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

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dc.citation.issue2
dc.citation.volume113
dc.contributor.authorSchaub, Michael P.
dc.contributor.authorTiburcio, Marcela
dc.contributor.authorMartinez, Nora
dc.contributor.authorAmbekar, Atul
dc.contributor.authorBalhara, Yatan Pal Singh
dc.contributor.authorWenger, Andreas
dc.contributor.authorMonezi Andrade, Andre Luiz [UNIFESP]
dc.contributor.authorPadruchny, Dzianis
dc.contributor.authorOsipchik, Sergey
dc.contributor.authorGehring, Elise
dc.contributor.authorPoznyak, Vladimir
dc.contributor.authorRekve, Dag
dc.contributor.authorOliveira Souza-Formigoni, Maria Lucia [UNIFESP]
dc.coverageHoboken
dc.date.accessioned2020-07-08T13:09:50Z
dc.date.available2020-07-08T13:09:50Z
dc.date.issued2018
dc.description.abstractBackground 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.en
dc.description.affiliationUniv Zurich, Swiss Res Inst Publ Hlth & Addict ISGF, Konradstr 32, CH-8031 Zurich, Switzerland
dc.description.affiliationRamon Fuente Muniz, Natl Inst Psychiat, Mexico City, DF, Mexico
dc.description.affiliationRamon Fuente Muniz, Natl Inst Psychiat, Dept Social Sci Hlth, Mexico City, DF, Mexico
dc.description.affiliationAll India Inst Med Sci, Natl Drug Dependence Treatment Ctr, New Delhi, India
dc.description.affiliationAll India Inst Med Sci, Dept Psychiat, New Delhi, India
dc.description.affiliationUniv Fed Sao Paulo, Dept Psicobiol, Escola Paulista Med, Sao Paulo, Brazil
dc.description.affiliationBelarusian Psychiat Assoc, Informat & Training Ctr, Minsk, Byelarus
dc.description.affiliationRepublican Res & Practice Ctr Mental Hlth, Minsk, Byelarus
dc.description.affiliationWHO Dept Mental Hlth & Subst Abuse Geneva, Geneva, Switzerland
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Psicobiol, Escola Paulista Med, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipWorld Health Organization
dc.description.sponsorshipIDWorld Health Organization: 001
dc.format.extent346-352
dc.identifierhttp://dx.doi.org/10.1111/add.14034
dc.identifier.citationAddiction. Hoboken, v. 113, n. 2, p. 346-352, 2018.
dc.identifier.doi10.1111/add.14034
dc.identifier.issn0965-2140
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54239
dc.identifier.wosWOS:000419584600023
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofAddiction
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAlcoholen
dc.subjectinterneten
dc.subjectmiddle-income countriesen
dc.subjectpublic healthen
dc.subjectself-helpen
dc.subjectWorld Health Organizationen
dc.titleAlcohol 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 countriesen
dc.typeinfo:eu-repo/semantics/article
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