%0 Journal Article %@ 1438-8871 %I Gunther Eysenbach %V 14 %N 4 %P e98 %T Internet-Based Brief Personalized Feedback Intervention in a Non-Treatment-Seeking Population of Adult Heavy Drinkers: A Randomized Controlled Trial %A Hansen,Anders Blædel Gottlieb %A Becker,Ulrik %A Nielsen,Anette Søgaard %A Grønbæk,Morten %A Tolstrup,Janne Schurmann %A Thygesen,Lau Caspar %+ National Institute of Public Health, Faculty of Health Sciences, University of Southern Denmark, Øster Farimagsgade 5 A, 2nd floor, Copenhagen, 1353, Denmark, 45 6550 7777 ext 7729, ago@niph.dk %K Internet-based personalized feedback %K normative feedback %K alcohol %K heavy drinking %K adult %K Internet-based personalized brief advice, brief intervention %D 2012 %7 30.07.2012 %9 Original Paper %J J Med Internet Res %G English %X Background: Internet-based interventions for heavy drinkers show promising results, but existing research is characterized by few studies in nonstudent adult populations and few comparisons with appropriate control groups. Objective: To test whether a fully automated Internet-based brief personalized feedback intervention and a fully automated Internet-based personalized brief advice intervention in a non-treatment-seeking population of heavy drinkers would result in a reduced alcohol intake. Methods: We conducted a 3-arm parallel randomized controlled trial in a general population-based sample of heavy drinkers. The 54,157 participants (median age of 58 years) were screened for heavy drinking. Of the 3418 participants who had a weekly alcohol consumption above 14 drinks for women and 21 drinks for men, 1380 (619 women) consented to take part in the trial and were randomly assigned to an Internet-based brief personalized feedback intervention group (normative feedback, n = 476), an Internet-based personalized brief advice intervention group (n = 450), or a nonintervention control group (n = 454). Follow-up after 6 and 12 months included 871 and 1064 participants, respectively, of all groups combined. The outcome measure was self-reported weekly alcohol consumption. We analyzed the data according to the intention-to-treat principle. To examine changes over time and to account for the multiple time measurements, we used a multilevel linear mixed model. To take attrition into account, we used multiple imputation to address missing data. Results: The intervention effect of the Internet-based brief personalized feedback intervention, determined as the mean additional difference in changes in alcohol consumption in the Internet-based brief personalized feedback intervention compared with the control group, was –1.8 drinks/week after 6 months and –1.4 drinks/week after 12 months; these effects were nonsignificant (95% confidence interval –4.0 to 0.3 at 6 months, –3.4 to 0.6 at 12 months). The intervention effect of the Internet-based personalized brief advice intervention was –0.5 drinks/week after 6 months and –1.2 drinks/week after 12 months; these effects were nonsignificant (95% confidence interval –2.7 to 1.6 at 6 months, –3.3 to 0.9 at 12 months). Conclusions: In this randomized controlled trial we found no evidence that an Internet-based brief personalized feedback intervention was effective in reducing drinking in an adult population of heavy drinkers. Trial registration: ClinicalTrials.gov NCT00751985; http://clinicaltrials.gov/ct2/show/NCT00751985 (Archived by WebCite at http://www.webcitation.org/68WCRLyaP) %M 22846542 %R 10.2196/jmir.1883 %U http://www.jmir.org/2012/4/e98/ %U https://doi.org/10.2196/jmir.1883 %U http://www.ncbi.nlm.nih.gov/pubmed/22846542