Robert J Tait1, Helen Christensen. 1. Centre for Mental Health Research, Australian National University, Canberra, ACT, Australia. Robert.tait@anu.edu.au
Abstract
OBJECTIVE: To conduct a systematic review of randomised trials of web-based interventions for problematic substance use by adolescents and young adults. DATA SOURCES: An extensive search conducted in February 2009 of computer databases (MEDLINE, PsycINFO, Current Contents) and manual searches of key references. STUDY SELECTION: Randomised comparisons of fully automated web-based interventions specifically targeting adolescents and young adults (ie, typically school or tertiary students, < or = 25 years old) versus other interventions. DATA SYNTHESIS: 16 relevant studies were identified, and data were extracted from 13 of the 14 reporting on alcohol use by young adults. The alcohol interventions had a small effect overall (d = -0.22) and for specific outcomes (level of alcohol consumption, d = -0.12; binge or heavy drinking frequency, d = -0.35; alcohol-related social problems, d = -0.57). The interventions were not effective (d = -0.001) in preventing subsequent development of alcohol-related problems among people who were non-drinkers at baseline. Due to methodological differences, data from the two studies reporting on tobacco interventions among adolescents were not combined. CONCLUSIONS: Based on findings largely from tertiary students, web interventions targeting alcohol-related problems have an effect about equivalent to brief in-person interventions, but with the advantage that they can be delivered to a far larger proportion of the target population. Web-based interventions to prevent the development of alcohol-related problems in those who do not currently drink appear to have minimal impact. There are currently insufficient data to assess the effectiveness of web-based interventions for tobacco use by adolescents.
OBJECTIVE: To conduct a systematic review of randomised trials of web-based interventions for problematic substance use by adolescents and young adults. DATA SOURCES: An extensive search conducted in February 2009 of computer databases (MEDLINE, PsycINFO, Current Contents) and manual searches of key references. STUDY SELECTION: Randomised comparisons of fully automated web-based interventions specifically targeting adolescents and young adults (ie, typically school or tertiary students, < or = 25 years old) versus other interventions. DATA SYNTHESIS: 16 relevant studies were identified, and data were extracted from 13 of the 14 reporting on alcohol use by young adults. The alcohol interventions had a small effect overall (d = -0.22) and for specific outcomes (level of alcohol consumption, d = -0.12; binge or heavy drinking frequency, d = -0.35; alcohol-related social problems, d = -0.57). The interventions were not effective (d = -0.001) in preventing subsequent development of alcohol-related problems among people who were non-drinkers at baseline. Due to methodological differences, data from the two studies reporting on tobacco interventions among adolescents were not combined. CONCLUSIONS: Based on findings largely from tertiary students, web interventions targeting alcohol-related problems have an effect about equivalent to brief in-person interventions, but with the advantage that they can be delivered to a far larger proportion of the target population. Web-based interventions to prevent the development of alcohol-related problems in those who do not currently drink appear to have minimal impact. There are currently insufficient data to assess the effectiveness of web-based interventions for tobacco use by adolescents.
Authors: Alison Hutton; Ivanka Prichard; Dean Whitehead; Susan Thomas; Mark Rubin; Elizabeth Sloand; Terrinieka W Powell; Keri Frisch; Peter Newman; Tener Goodwin Veenema Journal: Compr Child Adolesc Nurs Date: 2019-06-13