Impact of a Mobile E-Health Intervention on Binge Drinking in Young People: The Digital-Alcohol Risk Alertness Notifying Network for Adolescents and Young Adults Project

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• 作者：Giuseppe Carrà ; Ph.D.^a ; ^b ; Cristina Crocamo ; M.Sc.^b ; ^c ; ^{cristina.crocamo@unimib.it" class="auth_mail" title="E-mail the corresponding author} ; ^{cristina.crocamo01@universitadipavia.it" class="auth_mail" title="E-mail the corresponding author} ; Francesco Bartoli ; Ph.D.^b ; Daniele Carretta ; M.D.^b ; Alessandro Schivalocchi ; M.D.^b ; Paul E. Bebbington ; Ph.D.^a ; Massimo Clerici ; Ph.D.^b
• 关键词：Binge drinking ; E-Health ; Young adults
• 刊名：Journal of Adolescent Health
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：58
• 期：5
• 页码：520-526
• 全文大小：425 K

文摘

Binge drinking (BD) is common among young people. E-Health apps are attractive to them and may be useful for enhancing awareness. We aimed to investigate the impact of a publicly available evidence-based e-Health app (Digital–Alcohol Risk Alertness Notifying Network for Adolescents and Young Adults [D-ARIANNA]), estimating current risk of BD by questions, matching identified risk factors, and providing in percent an overall risk score, accompanied by appropriate images showing mostly contributing factors in summary graphics.

Methods

A natural, quasi-experimental, pre-/post-test study was conducted. Subjects were recruited in pubs, clubs, discos, or live music events. They were requested to self-administer D-ARIANNA and were re-evaluated after two further weeks.

Results

Young (18–24 years) people (N = 590) reported reduced BD at follow-up (18% vs. 37% at baseline). To exclude systematic errors involving those lost at follow-up (14%), the diminution in BD was confirmed in an appropriate generalized estimating equation model with unweighted data on a last observation carried forward basis.

Conclusions

Our study provides evidence of population-level benefit at 2 weeks, attained with D-ARIANNA. This can be disseminated easily and economically among young people. However, additional components, including regular feedback and repeated administration by gamification, may be required to make this app suitable for longer term impact.