PMID- 22925046
OWN - NLM
STAT- MEDLINE
DCOM- 20131203
LR  - 20220408
IS  - 1360-0443 (Electronic)
IS  - 0965-2140 (Print)
IS  - 0965-2140 (Linking)
VI  - 108
IP  - 2
DP  - 2013 Feb
TI  - Web-based alcohol intervention for Maori university students: double-blind, 
      multi-site randomized controlled trial.
PG  - 331-8
LID - 10.1111/j.1360-0443.2012.04067.x [doi]
AB  - AIMS: Like many indigenous peoples, New Zealand Maori bear a heavy burden of 
      alcohol-related harm relative to their non-indigenous compatriots, and 
      disparities are greatest among young adults. We tested the effectiveness of 
      web-based alcohol screening and brief intervention (e-SBI) for reducing hazardous 
      drinking among Maori university students. DESIGN: Parallel, double-blind, 
      multi-site, randomized controlled trial. SETTING: Seven of New Zealand's eight 
      universities. PARTICIPANTS: In April 2010, we sent e-mail invitations to all 6697 
      17-24-year-old Maori students to complete a brief web questionnaire including the 
      Alcohol Use Disorders Identification Test (AUDIT)-C, a screening tool for 
      hazardous and harmful drinking. Those screening positive were computer randomized 
      to: <10 minutes of web-based alcohol assessment and personalized feedback 
      (intervention) or screening alone (control). MEASUREMENTS: We conducted a fully 
      automated 5-month follow-up assessment with observers and participants blinded to 
      study hypotheses, design and intervention delivery. Pre-determined primary 
      outcomes were: (i) frequency of drinking, (ii) amount consumed per typical 
      drinking occasion, (iii) overall volume of alcohol consumed and (iv) academic 
      problems. FINDINGS: Of the participants, 1789 were hazardous or harmful drinkers 
      (AUDIT-C >/= 4) and were randomized: 850 to control, 939 to intervention. Follow-up 
      assessments were completed by 682 controls (80%) and 733 intervention group 
      members (78%). Relative to controls, participants receiving intervention drank 
      less often [RR = 0.89; 95% confidence interval (CI): 0.82-0.97], less per 
      drinking occasion (RR = 0.92; 95% CI: 0.84-1.00), less overall (RR = 0.78; 95% 
      CI: 0.69-0.89) and had fewer academic problems (RR = 0.81; 95% CI: 0.69-0.95). 
      CONCLUSIONS: Web-based screening and brief intervention reduced hazardous and 
      harmful drinking among non-help-seeking Maori students in a large-scale pragmatic 
      trial. The study has wider implications for behavioural intervention in the 
      important but neglected area of indigenous health.
CI  - (c) 2012 The Authors, Addiction (c) 2012 Society for the Study of Addiction.
FAU - Kypri, Kypros
AU  - Kypri K
AD  - Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public 
      Health, University of Newcastle, Callaghan, NSW, Australia. 
      kypros.kypri@newcastle.edu.au
FAU - McCambridge, Jim
AU  - McCambridge J
FAU - Vater, Tina
AU  - Vater T
FAU - Bowe, Steven J
AU  - Bowe SJ
FAU - Saunders, John B
AU  - Saunders JB
FAU - Cunningham, John A
AU  - Cunningham JA
FAU - Horton, Nicholas J
AU  - Horton NJ
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20121107
PL  - England
TA  - Addiction
JT  - Addiction (Abingdon, England)
JID - 9304118
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Alcohol Drinking/epidemiology/*prevention & control
MH  - Alcoholic Beverages/statistics & numerical data
MH  - Double-Blind Method
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - *Internet
MH  - Male
MH  - Mass Screening/*methods
MH  - New Zealand
MH  - Program Evaluation
MH  - Risk-Taking
MH  - Students/statistics & numerical data
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
MH  - Universities
MH  - Young Adult
PMC - PMC3588153
EDAT- 2012/08/29 06:00
MHDA- 2013/12/16 06:00
CRDT- 2012/08/29 06:00
PHST- 2012/06/07 00:00 [received]
PHST- 2012/08/02 00:00 [revised]
PHST- 2012/08/21 00:00 [accepted]
PHST- 2012/08/29 06:00 [entrez]
PHST- 2012/08/29 06:00 [pubmed]
PHST- 2013/12/16 06:00 [medline]
AID - 10.1111/j.1360-0443.2012.04067.x [doi]
PST - ppublish
SO  - Addiction. 2013 Feb;108(2):331-8. doi: 10.1111/j.1360-0443.2012.04067.x. Epub 
      2012 Nov 7.