TY -非盟的劳伦斯,梅丽莎·C AU - Pieterse,马塞尔·E盟——Brusse-Keizer Marjolein盟——Salemink Elske AU - Ben Allouch Somaya盟——Bohlmeijer恩斯特T非盟- Postel玛洛G PY - 2020 DA - 2020/4/14 TI -酒精逃避训练作为问题饮酒者的手机应用程序:纵向可行性研究乔- Uhealth Mhealth JMIR SP - e16217六世- 8 - 4 KW -移动酒精逃避训练千瓦态度偏差KW -认知偏见修改KW -酒精AB -背景:酒精使用与一种自动接近酒精的倾向有关，对这种倾向的再训练(认知偏差修正[CBM])在临床环境中显示出治疗前景。为了改善获得培训的机会并加强参与者的参与，开发了一种移动版的避免饮酒培训。目的:本初步研究的目的是评估(1)对移动健康(mHealth)应用程序的依从性;(2)训练前后每周饮酒量的变化;(3)关于移动健康应用程序的用户体验。方法:自选的1082名参与者的非临床样本，他们正在经历与酒精相关的问题，注册使用酒精避免训练应用程序Breindebaas，为期3周，每周至少两次训练。在每次训练中，100张图片(50张含酒精饮料的图片和50张不含酒精饮料的图片)以随机顺序连续出现在触摸屏的中心。酒精饮料向上滑动(远离身体)，而非酒精饮料向下滑动(靠近身体)。在接近反应中，图片尺寸增大以模拟接近运动，相反，在回避反应中，图片尺寸减小以模拟回避。在基线，我们评估了社会人口学特征、酒精消费、酒精相关问题、其他物质的使用、自我效能和渴望。 After 3 weeks, 37.89% (410/1082) of the participants (posttest responders) completed an online questionnaire evaluating adherence, alcohol consumption, and user satisfaction. Three months later, 19.03% (206/1082) of the participants (follow-up responders) filled in a follow-up questionnaire examining adherence and alcohol consumption. Results: The 410 posttest responders were older, were more commonly female, and had a higher education as compared with posttest dropouts. Among those who completed the study, 79.0% (324/410) were considered adherent as they completed four or more sessions, whereas 58.0% (238/410) performed the advised six or more training sessions. The study identified a significant reduction in alcohol consumption of 7.8 units per week after 3 weeks (95% CI 6.2-9.4, P<.001; n=410) and another reduction of 6.2 units at 3 months for follow-up responders (95% CI 3.7-8.7, P<.001; n=206). Posttest responders provided positive feedback regarding the fast-working, simple, and user-friendly design of the app. Almost half of the posttest responders reported gaining more control over their alcohol use. The repetitious and nonpersonalized nature of the intervention was suggested as a point for improvement. Conclusions: This is one of the first studies to employ alcohol avoidance training in a mobile app for problem drinkers. Preliminary findings suggest that a mobile CBM app fulfils a need for problem drinkers and may contribute to a reduction in alcohol use. Replicating these findings in a controlled study is warranted. SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2020/4/e16217 UR - https://doi.org/10.2196/16217 UR - http://www.ncbi.nlm.nih.gov/pubmed/32286235 DO - 10.2196/16217 ID - info:doi/10.2196/16217 ER -