Web-Based Alcohol Screening and Brief Intervention for University Students

Kypri, Kypros; Vater, Tina; Bowe, Steven J.; Saunders, John B.; Cunningham, John A.; Horton, Nicholas J.; McCambridge, Jim

doi:10.1001/jama.2014.2138

Cited by 89 publications

(76 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Lastly, this review synthesizes literature that was published by October of 2011, consistent with the evidence available when e-SBI was presented to the Task Force. It is possible that the magnitude of the findings would differ with the inclusion of more recent studies; however, effect estimates from more recent studies 78,79 are consistent with those found in this review, making it unlikely that their inclusion would substantively alter the results reported in this review.…”

Section: Discussionsupporting

confidence: 53%

Alcohol Electronic Screening and Brief Intervention

Tansil

Esser

Sandhu

et al. 2016

American Journal of Preventive Medicine

View full text Add to dashboard Cite

Context Excessive drinking is responsible for 1 in 10 deaths among working-age adults in the U.S. annually. Alcohol screening and brief intervention (ASBI) is an effective, but underutilized, intervention for reducing excessive drinking among adults. Electronic screening and brief intervention (e-SBI) uses electronic devices to deliver key elements of ASBI, and has the potential to expand population reach. Evidence acquisition Using Community Guide methods, a systematic review of the scientific literature on the effectiveness of e-SBI for reducing excessive alcohol consumption and related harms was conducted. The search covered studies published from 1967 to October 2011. A total of 31 studies with 36 study arms met quality criteria, and were included in the review. Analyses were conducted in 2012. Evidence synthesis Twenty-four studies (28 study arms) provided results for excessive drinkers only and seven studies (eight study arms) reported results for all drinkers. Nearly all studies found that e-SBI reduced excessive alcohol consumption and related harms: nine study arms reported a median 23.9% reduction in binge drinking intensity (maximum drinks/binge episode) and nine study arms reported a median 16.5% reduction in binge drinking frequency. Reductions in drinking measures were sustained for up to 12 months. Conclusion According to Community Guide rules of evidence, e-SBI is an effective method for reducing excessive alcohol consumption and related harms among intervention participants. Implementation of e-SBI could complement population-level strategies previously recommended by the Community Preventive Services Task Force for reducing excessive drinking (e.g., increasing alcohol taxes and regulating alcohol outlet density).

show abstract

Section: Discussionsupporting

confidence: 53%

Alcohol Electronic Screening and Brief Intervention

Tansil

Esser

Sandhu

et al. 2016

American Journal of Preventive Medicine

View full text Add to dashboard Cite

show abstract

“…19 Therefore, a campus-based screening and counseling is highly favorable to be routinely employed among incoming and current college students. 20,21 In executing this intervention, a more focused attention needs to be paid to identify high risk groups. In this study we have found that males are consistently being alcohol consumer more than females.…”

Section: Discussionmentioning

confidence: 99%

Alcohol consumption among college students in Minahasa, Indonesia: a cross-sectional study towards the formulation of intervention strategies

Supit¹,

Mamuaja²,

Pissu³

2017

Int J Community Med Public Health

View full text Add to dashboard Cite

Background: College students are within the high-risk group to experience the full spectrum of alcohol-related psychopathologies, ranging from initial contact with alcohol to the severe problematic drinking. The prevalence, degree of severity, reasons of drinking, among other variables, however, have been inconsistent across studies. Therefore, it is crucial to replicate such studies in different socio-cultural settings to synthesize a broader understanding about alcohol-consuming behavior and formulating intervention strategies. This research aims to describe the pattern of alcohol drinking behavior among college students in Minahasa, Indonesia, and to analyze its correlation with academic performance. Methods: We conducted a questionnaire-based cross-sectional study to investigate the alcohol-consumption pattern and examined its association with the students' academic performance obtained from the campus database. A total-sampling technique was applied to draw the samples. Chi-square and Kendall's tau analyses were employed accordingly to measure the relationship significance. Results: From 417 samples (338 samples were females), 70.98% of them reported never had consumed alcohol of any amount. Male sex and local ethnicity are positively associated with consuming behavior. We found an association between alcohol consumption status with cumulative GPA but not with current GPA. Although alcohol consumers considered GPA as less important, the self-insight about their academic performance is intact. The consumed beverages were mostly beers, followed by traditional liquor and winepalms. Most of them consumed alcohol to "warm-up the body"—a common practice in this area, followed by social reasons. Only small number of them identified themselves as being addicted. Majority of the consumers realized the importance to reduce or quit consuming alcohol. The implications of these findings are then discussed. Conclusions: This study showed that most of the students have never consumed alcohol. However, among the consumers, male sex and local ethnicity are more prone to become alcohol users. The academic performance is also affected, and since most of the consumers consider to reduce their drinking behavior, professional interventions are necessary to facilitate recovery attempts.

