Historique
Article de Périodique
Texting to Reduce Alcohol Misuse (TRAM): main findings from a randomized controlled trial of a text message intervention to reduce binge drinking among disadvantaged men (2018)
Auteur(s) :
CROMBIE, I. K. ;
IRVINE, L. ;
WILLIAMS, B. ;
SNIEHOTTA, F. F. ;
PETRIE, D. ;
JONES, C. ;
NORRIE, J. ;
EVANS, J. M. M. ;
EMSLIE, C. ;
RICE, P. M. ;
SLANE, P. W. ;
HUMPHRIS, G. ;
RICKETTS, I. W. ;
MELSON, A. J. ;
DONNAN, P. T. ;
HAPCA, S. M. ;
MCKENZIE, A. ;
ACHISON, M.
Année :
2018
Page(s) :
1609-1618
Langue(s) :
Anglais
Refs biblio. :
52
Domaine :
Alcool / Alcohol
Thésaurus géographique
ROYAUME-UNI
;
ECOSSE
Thésaurus mots-clés
TELEPHONE MOBILE
;
ALCOOL
;
ETUDE RANDOMISEE
;
INTERVENTION
;
ABUS
;
REDUCTION DE CONSOMMATION
;
SEXE MASCULIN
;
PRECARITE
;
ADULTE
Résumé :
Aims: To test the effectiveness of a theoretically based text-message intervention to reduce binge drinking among socially disadvantaged men.
Design: A multi-centre parallel group, pragmatic, individually randomized controlled trial.
Setting: Community-based study conducted in four regions of Scotland.
Participants: A total of 825 men aged 25-44 years recruited from socially disadvantaged areas who had two or more episodes of binge drinking (> 8 UK units on a single occasion) in the preceding 28 days: 411 men were randomized to the intervention and 414 to the control.
Intervention and comparator: A series of 112 interactive text messages was delivered by mobile phone during a 12-week period. The intervention was structured around the Health Action Process Approach, a comprehensive model which allows integration of a range of evidence-based behaviour change techniques. The control group received 89 texts on general health, with no mention of alcohol or use of behaviour change techniques.
Measurements: The primary outcome measure was the proportion of men consuming > 8 units on three or more occasions (in the previous 28 days) at 12 months post-intervention.
Findings: The proportion of men consuming > 8 units on three or more occasions (in the previous 28 days) was 41.5% in the intervention group and 47.8% in the control group. Formal analysis showed that there was no evidence that the intervention was effective [odds ratio (OR) = 0.79, 95% confidence interval (CI) = 0.57-1.08; absolute reduction 5.7%, 95% CI = -13.3 to 1.9]. The Bayes factor for this outcome was 1.3, confirming that the results were inconclusive. The retention was high and similar in intervention (84.9%) and control (86.5%) groups. Most men in the intervention group engaged with the text messages: almost all (92%) replied to text messages and 67% replied more than 10 times.
Conclusions: A theoretically based text-messaging intervention aimed at reducing binge drinking in disadvantaged men was not found to reduce prevalence of binge drinking at 12-month follow-up.
Design: A multi-centre parallel group, pragmatic, individually randomized controlled trial.
Setting: Community-based study conducted in four regions of Scotland.
Participants: A total of 825 men aged 25-44 years recruited from socially disadvantaged areas who had two or more episodes of binge drinking (> 8 UK units on a single occasion) in the preceding 28 days: 411 men were randomized to the intervention and 414 to the control.
Intervention and comparator: A series of 112 interactive text messages was delivered by mobile phone during a 12-week period. The intervention was structured around the Health Action Process Approach, a comprehensive model which allows integration of a range of evidence-based behaviour change techniques. The control group received 89 texts on general health, with no mention of alcohol or use of behaviour change techniques.
Measurements: The primary outcome measure was the proportion of men consuming > 8 units on three or more occasions (in the previous 28 days) at 12 months post-intervention.
Findings: The proportion of men consuming > 8 units on three or more occasions (in the previous 28 days) was 41.5% in the intervention group and 47.8% in the control group. Formal analysis showed that there was no evidence that the intervention was effective [odds ratio (OR) = 0.79, 95% confidence interval (CI) = 0.57-1.08; absolute reduction 5.7%, 95% CI = -13.3 to 1.9]. The Bayes factor for this outcome was 1.3, confirming that the results were inconclusive. The retention was high and similar in intervention (84.9%) and control (86.5%) groups. Most men in the intervention group engaged with the text messages: almost all (92%) replied to text messages and 67% replied more than 10 times.
Conclusions: A theoretically based text-messaging intervention aimed at reducing binge drinking in disadvantaged men was not found to reduce prevalence of binge drinking at 12-month follow-up.
Affiliation :
Division of Population Health Sciences, University of Dundee, Dundee, UK
Cote :
Abonnement