Effects of Computerized Interventions on Risky Alcohol Use Among Youth: Systematic Review

Abstract

Purpose:

The study assessed the effectiveness of computerized brief interventions (CBIs) for youth (aged 15–25) defined as risky alcohol users.

Methods:

We searched 10 electronic databases. Eligible studies were randomized and quasi-randomized controlled trials examining the effect of CBIs for youth.

Results:

Fifty-three studies with 33,316 participants were included. Moderate quality evidence showed CBIs to reduce risky alcohol use compared to single-dose assessment. Short-term (<6 months) effects were overall larger than long-term (≥6 months) effects. None of the studies reported adverse effects.

Conclusions:

The positive effects, easy administration, and lack of adverse effects of CBIs indicate that such brief interventions are a feasible way to reduce risky alcohol use in youth.

Keywords

computerized brief interventions alcohol use youth prevention

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References

Cadigan

J. M.

Haeny

A. M.

Martens

M. P.

Weaver

C. C.

Takamatsu

S. K.

Arterberry

B. J.

(2015). Personalized drinking feedback: A meta-analysis of in-person versus computer-delivered interventions. Journal of Consulting and Clinical Psychology, 83, 430–437. doi:10.1037/a0038394

Carey

K. B.

Carey

M. P.

Henson

J. M.

Maisto

S. A.

DeMartini

K. S.

(2011). Brief alcohol interventions for mandated college students: Comparison of face-to-face counseling and computer-delivered interventions. Addiction, 106, 528–537. doi:10.1111/j.1360-0443.2010.03193.x

Cherpitel

C. J.

Bond

Borges

(2003). The causal attribution of injury to alcohol consumption: A cross-national meta-analysis from the emergency room collaborative alcohol analysis project. Alcoholism, Clinical and Experimental Research, 27, 1805–1812. doi:10.1097/01.alc.0000095863.78842.f0

Cunningham

Chermack

Ehrlich

Carter

Booth

Blow

… Walton

M. A.

(2015). Alcohol interventions among underage drinkers in the ED: A randomized controlled trial. Pediatrics, 136, e783–e793.

Foran

H. M.

O’Leary

K. D.

(2008). Alcohol and intimate partner violence: A meta-analytic review. Clinical Psychology Review, 28, 1222–1234. doi:10.1016/j.cpr.2008.05.001

Fox

(2006). Online Health Search 2006: Most internet users start at a search engine when looking for health information online. Very few check the source and date of the information they find. Washington, DC. Retrieved from http://www.pewinternet.org/files/old-media/Files/Reports/2006/PIP_Online_Health_2006.pdf.pdf

Fox

Duggan

(2013). Health Online 2013: 35% of U.S. adults have gone online to figure out a medical condition; of these, half followed up with a visit to a medical professional. Washington, DC. Retrieved from http://www.pewinternet.org/files/old-media//Files/Reports/PIP_HealthOnline.pdf

GRADEpro GDT. (2015). Retrieved from http://gradepro.org/

Higgins

J. P.

Green

(2011). Cochrane handbook for systematic reviews of interventions: Version 5.1.0. Retrieved from: http://www.cochrane-handbook.org/

10.

Jennison

K. M.

(2004). The short-term effects and unintended long-term consequences of binge drinking in college: A 10-year follow-up study. American Journal of Drug and Alcohol Abuse, 30, 659–684.

11.

Kaner

Bland

Cassidy

Coulton

Dale

Deluca

(2013). Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial): Pragmatic cluster randomised controlled trial. British Medical Journal, 346, e8501.

12.

Karam

Kypri

Salamoun

(2007). Alcohol use among college students: An international perspective. Current Opinion in Psychiatry, 20, 213–221. doi:10.1097/YCO.0b013e3280fa836c

13.

Kypri

Hallett

Howat

McManus

Maycock

Bowe

Horton

N. J.

(2009). Randomized controlled trial of proactive web-based alcohol screening and brief intervention for university students. Archives of Internal Medicine, 169, 1508–1514. doi:10.1001/archinternmed.2009.249

14.

Kypri

McCambridge

Vater

Bowe

S. J.

Saunders

J. B.

Cunningham

J. A.

Horton

N. J.

(2013). Web-based alcohol intervention for Maori university students: Double-blind, multi-site randomized controlled trial. Addiction, 108, 331–338. doi:10.1111/j.1360-0443.2012.04067.x

15.

Kypri

Vater

Bowe

S. J.

Saunders

J. B.

Cunningham

J. A.

Horton

N. J.

McCambridge

(2014). Web-based alcohol screening and brief intervention for university students: A randomized trial. JAMA, 311, 1218–1224. doi:10.1001/jama.2014.2138

16.

LaBrie

J. W.

Hummer

J. F.

Neighbors

Pedersen

E. R.

(2008). Live interactive group-specific normative feedback reduces misperceptions and drinking in college students: A randomized cluster trial. Psychology of Addictive Behaviors, 22, 141–148. doi:10.1037/0893-164x.22.1.141

17.

