The aim of this study is to investigate whether motivation-tailored alcohol interventions are more effective when delivered by person or by computer-generated feedback letters. A sample of 920 general hospital inpatients with risky drinking will be recruited through a computerized screening procedure. Patients with more severe alcohol problems will be excluded from the study. Participants will be allocated by time frame randomization to one of three study arms: (1) personal counseling based on Motivational Interviewing, (2) computer-expert system intervention that generates individualized feedback-letters, and (3) control group (treatment-as-usual). The interventions differ in their channel of delivery, but not regarding their content. Both intervention groups receive interventions at three time points: directly after the baseline-assessment at the general hospital, and 1 and 3 months later by mail and phone, respectively. Outcome will be assessed six, 12, 18 and 24 months after baseline.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
975
At three time-points, participants receive counseling by health professionals trained in Motivational Interviewing based counseling. To assure that both interventions do not differ in their content, individual manuals generated by a software program are used. Counseling will be face-to-face during the hospital stay, and by phone one and three months later.
At three time points, participants receive feedback letters, tailored to the stages of change according to the TTM, and generated by a computer software program. The first letter is handed out during their hospital stay and includes normative feedback. One and three months later, participants receive ipsative feedback letters by mail.
Institute of Social Medicine and Prevention, University Medicine Greifswald
Greifswald, Mecklenburg-Vorpommern, Germany
Risky drinking
Determined by using average alcohol consumption per day, heavy occasional drinking, highest blood alcohol concentration, the Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) score
Time frame: 6, 12, 18, 24 months
Motivation to reduce drinking
Assessed by a stages of change-algorithm
Time frame: 6, 12, 18, 24 months
Attempts to reduce drinking
Time frame: 6, 12, 18, 24 months
Knowledge about drinking limits
Time frame: 6, 12, 18, 24 months
Self-efficacy scores
Assessed by a modified short-form of the Alcohol-Abstinence-Self-Efficacy-Scale (AASE). The modified form assesses self-efficacy regarding compliance with drinking limits.
Time frame: 6 months
Decisional balance scores
Assessed by a short form of the Alcohol Decisional Balance Scale (ADBS)
Time frame: 6 months
Self-rated health
Time frame: 6, 12, 18, 24 months
Health care utilization
Time frame: 6, 12, 18, 24 months
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