show abstract

“…There is also some evidence that being self-administered, online screening is likely to generate more honest reporting of risky alcohol use, in comparison with a face-to-face interview [27, 28]. The AUDIT-C has been used to screen for eligibility in two trials of web-based alcohol screening and brief intervention delivered to students in New Zealand (≥4 for men and women) [29, 30] and two trials of facilitated access to an online intervention delivered in primary care in Italy and Spain (≥5 for men and ≥4 women) [31, 32]. These trials did not validate the AUDIT-C for use online, and were not conducted in general population samples.…”

Section: Introductionmentioning

confidence: 99%

Validation of the AUDIT-C in adults seeking help with their drinking online

Khadjesari

White

McCambridge

et al. 2017

Addict Sci Clin Pract

Self Cite

View full text Add to dashboard Cite

BackgroundThe abbreviated Alcohol Use Disorder Identification Test for Consumption (AUDIT-C) is rapidly becoming the alcohol screening tool of choice for busy practitioners in clinical settings and by researchers keen to limit assessment burden and reactivity. Cut-off scores for detecting drinking above recommended limits vary by population, setting, country and potentially format. This validation study aimed to determine AUDIT-C thresholds that indicated risky drinking among a population of people seeking help over the Internet.MethodThe data in this study were collected in the pilot phase of the Down Your Drink trial, which recruited people seeking help over the Internet and randomised them to a web-based intervention or an information-only website. Sensitivity, specificity, and positive and negative likelihood ratios were calculated for AUDIT-C scores, relative to weekly consumption that indicated drinking above limits and higher risk drinking. Receiver-operating characteristic (ROC) curves were created to assess the performance of different cut-off scores on the AUDIT-C for men and women. Past week alcohol consumption was used as the reference-standard and was collected via the TOT-AL, a validated online measure of past week drinking.ResultsAUDIT-C scores were obtained from 3720 adults (2053 female and 1667 male) searching the internet for help with drinking, mostly from the UK. The area under the ROC curve for risky drinking was 0.84 (95% CI 0.80, 0.87) (female) and 0.80 (95% CI 0.76, 0.84) (male). AUDIT-C cut-off scores for detecting risky drinking that maximise the sum of sensitivity and specificity were ≥8 for women and ≥8 for men; whereas those identifying the highest proportion of correctly classified individuals were ≥4 for women and ≥5 for men. AUDIT-C cut-off scores for detecting higher risk drinking were also calculated.ConclusionsAUDIT-C cut-off scores for identifying alcohol consumption above weekly limits in this largely UK based study population were substantially higher than those reported in other validation studies. Researchers and practitioners should select AUDIT-C cut-off scores according to the purpose of identifying risky drinkers and hence the relative importance of sensitivity and/or specificity.

show abstract

Web-Based Alcohol Screening and Brief Intervention for University Students

Abstract: anzctr.org.au Identifier: ACTRN12610000279022.

Cited by 89 publications

References 38 publications

Alcohol Electronic Screening and Brief Intervention

Alcohol Electronic Screening and Brief Intervention

Alcohol consumption among college students in Minahasa, Indonesia: a cross-sectional study towards the formulation of intervention strategies

Validation of the AUDIT-C in adults seeking help with their drinking online

Contact Info

Product

Resources

About