Background: This study explores the experiences of participants receiving a mobile-based brief intervention (BI) for hazardous drinking in India, to determine characteristics that influenced engagement and examine perceived reasons for change in alcohol consumption. Methods: Semi-structured interviews were conducted with 10 adult hazardous drinkers who received a mobile-based BI in the intervention arm of a pilot randomised control trial. Data were coded through an iterative process and analysed using thematic analysis. Findings: Study participants reported a positive experience, with factors such as customised intervention delivery and personal motivation facilitating their engagement. Participants reported a reduction in quantity and frequency of alcohol use. This was credited to the intervention, particularly, its provision of health-related information, goal-setting content and strategies to manage drinking. Apart from alcohol reduction, participants reported improvements in diet, lifestyle, wellbeing, and familial relations. Implication: By providing a context to explain the impact of the intervention, the learnings from this study can be used to strengthen the implementation of mobile-based interventions. This study outlines the scope for further research in digital health, such as Internet-based health interventions, and incorporating digital interventions within the ambit of existing health care programmes.
Impact statementDespite the increasing burden of alcohol-related problems, access to appropriate care remains inadequate, especially in low-and middle-income countries. Access to evidence-based brief interventions (BIs) for hazardous drinking is limited because of health-systems-related challenges such as shortage of health professionals and conflicting demands on the time of healthcare workers. Through our study, we examined the acceptability and feasibility of delivering BI to hazardous drinkers using inexpensive and easily available mobile text messaging services. We found that text messaging enabled BI brief was acceptable to hazardous drinkers. Personal motivation facilitated engagement with the intervention while time constraints acted as a barrier.The key intervention strategies that were perceived to help reduce alcohol consumption included the health-related information and goal-setting. The use of inexpensive and easily accessible basic technology to deliver BI to people with hazardous drinking is a potentially scalable strategy to increase access to care for drinking problems, especially, in low resource settings.