Kristina Sinadinovic1, Peter Wennberg, Anne H Berman. 1. Karolinska Institutet, Department of Clinical Neuroscience, Center for Psychiatric Research, Box 17070, SE-104 62 Stockholm, Sweden. kristina.sinadinovic@ki.se
Abstract
BACKGROUND: The aim of this study is to investigate the effects of an Internet-based screening and brief intervention (SBI) site for problematic alcohol and drug use among illicit drug users. METHOD:Individuals searching for information about alcohol or drugs online who scored over 0 on the drug use disorders identification test (DUDIT) and were 15 years or older were recruited for this trial and randomized into one group receiving Internet-based screening and brief intervention via eScreen.se (n=101) or one assessment-only control group (n=101). Both groups were screened at baseline and followed up at 3 and 6 months. The primary outcome measure was the DUDIT-C score and secondary outcome measures were DUDIT, AUDIT-C (alcohol use disorders identification test-C) and AUDIT scores. Additional outcomes included the proportion of drug abstainers and those who made a clinically significant change in their alcohol and drug use. Four statistical models of analysis were used to conservatively assess results. RESULTS: A significant decrease in DUDIT-C scores at the 3-month follow-up occurred in both groups. Three out of four statistical models showed a larger decrease in the DUDIT score in the intervention group than in the control group (p=0.006; p=0.046; p=0.001). Two models showed a continued decrease in AUDIT-C and AUDIT scores also at the 6-month follow-up in the intervention group but not in the control group. No additional differences occurred. CONCLUSIONS: The results are inconclusive but provide some evidence that SBI sites such as eScreen.se could be effective for short-term reductions of problematic substance use.
RCT Entities:
BACKGROUND: The aim of this study is to investigate the effects of an Internet-based screening and brief intervention (SBI) site for problematic alcohol and drug use among illicit drug users. METHOD: Individuals searching for information about alcohol or drugs online who scored over 0 on the drug use disorders identification test (DUDIT) and were 15 years or older were recruited for this trial and randomized into one group receiving Internet-based screening and brief intervention via eScreen.se (n=101) or one assessment-only control group (n=101). Both groups were screened at baseline and followed up at 3 and 6 months. The primary outcome measure was the DUDIT-C score and secondary outcome measures were DUDIT, AUDIT-C (alcohol use disorders identification test-C) and AUDIT scores. Additional outcomes included the proportion of drug abstainers and those who made a clinically significant change in their alcohol and drug use. Four statistical models of analysis were used to conservatively assess results. RESULTS: A significant decrease in DUDIT-C scores at the 3-month follow-up occurred in both groups. Three out of four statistical models showed a larger decrease in the DUDIT score in the intervention group than in the control group (p=0.006; p=0.046; p=0.001). Two models showed a continued decrease in AUDIT-C and AUDIT scores also at the 6-month follow-up in the intervention group but not in the control group. No additional differences occurred. CONCLUSIONS: The results are inconclusive but provide some evidence that SBI sites such as eScreen.se could be effective for short-term reductions of problematic substance use.
Authors: Kathryn E Lancaster; William C Miller; Tetiana Kiriazova; Riza Sarasvita; Quynh Bui; Tran Viet Ha; Kostyantyn Dumchev; Hepa Susami; Erica L Hamilton; Scott Rose; Rebecca B Hershow; Vivian F Go; David Metzger; Irving F Hoffman; Carl A Latkin Journal: AIDS Educ Prev Date: 2019-04
Authors: Jan Gryczynski; Kevin E O'Grady; Shannon Gwin Mitchell; Steven J Ondersma; Robert P Schwartz Journal: J Addict Med Date: 2016 Sep-Oct Impact factor: 3.702
Authors: Eric A Dedert; Jennifer R McDuffie; Roy Stein; J Murray McNiel; Andrzej S Kosinski; Caroline E Freiermuth; Adam Hemminger; John W Williams Journal: Ann Intern Med Date: 2015-08-04 Impact factor: 25.391
Authors: Robert J Tait; Rebecca McKetin; Frances Kay-Lambkin; Bradley Carron-Arthur; Anthony Bennett; Kylie Bennett; Helen Christensen; Kathleen M Griffiths Journal: J Med Internet Res Date: 2015-04-29 Impact factor: 5.428