Impact of a Mobile E-Health Intervention on Binge Drinking in Young People: The Digital-Alcohol Risk Alertness Notifying Network for Adolescents and Young Adults Project.
Binge drinking (BD) is common among young people. E-Health apps are attractive to them and may be useful for enhancing awareness. We aimed to investigate the impact of a publicly available evidence-based e-Health app (Digital-Alcohol Risk Alertness Notifying Network for Adolescents and Young Adults [D-ARIANNA]), estimating current risk of BD by questions, matching identified risk factors, and providing in percent an overall risk score, accompanied by appropriate images showing mostly contributing factors in summary graphics.



A natural, quasi-experimental, pre-/post-test study was conducted. Subjects were recruited in pubs, clubs, discos, or live music events. They were requested to self-administer D-ARIANNA and were re-evaluated after two further weeks.



Young (18-24 years) people (N = 590) reported reduced BD at follow-up (18% vs. 37% at baseline). To exclude systematic errors involving those lost at follow-up (14%), the diminution in BD was confirmed in an appropriate generalized estimating equation model with unweighted data on a last observation carried forward basis.



Our study provides evidence of population-level benefit at 2 weeks, attained with D-ARIANNA. This can be disseminated easily and economically among young people. However, additional components, including regular feedback and repeated administration by gamification, may be required to make this app suitable for longer term impact.
Division of Psychiatry (Formerly Mental Health Sciences), University College London, London, United Kingdom; Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.
Giuseppe
G
Carrà
Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy; Unit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy. Electronic address: cristina.crocamo@unimib.it.
Cristina
C
Crocamo
Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.
Francesco
F
Bartoli
Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.
Daniele
D
Carretta
Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.
Alessandro
A
Schivalocchi
Division of Psychiatry (Formerly Mental Health Sciences), University College London, London, United Kingdom.
Paul E
PE
Bebbington
Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.
Massimo
M
Clerici
D000293:Adolescent; D063425:Binge Drinking / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D063731:Mobile Applications; D012307:Risk Factors; D012309:Risk-Taking; D000068997:Smartphone; D011795:Surveys and Questionnaires; D000066608:Underage Drinking / Q000517:prevention & control* / Q000523:psychology; D055815:Young Adult
Binge drinking; E-Health; Young adults