TY - JOUR AU - Wright, Cassandra AU - Dietze, Paul M AU - Agius, Paul A AU - Kuntsche, Emmanuel AU - Livingston, Michael AU - Black, Oliver C AU - Room, Robin AU - Hellard, Margaret AU - Lim, Megan SC PY - 2018 DA - 2018/07/20 TI -基于手机的生态瞬时干预在事件中减少年轻人酒精使用:三臂随机对照试验JO - JMIR Mhealth Uhealth SP - e149 VL - 6 IS - 7 KW -酒精KW -短暂干预KW -生态瞬时评估KW -随机对照试验KW -移动健康KW -手机KW -年轻人AB -背景:实时生态瞬时干预在酒精使用以外的领域显示出有希望的效果;然而，迄今为止，关于酒精使用的生态短暂干预的研究很少。智能手机的日益普及为数据收集的干预和创新提供了新的途径。目的:我们旨在测试生态瞬时干预的有效性，包括基于网络的移动生态瞬时评估(EMAs)和短信(短消息服务，SMS)简短干预，在饮酒活动期间使用参与者的手机进行。方法:我们进行了一项三臂随机对照试验，以评估基于网络的带有短信反馈的移动生态瞬间评估对年轻人自我报告的酒精消费和酒精相关危害的影响。参与者是从一项现有的观察性队列研究中招募的，该研究筛选了有危险饮酒行为的年轻人。干预组(生态瞬时干预组)在6次饮酒活动中重复完成生态瞬时评估，每次生态瞬时评估均收到即时短信反馈。第二组(生态瞬间评价组)在不进行短暂干预的情况下完成生态瞬间评价，第三组在试验期间不进行任何接触。在基线和后续电话访谈中评估了近期高风险单次饮酒高峰。 We used a random effects mixed modeling approach using maximum likelihood estimation to provide estimates of differences in mean drinking levels between groups between baseline and 12-week follow-up. Results: A total of 269 participants were randomized into the 3 groups. The ecological momentary intervention group exhibited a small and nonsignificant increase between baseline and follow-up in (geometric) the mean number of standard drinks consumed at the most recent heavy drinking occasion (mean 12.5 vs 12.7). Both ecological momentary assessment and control groups exhibited a nonsignificant decrease (ecological momentary assessment: mean 13.8 vs 11.8; control: mean 12.3 vs 11.6); these changes did not differ significantly between groups (Wald χ22 1.6; P=.437) and the magnitude of the effects of the intervention were markedly small. No other significant differences between groups on measures of alcohol consumption or related harms were observed. The intervention acceptability was high despite the technical problems in delivery. Conclusions: With a small number of participants, this study showed few effects of an SMS-based brief intervention on peak risky single-occasion drinking. Nevertheless, the study highlights areas for further investigation into the effects of EMI on young adults with heavy alcohol consumption. Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12616001323415; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=369534 (Archived by WebCite at http://www.webcitation.org/7074mqwcs) SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2018/7/e149/ UR - https://doi.org/10.2196/mhealth.9324 UR - http://www.ncbi.nlm.nih.gov/pubmed/30030211 DO - 10.2196/mhealth.9324 ID - info:doi/10.2196/mhealth.9324 ER -