Giuseppe Carrà1, Cristina Crocamo2, Francesco Bartoli3, Daniele Carretta3, Alessandro Schivalocchi3, Paul E Bebbington4, Massimo Clerici3. 1. Division of Psychiatry (Formerly Mental Health Sciences), University College London, London, United Kingdom; Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy. 2. Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy; Unit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy. Electronic address: cristina.crocamo@unimib.it. 3. Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy. 4. Division of Psychiatry (Formerly Mental Health Sciences), University College London, London, United Kingdom.
Abstract
PURPOSE: Binge drinking (BD) is common among young people. E-Health apps are attractive to them and may be useful for enhancing awareness. We aimed to investigate the impact of a publicly available evidence-based e-Health app (Digital-Alcohol Risk Alertness Notifying Network for Adolescents and Young Adults [D-ARIANNA]), estimating current risk of BD by questions, matching identified risk factors, and providing in percent an overall risk score, accompanied by appropriate images showing mostly contributing factors in summary graphics. METHODS: A natural, quasi-experimental, pre-/post-test study was conducted. Subjects were recruited in pubs, clubs, discos, or live music events. They were requested to self-administer D-ARIANNA and were re-evaluated after two further weeks. RESULTS: Young (18-24 years) people (N = 590) reported reduced BD at follow-up (18% vs. 37% at baseline). To exclude systematic errors involving those lost at follow-up (14%), the diminution in BD was confirmed in an appropriate generalized estimating equation model with unweighted data on a last observation carried forward basis. CONCLUSIONS: Our study provides evidence of population-level benefit at 2 weeks, attained with D-ARIANNA. This can be disseminated easily and economically among young people. However, additional components, including regular feedback and repeated administration by gamification, may be required to make this app suitable for longer term impact.
PURPOSE: Binge drinking (BD) is common among young people. E-Health apps are attractive to them and may be useful for enhancing awareness. We aimed to investigate the impact of a publicly available evidence-based e-Health app (Digital-Alcohol Risk Alertness Notifying Network for Adolescents and Young Adults [D-ARIANNA]), estimating current risk of BD by questions, matching identified risk factors, and providing in percent an overall risk score, accompanied by appropriate images showing mostly contributing factors in summary graphics. METHODS: A natural, quasi-experimental, pre-/post-test study was conducted. Subjects were recruited in pubs, clubs, discos, or live music events. They were requested to self-administer D-ARIANNA and were re-evaluated after two further weeks. RESULTS: Young (18-24 years) people (N = 590) reported reduced BD at follow-up (18% vs. 37% at baseline). To exclude systematic errors involving those lost at follow-up (14%), the diminution in BD was confirmed in an appropriate generalized estimating equation model with unweighted data on a last observation carried forward basis. CONCLUSIONS: Our study provides evidence of population-level benefit at 2 weeks, attained with D-ARIANNA. This can be disseminated easily and economically among young people. However, additional components, including regular feedback and repeated administration by gamification, may be required to make this app suitable for longer term impact.
Authors: Kelly S DeMartini; Michael L Schilsky; Amanda Palmer; Dwain C Fehon; Paula Zimbrean; Stephanie S O'Malley; Hochang B Lee; Benjamin A Toll Journal: Alcohol Clin Exp Res Date: 2018-03-02 Impact factor: 3.455
Authors: Jessica Gomez Smith; Nour Sami Alamiri; Grace Biegger; Christina Frederick; Jennifer P Halbert; Karen S Ingersoll Journal: JMIR Form Res Date: 2022-02-17
Authors: Cristina Crocamo; Bianca Bachi; Riccardo M Cioni; Henrike Schecke; Irja Nieminen; Lidia Zabłocka-Żytka; Małgorzata Woźniak-Prus; Francesco Bartoli; Ilaria Riboldi; Jane V Appleton; Sarah Bekaert; Giedre Zlatkute; Emmanuelle Jouet; Giovanni Viganò; Michael Specka; Norbert Scherbaum; Eija Paavilainen; Alexander Baldacchino; Giuseppe Carrà Journal: Int J Environ Res Public Health Date: 2022-01-13 Impact factor: 3.390