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J Stud Alcohol Drugs. 2014 Mar;75(2):313-8.

Internet-based screening and brief intervention for illicit drug users: a randomized controlled trial with 12-month follow-up.

Author information

1
Department of Clinical Neuroscience, Center for Psychiatric Research, Karolinska Institutet, Stockholm, Sweden, Stockholm Center for Dependency Disorders, Stockholm, Sweden.
2
Centre for Social Research on Alcohol and Drugs (SoRAD), Stockholm University, Stockholm, Sweden, Department of Public Health, Division of Social Medicine, Karolinska Institutet, Stockholm, Sweden.

Abstract

OBJECTIVE:

This trial investigated the effects of access to an Internet-based screening and brief intervention site for illicit drug users. This article adds to previously published results from the 3- and 6-month follow-ups by extending the follow-up period to 12 months and reporting changes in substance use between the 6- and 12-month follow-ups.

METHOD:

In total, 202 Internet help-seekers with illicit drug use, 15-70 years old, were randomly assigned to either an intervention group that received Internet-based screening and brief intervention via eScreen.se or to an assessment-only control group. The primary outcome measure was the Drug Use Disorders Identification Test consumption questions (DUDIT-C) score, and secondary outcome measures were the DUDIT, Alcohol Use Disorders Identification Test consumption questions (AUDIT-C), and AUDIT scores, as well as the proportion of drug abstainers and participants making a clinically significant change in their alcohol and other drug use.

RESULTS:

DUDIT-C, DUDIT, AUDIT-C, and AUDIT scores remained stable between the 6- and 12-month follow-ups. However, 12 months after recruitment, 34.3% of those who used eScreen.se had changed their alcohol use to a clinically lower level compared with the 21.8% of the controls. Also, none of the eScreen.se users increased their level of alcohol use during this 12-month period, whereas 5.0% in the control group did so.

CONCLUSIONS:

Despite no changes in illicit drug use from the 6- to 12-month follow-up for both the intervention and control group, eScreen.se seems to be more effective than assessment only for reducing alcohol use among illicit drug users over a 12-month period.

PMID:
24650825
[Indexed for MEDLINE]

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