TY -的盟Postel玛洛G AU - de Haan嗯AU - ter Huurne, Elke D非盟-贝克尔,埃尼年代非盟-德容,软木AJ PY - 2010 DA - 2010/12/16 TI -一个基于web的干预的有效性问题饮酒者和辍学的原因:随机对照试验乔- J地中海互联网Res SP - e68六世- 12 - 4 KW - E-therapy KW -互联网KW -在线治疗KW -酒精滥用KW -物质滥用KW -网络KW -辍学KW -随机对照试验AB -背景:对问题饮酒者的在线自助干预显示出有希望的结果，但仅通过互联网与治疗师积极参与的在线治疗的有效性尚未得到检验。目的:本研究的目的是评估一个对问题饮酒者进行积极治疗的电子治疗方案，假设电子治疗将(1)减少每周饮酒量，(2)改善健康状况。系统地调查了学生退学的原因。方法:在一项公开的随机对照试验中，一般人群中说荷兰语的问题饮酒者被随机分配(根据计算机生成的随机列表，以8人为一组)到3个月的电子治疗计划(n = 78)或等待名单对照组(n = 78)。电子治疗项目包括一个结构化的2部分在线治疗项目，参与者和治疗师仅通过互联网进行异步交流。等待列表对照组的参与者每两周收到一次“无回复”电子邮件。主要观察指标为(1)每周饮酒量得分的差异，以及(2)在问题饮酒限额下饮酒的参与者比例。意图-治疗分析使用多重imputation来处理随访损失。没有完成3个月评估的人会收到一份退出问卷。 Reasons for dropout were independently assessed by the first and third author. Results: Of the 156 individuals who were randomly assigned, 102 (65%) completed assessment at 3 months. In the intention-to-treat analyses, the e-therapy group (n = 78) showed a significantly greater decrease in alcohol consumption than those in the control group (n = 78) at 3 months. The e-therapy group decreased their mean weekly alcohol consumption by 28.8 units compared with 3.1 units in the control group, a difference in means of 25.6 units on a weekly basis (95% confidence interval 15.69-35.80, P < .001). The between-group effect size (pooled SD) was large (d = 1.21). The results also showed that 68% (53/78) of the e-therapy group was drinking less than 15 (females) or 22 (males) units a week, compared with 15% (12/78) in the control group (OR 12.0, number needed to treat 1.9, P < .001). Dropout analysis showed that the main reasons for dropouts (n = 54) were personal reasons unrelated to the e-therapy program, discomfort with the treatment protocol, and satisfaction with the positive results achieved. Conclusions: E-therapy for problem drinking is an effective intervention that can be delivered to a large population who otherwise do not seek help for their drinking problem. Insight into reasons for dropout can help improve e-therapy programs to decrease the number of dropouts. Additional research is needed to directly compare the effectiveness of the e-therapy program with a face-to-face treatment program. Trial registration: ISRCTN39104853; http://controlled-trials.com/ISRCTN39104853/ISRCTN39104853 (Archived by WebCite at http://www.webcitation.org/5uX1R5xfW) SN - 1438-8871 UR - //www.mybigtv.com/2010/4/e68/ UR - https://doi.org/10.2196/jmir.1642 UR - http://www.ncbi.nlm.nih.gov/pubmed/21163776 DO - 10.2196/jmir.1642 ID - info:doi/10.2196/jmir.1642 ER -