Mobile technology-based interventions for adult users of alcohol: A systematic review of the literature

Fowler, Lauren A.; Holt, Sidney; Joshi, Deepti

doi:10.1016/j.addbeh.2016.06.008

Cited by 120 publications

(107 citation statements)

References 43 publications

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“…A systematic review on mobile technology-based interventions for adult alcohol users showed positive results on alcohol use reduction after interventions. However, because of methodological issues, these are preliminary results that should widely be investigated in future studies [15]. Another study aimed to evaluate the effectiveness of a computer-based intervention for the reduction of alcohol use in a sample of adolescents.…”

Section: Effectiveness Of Web-based Psychotherapy In Individuals mentioning

confidence: 99%

A Revision of Preventive Web-based Psychotherapies in Subjects at Risk of Mental Disorders

Sánchez-Gutiérrez¹,

Barbeito²,

Calvo³

2017

IJIMAI

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Section: Effectiveness Of Web-based Psychotherapy In Individuals mentioning

confidence: 99%

A Revision of Preventive Web-based Psychotherapies in Subjects at Risk of Mental Disorders

Sánchez-Gutiérrez¹,

Barbeito²,

Calvo³

2017

IJIMAI

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“…Dosage varied from weekly text messages to text messages 4-6 times daily. Still, most studies reported a significant behaviour outcome, although outcome measures varied greatly among interventions [6]. Also, the few studies so far published concerning text-based interventions targeting alcohol mostly lack theory-guided content and mostly included a small number of participants [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…All three studies were feasibility trials with few participants [5]. A year later a systematic review on mobile technology-based interventions for adult users of alcohol identified eight studies where five studies were primarily delivered through text messaging [6]. However, the interventions varied considerable with regards to the length and dosage of the intervention, where the longest were six-week interventions.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the omnipresence of mobile phones with text messaging capacity there is a lack of studies exploring the potential of text messaging in changing risky drinking behaviour [4][5][6]. Thus, in one of the first reviews in 2013 of text-based interventions none out of the 19 randomized controlled trials (RCTs) from 13 countries included alcohol consumption [4].…”

Section: Introductionmentioning

confidence: 99%

“…Previous research suggests that text messaging has a great potential to be a cost-effective mode of delivery of interventions targeting health behaviour change [4][5][6]. Text messagingbased, or text-based, interventions have been shown to be effective in supporting behavior change in various areas such as weight loss, smoking cessation and diabetes management [7].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of a Text Messaging�Based Intervention Targeting Alcohol Consumption Among University Students: Randomized Controlled Trial (Preprint)

Thomas¹,

Müssener²,

Linderoth³

et al. 2017

Preprint

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Background Excessive drinking among university students is a global challenge leading to significant health risks. Still, heavy drinking among students is widely accepted and part of a social norm. Various forms of mobile phone interventions have been developed in order to reach the large number of students who engage in excessive drinking. A growing number of studies suggest that text messaged based interventions potentially could reach a large proportion of students, and if effective such an intervention might make a difference concerning heavy drinking in the student community.

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A Brief Intervention With Instant Messaging or Regular Text Messaging Support in Reducing Alcohol Use

Chau,

Luk,

Wong

et al. 2024

JAMA Intern Med

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ImportanceAlcohol use is prevalent among university students. Mobile instant messaging apps could enhance the effectiveness of an alcohol brief intervention (ABI), but the evidence is scarce.ObjectiveTo evaluate the effectiveness of an ABI plus 3 months of mobile chat-based instant messaging support for alcohol reduction in university students at risk of alcohol use disorder.Design, Setting, and ParticipantsIn this randomized clinical trial, 772 students at risk of alcohol use disorder (Alcohol Use Disorders Identification Test [AUDIT] score ≥8) were recruited from 8 universities in Hong Kong between October 15, 2020, and May 12, 2022. Participants were randomly assigned 1:1 to either the intervention or control group.InterventionsBoth groups received the same ABI at baseline, which consisted of face-to-face or video conferencing with research nurses who delivered personalized feedback based on the participant’s AUDIT risk level, along with a 12-page booklet describing the benefits of alcohol reduction and the harmful effects of alcohol on health and social well-being. The intervention group then received 3 months of chat-based instant messaging support on alcohol reduction guided by behavioral change techniques. The control group received 3 months of short message service (SMS) messaging on general health topics.Main Outcomes and MeasuresAll outcomes were self-reported. The primary outcome was alcohol consumption in grams per week at 6 months of follow-up. By definition, 1 alcohol unit contains 10 g of pure alcohol. Secondary outcomes at the 6-month follow-up included changes in AUDIT score, weekly alcohol consumption, intention to drink in the next 30 days, drinking frequency and any binge or heavy drinking in the past 30 days, and self-efficacy of quitting drinking. The primary analysis followed the intention-to-treat principle, and linear regression (reported as unstandardized coefficient B) and logistic regression (reported as odds ratios) were used to compare the primary and secondary outcomes between the intervention and control groups.ResultsThe study included 772 students (mean [SD] age, 21.1 [3.5] years; 395 females [51.2%]) who were randomly assigned to either the intervention (n = 386) or control (n = 386) group. In the intention-to-treat analysis, the intervention group had lower alcohol consumption in grams per week (B, −11.42 g [95% CI, −19.22 to −3.62 g]; P = .004), a lower AUDIT score (B, −1.19 [95% CI, −1.63 to −0.34]; P = .003), reduced weekly alcohol unit consumption (B, −1.14 [95% CI, −1.92 to −0.36]; P = .004), and less intention to drink (odds ratio, 0.66 [95% CI, 0.47 to 0.92]; P = .01) at the 6-month follow-up compared with the control group. In analyses adjusted for baseline characteristics, interacting at least once with the research nurse on the instant messaging application resulted in lower estimated alcohol consumption in grams per week (adjusted B, −17.87 g [95% CI, −32.55 to −3.20 g]; P = .01), lower weekly alcohol unit consumption (adjusted B, −1.79 [95% CI, −3.25 to −0.32]; P = .02), and a lower AUDIT score (adjusted B, −0.53 [95% CI, −1.87 to −0.44]; P = .01) at 6 months.Conclusions and RelevanceResults of this randomized clinical trial indicate that mobile chat-based instant messaging support for alcohol reduction in addition to an ABI was effective in reducing alcohol consumption in university students in Hong Kong at risk of alcohol use disorder.Trial RegistrationClinicalTrials.gov Identifier: NCT04025151

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Mobile technology-based interventions for adult users of alcohol: A systematic review of the literature

Cited by 120 publications

References 43 publications

A Revision of Preventive Web-based Psychotherapies in Subjects at Risk of Mental Disorders

A Revision of Preventive Web-based Psychotherapies in Subjects at Risk of Mental Disorders

Effectiveness of a Text Messaging�Based Intervention Targeting Alcohol Consumption Among University Students: Randomized Controlled Trial (Preprint)

A Brief Intervention With Instant Messaging or Regular Text Messaging Support in Reducing Alcohol Use

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