Alcohol e-Help: study protocol for a web-based self-help program to reduce alcohol use in adults with drinking patterns considered harmful, hazardous or suggestive of dependence in middle-income countries
| Author | Michael P. Schaub | |
| Author | Marcela Tiburcio | |
| Author | Nora Martinez | |
| Author | Atul Ambekar | |
| Author | Yatan Pal Singh Balhara | |
| Author | Andreas Wenger | |
| Author | Andre Luiz Monezi Andrade | |
| Author | Dzianis Padruchny | |
| Author | Sergey Osipchik | |
| Author | Elise Gehring | |
| Author | Vladimir Poznyak | |
| Date Accessioned | 2024-12-07T05:04:46Z | |
| Date Available | 2024-12-07T05:04:46Z | |
| Date of Publication | 2018 | |
| Abstract | Background and aimsGiven the scarcity of alcohol prevention and alcohol use disorder treatments in many low and middle-income countries, the World Health Organization launched an e-health portal on alcohol and health that includes a Web-based self-help program. This paper presents the protocol for a multicentre randomized controlled trial (RCT) to test the efficacy of the internet-based self-help intervention to reduce alcohol use. DesignTwo-arm randomized controlled trial (RCT) with follow-up 6 months after randomization. SettingCommunity samples in middle-income countries. ParticipantsPeople aged 18+, with Alcohol Use Disorders Identification Test (AUDIT) scores of 8+ indicating hazardous alcohol consumption. Intervention and comparatorOffer of an internet-based self-help intervention, Alcohol e-Health', compared with a waiting list' control group. The intervention, adapted from a previous program with evidence of effectiveness in a high-income country, consists of modules to reduce or entirely stop drinking. MeasurementsThe primary outcome measure is change in the Alcohol Use Disorders Identification Test (AUDIT) score assessed at 6-month follow-up. Secondary outcomes include self-reported the numbers of standard drinks and alcohol-free days in a typical week during the past 6 months, and cessation of harmful or hazardous drinking (AUDIT < 8). AnalysisData analysis will be by intention-to-treat, using analysis of covariance to test if program participants will experience a greater reduction in their AUDIT score than controls at follow-up. Secondary outcomes will be analysed by (generalized) linear mixed models. Complier average causal effect and baseline observations carried forward will be used in sensitivity analyses. CommentsIf the Alcohol e-Health program is found to be effective, the potential public health impact of its expansion into countries with underdeveloped alcohol prevention and alcohol use disorder treatment systems world-wide is considerable. | |
| Identifier URI | https://resourcerepository.azimpremjiuniversity.edu.in/handle/apurr/984 | |
| Publisher | Addiction | |
| Source URI/URL | http://dx.doi.org/10.1111/add.14034 | |
| Keyword | Maritime transport | |
| Keyword | Internal combustion engine | |
| Keyword | Decarbonisation | |
| Keyword | Shipping industry | |
| Keyword | Climate change | |
| Keyword | Greenhouse gas emission | |
| Keyword | Human health | |
| Title | Alcohol e-Help: study protocol for a web-based self-help program to reduce alcohol use in adults with drinking patterns considered harmful, hazardous or suggestive of dependence in middle-income countries | |
| Item Type | Article |