title: Web-based treatment of alcohol problems among rural women.
abstract: It is estimated that 6 million women in the United States misuse alcohol. Of that number, many live in rural areas and face numerous barriers to treatment. The World Wide Web has the potential to help such individuals overcome these barriers. In light of emergent findings supporting the effectiveness of online alcohol treatment services for women, a randomized pilot study was conducted to evaluate a Web-based, self-guided alcohol treatment program. Eligible women were randomized to standard care or an online treatment program. Web-based treatment components included gender-specific reference modules and decision making modules, an asynchronous bulletin board, and a synchronous chat feature. The average age of the participants (N = 44) was 50 (SD = 11 years), and their baseline Alcohol Use Disorders Identification Test score was 18 (SD = 6), with 8 being the cut-off score for problem drinking. At 3-month follow up, both treatment groups decreased their drinking; however, no significant differences were found between them.
authors.affiliation: Sinclair School of Nursing, University of Missouri, Columbia, MO 65211, USA. finfgeldD@missouri.edu
authors.forename: Deborah
authors.initials: D
authors.lastname: Finfgeld-Connett
authors.forename: Richard
authors.initials: R
authors.lastname: Madsen
mesh_terms: D000437:Alcoholism / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D003194:Computer-Assisted Instruction / Q000379:methods; D003657:Decision Making; D005260:Female; D005500:Follow-Up Studies; D040261:Harm Reduction; D006297:Health Services Accessibility; D006801:Humans; D020407:Internet / Q000458:organization & administration*; D007406:Interview, Psychological; D008875:Middle Aged; D008923:Missouri; D008960:Models, Psychological; D009042:Motivation; D009730:Nursing Assessment; D010353:Patient Education as Topic / Q000458:organization & administration; D010865:Pilot Projects; D015397:Program Evaluation; D019035:Rural Health Services / Q000458:organization & administration*; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014930:Women / Q000193:education / Q000523:psychology; D014932:Women's Health Services / Q000458:organization & administration*