Alcohol and Alcoholism Advance Access originally published online on November 26, 2006
Alcohol and Alcoholism 2007 42(1):28-36; doi:10.1093/alcalc/agl092
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SCREENING AND BRIEF INTERVENTION ONLINE FOR COLLEGE STUDENTS: THE IHEALTH STUDY
1 Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Boston Medical Center and Boston University School of Medicine Boston University, Boston, MA USA
2 Youth Alcohol Prevention Center Boston University, Boston, MA USA
3 Department of Epidemiology Boston University, Boston, MA USA
4 Data Coordinating Center Boston University, Boston, MA USA
5 Department of Biostatistics Boston University, Boston, MA USA
6 Join Together Program Boston University, Boston, MA USA
7 Department of Social and Behavioral Sciences, Boston University School of Public Health Boston University, Boston, MA USA
8 Department of Psychology, College of Arts and Sciences Boston University, Boston, MA USA
*Author to whom correspondence should be addressed at: Boston Medical Center, 91 East Concord Street, Suite No. 200, Boston, MA 02118, USA. Tel.: +1 617 414 7399 Fax: +1 617 414 4676; E-mail: rsaitz{at}bu.edu
Received 17 August 2006; first review notified 6 September 2005; first review notified 18 October 2006; accepted 19 October 2006
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Abstract |
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Aims: To test the feasibility of online alcohol screening and brief intervention (BI) by comparing (i) two approaches to inviting all students to be screened, and (ii) a minimal versus a more extensive BI. Methods: Freshmen students at one university were randomized to receive one of two types of email invitations to an online anonymous: (i) general health assessment, or (ii) alcohol-specific assessment. All were linked to the same alcohol screening survey. Those with unhealthy alcohol use (AUDIT 
8) were randomly assigned to minimal or more extensive online alcohol BI. Results: In both invitation groups (4008 students), 55% of students completed the online screening. Overall, 37% of men and 26% of women had unhealthy alcohol use. Compared to minimal BI, more extensive BI was associated with intention to seek help among men and with a greater increase in readiness to change among women. One month after BI, 75% of students completed another assessment, 33% of women and 15% of men with unhealthy alcohol use at baseline no longer had unhealthy alcohol use. There were no significant differences on drinking measures by BI randomization group. Conclusions: Over half of an entire freshman class of college students were reached by email and completed alcohol screening and brief intervention. Even an alcohol-specific invitation did not deter students. Although brief interventions that differed had some gender specific effects on readiness to change and intention, in general, unhealthy alcohol use decreased after brief intervention. Web screening and brief intervention show promise for addressing unhealthy alcohol use by college students.
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