Internet-based interventions for problem drinkers: From efficacy trials to implementation.
OBJECTIVE
Internet-based interventions (IBIs) for problem drinkers have been in existence for over a decade. In that time, IBIs have increased in sophistication and there is the beginning of a solid research base suggesting their efficacy. A growing number of problem drinkers are using IBIs and attempts have been made to explore how IBIs can be integrated within primary care and other health-care settings. This symposium provided an overview of IBIs for problem drinkers and highlighted some of the important issues in their development and implementation.


BACKGROUND
IBIs appear to be at a 'cusp' as technology and intervention practices are merged together in an attempt to provide better health care for problem drinkers. The timing of the 2009 International Network on Brief Interventions for Alcohol Problems Conference was ideal for a presentation and discussion of the role that IBIs play now that IBIs have started to shift into the mainstream of services for problem drinkers.


CONCLUSIONS
The presentations in this symposium covered the 'bench to bedside' aspects of the development and evaluation of IBIs. They included a systematic review of the research to-date in this field, a report on the results from a just completed randomised controlled trial, a report on an effectiveness trial of implementing IBIs in multiple university settings and a consideration of the cost-effectiveness of IBIs.[Cunningham JA, Khadjesari Z, Bewick BM, Riper H. Internet-based interventions for problem drinkers: From efficacy trials to implementation.
Cunningham
John A
JA
Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada. john_cunningham@camh.net
Khadjesari
Zarnie
Z
Bewick
Bridgette M
BM
Riper
Heleen
H
D000428:Alcohol Drinking / Q000009:adverse effects; D000437:Alcoholism / Q000517:prevention & control*; D002986:Clinical Trials as Topic; D003362:Cost-Benefit Analysis; D003376:Counseling; D030141:Feedback, Psychological; D005260:Female; D006284:Health Plan Implementation; D006801:Humans; D020407:Internet; D008297:Male; D011320:Primary Health Care; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome