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Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders: A Systematic Review.

Publication ,  Journal Article
Dedert, EA; McDuffie, JR; Stein, R; McNiel, JM; Kosinski, AS; Freiermuth, CE; Hemminger, A; Williams, JW
Published in: Ann Intern Med
August 4, 2015

BACKGROUND: The use of electronic interventions (e-interventions) may improve treatment of alcohol misuse. PURPOSE: To characterize treatment intensity and systematically review the evidence for efficacy of e-interventions, relative to controls, for reducing alcohol consumption and alcohol-related impairment in adults and college students. DATA SOURCES: MEDLINE (via PubMed) from January 2000 to March 2015 and the Cochrane Library, EMBASE, and PsycINFO from January 2000 to August 2014. STUDY SELECTION: English-language, randomized, controlled trials that involved at least 50 adults who misused alcohol; compared an e-intervention group with a control group; and reported outcomes at 6 months or longer. DATA EXTRACTION: Two reviewers abstracted data and independently rated trial quality and strength of evidence. DATA SYNTHESIS: In 28 unique trials, the modal e-intervention was brief feedback on alcohol consumption. Available data suggested a small reduction in consumption (approximately 1 drink per week) in adults and college students at 6 months but not at 12 months. There was no statistically significant effect on meeting drinking limit guidelines in adults or on binge-drinking episodes or social consequences of alcohol in college students. LIMITATIONS: E-interventions that ranged in intensity were combined in analyses. Quantitative results do not apply to short-term outcomes or alcohol use disorders. CONCLUSION: Evidence suggests that low-intensity e-inter ventions produce small reductions in alcohol consumption at 6 months, but there is little evidence for longer-term, clinically significant effects, such as meeting drinking limits. Future e-interventions could provide more intensive treatment and possibly human support to assist persons in meeting recommended drinking limits. PRIMARY FUNDING SOURCE: U.S. Department of Veterans Affairs.

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Published In

Ann Intern Med

DOI

EISSN

1539-3704

Publication Date

August 4, 2015

Volume

163

Issue

3

Start / End Page

205 / 214

Location

United States

Related Subject Headings

  • Young Adult
  • Students
  • Internet
  • Humans
  • General & Internal Medicine
  • Counseling
  • Binge Drinking
  • Behavior Therapy
  • Alcohol-Related Disorders
  • Adult
 

Citation

APA
Chicago
ICMJE
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Dedert, E. A., McDuffie, J. R., Stein, R., McNiel, J. M., Kosinski, A. S., Freiermuth, C. E., … Williams, J. W. (2015). Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders: A Systematic Review. Ann Intern Med, 163(3), 205–214. https://doi.org/10.7326/M15-0285
Dedert, Eric A., Jennifer R. McDuffie, Roy Stein, J Murray McNiel, Andrzej S. Kosinski, Caroline E. Freiermuth, Adam Hemminger, and John W. Williams. “Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders: A Systematic Review.Ann Intern Med 163, no. 3 (August 4, 2015): 205–14. https://doi.org/10.7326/M15-0285.
Dedert EA, McDuffie JR, Stein R, McNiel JM, Kosinski AS, Freiermuth CE, et al. Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders: A Systematic Review. Ann Intern Med. 2015 Aug 4;163(3):205–14.
Dedert, Eric A., et al. “Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders: A Systematic Review.Ann Intern Med, vol. 163, no. 3, Aug. 2015, pp. 205–14. Pubmed, doi:10.7326/M15-0285.
Dedert EA, McDuffie JR, Stein R, McNiel JM, Kosinski AS, Freiermuth CE, Hemminger A, Williams JW. Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders: A Systematic Review. Ann Intern Med. 2015 Aug 4;163(3):205–214.

Published In

Ann Intern Med

DOI

EISSN

1539-3704

Publication Date

August 4, 2015

Volume

163

Issue

3

Start / End Page

205 / 214

Location

United States

Related Subject Headings

  • Young Adult
  • Students
  • Internet
  • Humans
  • General & Internal Medicine
  • Counseling
  • Binge Drinking
  • Behavior Therapy
  • Alcohol-Related Disorders
  • Adult