Evaluation of an Alcohol Misuse Prevention Program in a Military Population

Hurtado, Suzanne L.; Schaffer, Richard A.; Schuckit, Marc A.; Simon-Arndt, Cynthia M.; Castillo, Edward M.

doi:10.21236/ada421218

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…The high rates of hazardous use of alcohol among military service members is both a major personal problem for individual service impulsiveness. We were able to achieve follow-up rates that are much higher than those reported in other military populations [25,26], but only achieved our goal of 80% in the EUC group. Also, as evident in Table 3, despite randomization the EUC was markedly lower on this measure at baseline than the two intervention groups.…”

Section: Discussionmentioning

confidence: 52%

“…The SIP also assesses a broader range of the consequences of hazardous alcohol use, including physical health, interpersonal functioning, intrapersonal factors such as mood and guilt, fulfilling personal responsibilities and general impulsiveness. We were able to achieve follow‐up rates that are much higher than those reported in other military populations [25, 26], but only achieved our goal of 80% in the EUC group. Also, as evident in Table 3, despite randomization the EUC was markedly lower on this measure at baseline than the two intervention groups.…”

Section: Discussionmentioning

confidence: 68%

“…For the primary outcome measure, an analytical sample of 600 (200 participants/condition) was needed to obtain 85% power to detect a hazard rate of 1.8 for comparing an active condition to EUC to detect medium-to large-sized interaction effects (or moderation/mediation effects) using Poisson regression. Informed by the prior e-health interventions in military populations, which found that follow-up rates were unexpectedly low [25,26], we assumed a conservative follow-up rate of 80% and thus targeted enrollment of 750 participants to account for losses due to attrition. Thus, the sample sizes were increased to ensure that the study was fully powered to detect differences between each intervention and the EUC condition.…”

Section: Sample Sizementioning

confidence: 99%

“…Very few studies treating military populations with web-based approaches have been reported, and controlled trials have been hampered by low follow-up rates [25,26]. The Department of Defense is committed to expanding the use of mobile-and web-based approaches, but these efforts are slowed by the lack of empirically proven, effective interventions [27].…”

Section: Introductionmentioning

confidence: 99%

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Peer‐ and web‐based interventions for risky drinking among US National Guard members: Mission Strong randomized controlled trial

et al. 2023

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Aims To test separatel the efficacy of a web‐based and a peer‐based brief intervention (BI), compared with an expanded usual care control (EUC) group, among military reserve component members using alcohoI in a hazardous and harmful manner. Design In the randomized controlled trial, participants were assigned to: [1] web‐based BI with web‐based boosters (BI + web), [2] web‐based BI with peer‐based boosters (BI + peer) or [3] enhanced usual care (EUC). Setting Michigan, USA. Participants A total of 739 Michigan Army National Guard members who reported recent hazardous alcohol use; 84% were male, the mean age was 28 years. Intervention The BI consisted of an interactive program guided by a personally selected avatar. Boosters were delivered either on the web or personally by a trained veteran peer. A pamphlet, given to all participants, included information on hazardous alcohol use and military‐specific community resources and served as the EUC condition. Measurements The primary outcome measure was binge drinking episodes in the past 30 days, measured at 12 months after the BI. Findings All randomized participants were included in the outcome analyses. In adjusted analyses, BI + peer [beta = −0.43, 95% confidence interval (CI) = −0.56 to −0.31, P < 0.001] and BI + web (beta = −0.34, 95% CI = −0.46 to −0.23, P < 0.001) reduced binge drinking compared with EUC. Conclusion This satudy was a web‐based brief intervention for hazardous alcohol use, with either web‐ or peer‐based boosters, reduced binge alcohol use among Army National Guard members.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 68%

Section: Sample Sizementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Peer‐ and web‐based interventions for risky drinking among US National Guard members: Mission Strong randomized controlled trial

et al. 2023

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Review of Mental Health Care in the ADF and Transition through Discharge

Dunt¹

2009

PsycEXTRA Dataset

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Acceptance of Web-Based Personalized Feedback: User Ratings of an Alcohol Misuse Prevention Program Targeting U.S. Marines

Simon-Arndt¹,

Hurtado²,

Patriarca-Troyk³

2006

Health Communication

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The use of Web-based programs for a variety of health education, risk reduction, and health promotion purposes can be a valuable tool in the effort to improve the health of a population. Providing theory-based personalized feedback through such a method can be particularly useful in alcohol misuse prevention efforts. A brief alcohol use feedback program was developed for members of the U.S. Marine Corps, and user-satisfaction ratings were collected from 167 participants. Approximately 44% of the sample found the program to be useful or very useful, and 46% of the sample reported that they were likely or very likely to recommend the Web site to others. The Web-based format with tailored responses was preferred by 85% of respondents over other more traditional methods of alcohol training, and 80% of participants felt that the feedback was appropriate for Marines in their community. Significantly higher usefulness, likelihood of recommending the program to others, and overall ratings of the program were reported among younger and nonheavy-drinking participants (p < .05). Results indicate that this computerized assessment and feedback program is a promising mechanism with which to provide personalized alcohol misuse prevention information.

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Evaluation of an Alcohol Misuse Prevention Program in a Military Population

Cited by 5 publications

References 12 publications

Peer‐ and web‐based interventions for risky drinking among US National Guard members: Mission Strong randomized controlled trial

Peer‐ and web‐based interventions for risky drinking among US National Guard members: Mission Strong randomized controlled trial

Review of Mental Health Care in the ADF and Transition through Discharge

Acceptance of Web-Based Personalized Feedback: User Ratings of an Alcohol Misuse Prevention Program Targeting U.S. Marines

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