A Digital Intervention for Hazardous and Harmful Drinkers: From Research To Practice.
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Abstract
Down Your Drink (DYD) was one of the first publically available online behaviour change interventions for people at risk from their drinking. It was designed as a psychologically informed programme and over more than a decade it has been updated, reviewed, researched and deployed in a range of settings.
DYD provides a case study of how digital interventions can be developed hand in glove with peer reviewed research using mixed methodologies. This paper will describe the main research findings and the lessons learned from implementation. The following key issues will be discussed.
DYD was designed to incorporate the main modalities (motivational enhancement, behavior change strategies and relapse prevention) often included in psychological treatment of alcohol misuse. Evidence from a randomized controlled trial and qualitative research indicate a range of idiosyncratic ways in which users engage with the site that is different from the original intentions. The implications for intervention design will be discussed.
Alcohol consumption of participants in the main trial was significantly reduced but this was not connected with the type of on line intervention they received. What does the experience of users and the quantitative research results tell us about this?
Screening and Brief Feedback (SBI) is an effective intervention for hazardous and harmful drinkers but is not widely available. Digital interventions providing SBIs (such as DYD) have been considered to be useful tools to address this shortfall. The barriers to such a strategy will be discussed and possible solutions considered.
DYD provides a case study of how digital interventions can be developed hand in glove with peer reviewed research using mixed methodologies. This paper will describe the main research findings and the lessons learned from implementation. The following key issues will be discussed.
DYD was designed to incorporate the main modalities (motivational enhancement, behavior change strategies and relapse prevention) often included in psychological treatment of alcohol misuse. Evidence from a randomized controlled trial and qualitative research indicate a range of idiosyncratic ways in which users engage with the site that is different from the original intentions. The implications for intervention design will be discussed.
Alcohol consumption of participants in the main trial was significantly reduced but this was not connected with the type of on line intervention they received. What does the experience of users and the quantitative research results tell us about this?
Screening and Brief Feedback (SBI) is an effective intervention for hazardous and harmful drinkers but is not widely available. Digital interventions providing SBIs (such as DYD) have been considered to be useful tools to address this shortfall. The barriers to such a strategy will be discussed and possible solutions considered.
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