Laging

(2012). Web-based interventions for addressing college drinking. Internetbasierte alkoholpravention bei studierenden [In German]. Sucht, 58, 85–96. doi:10.1024/0939-5911.a000168

18.

Lopez-Caneda

Cadaveira

Crego

Doallo

Corral

Gomez-Suarez

Rodriguez Holguin

(2013). Effects of a persistent binge drinking pattern of alcohol consumption in young people: A follow-up study using event-related potentials. Alcohol and Alcoholism, 48, 464–471. doi:10.1093/alcalc/agt046

19.

Miller

J. W.

Naimi

T. S.

Brewer

R. D.

Jones

S. E.

(2007). Binge drinking and associated health risk behaviors among high school students. Pediatrics, 119, 76–85. doi:10.1542/peds.2006-1517

20.

Moyer

Finney

J. W.

(2004). Brief interventions for alcohol problems: Factors that facilitate implementation. Alcohol Research & Health, 28, 44–50.

21.

O’Donnell

Anderson

Newbury-Birch

Schulte

Schmidt

Reimer

Kaner

(2014). The impact of brief alcohol interventions in primary healthcare: A systematic review of reviews. Alcohol and Alcoholism, 49, 66–68. doi:10.1093/alcalc/agt170

22.

Odgers

C. L.

Caspi

Nagin

D. S.

Piquero

A. R.

Slutske

W. S.

Milne

B. J.

… Moffitt

T. E.

(2008). Is it important to prevent early exposure to drugs and alcohol among adolescents? Psychological Science, 19, 1037–1044. doi:10.1111/j.1467-9280.2008.02196.x

23.

Portnoy

D. B.

Scott-Sheldon

L. A. J.

Johnson

B. T.

Carey

M. P.

(2008). Computer-delivered interventions for health promotion and behavioral risk reduction: A meta-analysis of 75 randomized controlled trials, 1988-2007. Preventive Medicine, 47, 3–16. doi:10.1016/j.ypmed.2008.02.014

24.

Review Manager (RevMan) [Computer program]. Version 5.3. (2014). Copenhagen, Denmark: The Nordic Cochrane Centre, The Cochrane Collaboration.

25.

Roche

A. M.

Freeman

(2004). Brief interventions: Good in theory but weak in practice. Drug and Alcohol Review, 23, 11–18. doi:10.1080/09595230410001645510

26.

Rooke

Thorsteinsson

Karpin

Copeland

Allsop

(2010). Computer-delivered interventions for alcohol and tobacco use: A meta-analysis. Addiction, 105, 1381–1390.

27.

Smedslund

Wollscheid

Fang

Nilsen

Steiro

Larun

(2017). Effects of early, computerized brief interventions on risky alcohol use and risky cannabis use among young people. Oslo. Retrieved from https://campbellcollaboration.org/library/computerised-inteventions-youth-alcohol-cannabis-use.html

28.

Suffoletto

Callaway

Kristan

Kraemer

Clark

D. B.

(2012). Text-message-based drinking assessments and brief interventions for young adults discharged from the emergency department. Alcoholism, Clinical and Experimental Research, 36, 552–560. doi:10.1111/j.1530-0277.2011.01646.x

29.

Tait

R. J.

Christensen

(2010). Internet-based interventions for young people with problematic substance use: A systematic review. Medical Journal of Australia, 192, S15–S21.

30.

Thavorncharoensap

Teerawattananon

Yothasamut

Lertpitakpong

Chaikledkaew

(2009). The economic impact of alcohol consumption: A systematic review. Substance Abuse Treatment Prevention Policy, 4, 20. doi:10.1186/1747-597x-4-20

31.

United Nations. (2003). World Youth Report 2003: The Global Situation of Young People. Retrieved from http://www.un.org/esa/socdev/unyin/documents/ch06.pdf

32.

United Nations Office on Drugs and Crime. (2010). World Drug Report 2010. Retrieved from http://www.unodc.org/documents/wdr/WDR_2010/World_Drug_Report_2010_lo-res.pdf

33.

Walton

M. A.

Bohnert

Resko

Barry

K. L.

Chermack

S. T.

Zucker

R. A.

… Blow

F. C.

(2013). Computer and therapist based brief interventions among cannabis-using adolescents presenting to primary care: One year outcomes. Drug and Alcohol Dependence, 132, 646–653. doi:10.1016/j.drugalcdep.2013.04.020

34.

White

Kavanagh

Stallman

Klein

Kay-Lambkin

Proudfoot

… Young

(2010). Online alcohol interventions: A systematic review. Journal of Medical Internet Research, 12, e62.

35.

World Health Organization. (2014). Global status report on alcohol and health 2014. Geneva, Switzerland. Retrieved from http://www.who.int/substance_abuse/publications/global_alcohol_report/en/

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