Web-based alcohol screening and brief intervention for Maori and non-Maori: the New Zealand e-SBINZ trials


Kypri, K; McCambridge, J; Cunningham, JA; Vater, T; Bowe, S; de Graaf, B; Saunders, JB; Dean, J; (2010) Web-based alcohol screening and brief intervention for Maori and non-Maori: the New Zealand e-SBINZ trials. Bmc Public Health, 10. ISSN 1471-2458 DOI: https://doi.org/10.1186/1471-2458-10-781

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Abstract

Background: Hazardous alcohol consumption is a leading modifiable cause of mortality and morbidity among young people. Screening and brief intervention (SBI) is a key strategy to reduce alcohol-related harm in the community, and web-based approaches (e-SBI) have advantages over practitioner-delivered approaches, being cheaper, more acceptable, administrable remotely and infinitely scalable. An efficacy trial in a university population showed a 10-minute intervention could reduce drinking by 11% for 6 months or more among 17-24 year-old undergraduate hazardous drinkers. The e-SBINZ study is designed to examine the effectiveness of e-SBI across a range of universities and among Maori and non-Maori students in New Zealand. Methods/Design: The e-SBINZ study comprises two parallel, double blind, multi-site, individually randomised controlled trials. This paper outlines the background and design of the trial, which is recruiting 17-24 year-old students from seven of New Zealand's eight universities. Maori and non-Maori students are being sampled separately and are invited by e-mail to complete a web questionnaire including the AUDIT-C. Those who score >4 will be randomly allocated to no further contact until follow-up (control) or to assessment and personalised feedback (intervention) via computer. Follow-up assessment will occur 5 months later in second semester. Recruitment, consent, randomisation, intervention and follow-up are all online. Primary outcomes are (i) total alcohol consumption, (ii) frequency of drinking, (iii) amount consumed per typical drinking occasion, (iv) the proportions exceeding medical guidelines for acute and chronic harm, and (v) scores on an academic problems scale. Discussion: The trial will provide information on the effectiveness of e-SBI in reducing hazardous alcohol consumption across diverse university student populations with separate effect estimates for Maori and non-Maori students.

Item Type: Article
Keywords: RANDOMIZED CONTROLLED-TRIAL, UNIVERSITY-STUDENT DRINKING, IDENTIFICATION TEST AUDIT, HAZARDOUS DRINKING, USE DISORDERS, PRIMARY-CARE, INTERNET, POPULATION, COLLEGE, QUESTIONNAIRE
Faculty and Department: Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
Research Centre: Centre for Global Mental Health
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 21176233
Web of Science ID: 286276700001
URI: http://researchonline.lshtm.ac.uk/id/eprint/1364

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