochlen et al, 2004;Ruggiero et al, 2006;Walters, Vader, & Harris, 2007) or treatments with minimal therapist contact (Carlbring et al, 2007). These interventions are conceptualized as a way to more efficiently reach larger numbers of people who might not otherwise receive substance abuse education or treatment or as a type of "pretherapy" that can prepare and motivate persons who are concerned about their behavior to access more intensive treatment after the intervention (Griffiths, 2005).…”

Section: Use Of Internet Delivered Psychotherapy Is Effectivementioning

confidence: 98%

“…Several published studies have described efforts to treat individuals with substance use and other mental disorders using Internet and other telecommunication technologies (Cobb, Graham, Bock, Papandonatos, & Abrams, 2005;Copeland & Martin, 2004;Griffiths, 2005), although the studies specifically targeting substance use have largely been focused on tobacco and alcohol users rather than chronic and severe opioid and other illicit drug users. Further, the aim of these studies has largely been to evaluate brief self-help interventions that stand apart from any ongoing care (Christensen, Griffiths, Mackinnon, & Brittliffe, 2006;Koski-Jannes, Cunningham, Tolonen, & Bothas, 2007;Pull, 2006;Rochlen et al, 2004;Ruggiero et al, 2006) or treatments with minimal therapist contact (Carlbring et al, 2007;Litz, Engel, Bryant, & Papa, 2007) to more efficiently reach larger numbers of people who might not otherwise receive mental health or substance abuse education or treatment. No published studies have evaluated the effectiveness of using Internet-based treatment delivery platforms to intensify the care of partial and poor responders to low-frequency counseling approaches.…”

Section: Introductionmentioning

confidence: 99%

Assessing the effectiveness of an Internet-based videoconferencing platform for delivering intensified substance abuse counseling

King¹,

Stoller²,

Kidorf³

et al. 2009

Journal of Substance Abuse Treatment

120

132

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“…Further research should determine an easier one for general consumer. In consideration of the need for improvement of addiction related websites (Monahan & Colthurst, 2001;Toll et al, 2003) and the possible development of internet-based therapy (Koski-Jannes, Cunningham, Tolonen, & Bothas, 2007), internet sites could possibly improve their content using this quality indicator.…”

Section: Discussionmentioning

confidence: 99%

Quality of web-based information on alcohol dependence

Khazaal

Chatton

Cochand

et al. 2010

Drugs: Education, Prevention and Policy

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Aims: To evaluate the quality of web-based information on alcohol dependence and to assess particular content quality indicators. Methods: Three keywords, 'alcohol addiction', 'alcohol dependence' and 'alcohol abuse' were entered into three popular World Wide Web search engines. Websites were assessed with a standardized proforma designed to rate sites on the basis of accountability, presentation, interactivity, readability and content quality. 'Health on the Net' (HON) quality label, and DISCERN scale scores aimed to assist persons without content expertise to assess quality of written health publication and were used to verify their efficiency as quality indicators. Results: Of the 180 websites identified, 104 were included. Based on outcome measures, the overall quality of the sites turned-out to be poor. The global scores appeared as good content quality indicators. Conclusions: While alcohol education web sites for patients are widespread, their educational material highly varies in quality and content. Drugs Edu Prev Pol Downloaded from informahealthcare.com by University of York on 11/21/14 For personal use only. Web-based information on alcohol dependence 249 Drugs Edu Prev Pol Downloaded from informahealthcare.com by University of York on 11/21/14 For personal use only. Drugs Edu Prev Pol Downloaded from informahealthcare.com by University of York on 11/21/14 For personal use only. Web-based information on alcohol dependence 251 Drugs Edu Prev Pol Downloaded from informahealthcare.com by University of York on 11/21/14 For personal use only. Web-based information on alcohol dependence 255 Drugs Edu Prev Pol Downloaded from informahealthcare.com by University of York on 11/21/14 For personal use only. Web-based information on alcohol dependence 259 Drugs Edu Prev Pol Downloaded from informahealthcare.com by University of York on 11/21/14 For personal use only.

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Internet-based self-assessment of drinking—3-month follow-up data

Cited by 25 publications

References 21 publications

Internet-Based Interactive Health Intervention for the Promotion of Sensible Drinking: Patterns of Use and Potential Impact on Members of the General Public

Internet-Based Interactive Health Intervention for the Promotion of Sensible Drinking: Patterns of Use and Potential Impact on Members of the General Public

Assessing the effectiveness of an Internet-based videoconferencing platform for delivering intensified substance abuse counseling

Quality of web-based information on alcohol dependence

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