How well a web-based program works in decreasing alcohol consumption among adults by giving personal feedback?

ISRCTN ISRCTN91623132
DOI https://doi.org/10.1186/ISRCTN91623132
Secondary identifying numbers N/A
Submission date
13/11/2012
Registration date
28/12/2012
Last edited
23/09/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Web-based tailored programs, in which information is adapted to the needs of the individual in order to give personally relevant advice, have shown to be an effective method to improve health-related behaviors. Yet, studies assessing the effects of tailored alcohol self-help programs among adults are limited.
Since Internet-based programs suffer from high drop-out rates, it is a challenge to develop interactive programs that can maintain respondents’ attention in online interventions. In order to prevent early drop-out, and thus to increase the effectiveness of a program, different strategies could be used to hold respondents’ attention in online interventions.
The main aim of this study was to assess whether a triple-session, web-based tailored alcohol intervention (program) was effective in reducing alcohol intake among the adult drinking population. The second aim was to compare two computer tailored feedback on behavioral change, drop-out and process evaluation.

Who can participate?
In our study, we recruited approximately 1,000 adults (18+) via an online access panel (called respondi AG) in Germany.

What does the study involve?
By using questionnaires, drinking behavior, health status (i.e., symptoms of depression and chronic diseases), motivational determinants (i.e., knowledge, attitude, social influence, self-efficacy, preparatory plans, coping plans and motivational stage), and demographics were assessed among participants who were recruited via an online access panel.
The first experimental subgroup received questions and advice alternately per motivational determinant resulting in several advice sections.
The second experimental subgroup received a more traditional feedback strategy, in which one large overall advice was provided at the end of the program.
The control group only filled out three questionnaires.
The personalized advice, which directly was presented on the respondent’s computer screen, consisted of five parts in which attention was given to different psychosocial constructs of the model:
1. Knowledge and awareness
2. Pros and cons of alcohol drinking
3. Social influence
4. Preparatory action plans
5. Self-efficacy and coping plans

What are the possible benefits and risks of participating?
The main benefit was that participants received personal feedback regarding their drinking behavior and their cognitions (the process of thought) regarding alcohol consumption.
To our knowledge, there were no risks to those who have taken part in this study.

Where is the study run from?
The study was set up by Maastricht University. The program development and data analysis took place at Maastricht University. Data collection was done in collaboration with respondi AG Cologne.

When is the study starting and how long is it expected to run for?
The study started in June 2010 and ran until January 2011.

Who is funding the study?
The study was funded by CAPHRI School for Public Health and Primary Care.

Who is the main contact?
Hein de Vries, PhD
hein.devries@maastrichtuniversity.nl

Contact information

Prof Hein De Vries
Scientific

P. Debyeplein 1
Maastricht
6229HA
Netherlands

Email hein.devries@maastrichtuniversity.nl

Study information

Study designSix-month single-centre randomized waiting-list controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeScreening
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleTesting the effectiveness of a web-based tailored intervention to reduce alcohol consumption by adults
Study objectivesOur hypothesis is that a three-session, web-based tailored alcohol intervention is effective in reducing alcohol intake in unhealthy drinkers. Furthermore, we have the objective to compare two computer tailored feedback strategies (alternating versus summative) on behavioral change, drop-out and appreciation of the program.
Ethics approval(s)An ethics approval was not necessary since this is not a medical study.
Health condition(s) or problem(s) studiedReducing alcohol consumption / high-risk drinking
InterventionThe intervention group was invited to visit a website consisting of questionnaires and personal feedback on drinking behavior and cognitions three times (at baseline, after three months, after six months).

We divided the experimental group in two subgroups: The intervention website for these two subgroups contained the same feedback messages. During all three feedback moments, one experimental subgroup received questions and personal advice alternately (alternate condition) whereas the other experimental subgroup obtained personal advice after answering all questions (summative condition).

The control group was invited to only fill out the three questionnaires online (at baseline, after three months, after six months). At the end of the study, the control group had the possibility to visit the website of the experimental group and thus to receive personal advice, too.
Intervention typeOther
Primary outcome measureDifference in alcohol consumption (number of consumed alcoholic drinks / compliance with the alcohol guideline) between the experimental group and the control group after the intervention.
Secondary outcome measures1. Difference in alcohol consumption (number of consumed alcoholic drinks / compliance with the alcohol guideline) between the two experimental subgroups after the intervention
2. Difference in drop-out rate from the intervention between the two experimental subgroups
3. Difference in process evaluation outcomes between the two experimental subgroups
Overall study start date07/06/2010
Completion date11/01/2011

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants1,000
Key inclusion criteria1. Being a member of the online access panel respondi AG Cologne
2. Having Internet access
3. Having command of the German language
4. Being at least 18 years old
Key exclusion criteriaDoes not meet inclusion criteria
Date of first enrolment07/06/2010
Date of final enrolment11/01/2011

Locations

Countries of recruitment

  • Germany
  • Netherlands

Study participating centre

P. Debyeplein 1
Maastricht
6229HA
Netherlands

Sponsor information

CAPHRI School for Public Health and Primary Care (Netherlands)
University/education

Universiteitssingel 40
Maastricht
6229 ER
Netherlands

Website http://www.caphri.nl/
ROR logo "ROR" https://ror.org/02jz4aj89

Funders

Funder type

University/education

CAPHRI School for Public Health and Primary Care (Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 17/09/2013 Yes No