This study examined the effects of the Hizen Alcoholism Prevention Program (HAPPY) and the revised version of HAPPY (HAPPY Plus), and also compared the two programs to determine whether the HAPPY Plus achieved better ...This study examined the effects of the Hizen Alcoholism Prevention Program (HAPPY) and the revised version of HAPPY (HAPPY Plus), and also compared the two programs to determine whether the HAPPY Plus achieved better outcomes for heavy drinkers in the workplace. The HAPPY Plus designed to strengthen participants’ recruitment, perception of threat, stress management, behavior modification by self-monitoring using a calendar-based diary, and to prevent dropout by telephone and e-mail follow-up by a trained nurse. Participants were men and women who consumed at least 20 g and 10 g of alcohol daily, respectively, and had not been diagnosed with alcohol dependence. A group intervention, 3-month randomized controlled trial was conducted. The control and intervention groups received the HAPPY and HAPPY Plus, respectively. The primary endpoint was average daily alcohol consumption. The Alcohol Use Disorders Identification Test (AUDIT), weight, body mass index, blood pressure, liver function, goal achievement rate, self-efficacy, and self-esteem were also measured. Out of 88 recruited employees, 83 (intervention group: 40;control group: 43) completed the study (completion rates were 100% and 93.4% respectively). As a result, average daily alcohol consumption decreased significantly in both groups (p < 0.001), but did not differ between groups. Even though behavior change rate was higher, and self-efficacy and confidence increased in the intervention group, AUDIT decreased in both groups but was significant only in the control group. Physiological indicators in the intervention group improved, but were not significant between the groups. Against the program revision, this study did not prove superiority of HAPPY Plus to the HAPPY regarding the indicators. However, better behavior modification and lower dropout were observed in the HAPPY Plus. Therefore, after further improvement is made, this group intervention program is applied to the workplace.展开更多
目的:了解饮酒者在新冠肺炎疫情背景下饮酒渴望及每周饮酒量增加状况及相关因素。方法:2020年2月16日至22日,通过网络调查问卷的形式开展横断面调查研究。采用自编调查问卷评估饮酒者每周饮酒量增加状况及失眠症状,采用酒精使用障碍筛...目的:了解饮酒者在新冠肺炎疫情背景下饮酒渴望及每周饮酒量增加状况及相关因素。方法:2020年2月16日至22日,通过网络调查问卷的形式开展横断面调查研究。采用自编调查问卷评估饮酒者每周饮酒量增加状况及失眠症状,采用酒精使用障碍筛查量表(Alcohol Use disorders Identification Test,AUDIT)评估近一年的饮酒状况,采用视觉模拟标尺(Visual Analog Scale,VAS)评估疫情发生前后的饮酒渴望及焦虑、抑郁程度。对饮酒渴望及每周饮酒量增加的相关因素进行单因素及多因素分析。结果:41.9%的饮酒者饮酒渴望增加;单因素分析显示,在业及无业较上学的饮酒者饮酒渴望增加的风险更高(P=0.009);多因素分析显示,工作(OR=3.225,95%CI:1.364~7.624)及无业(OR=4.780,95%CI:1.575~14.510)为饮酒渴望增加的相关因素。22.5%的饮酒者每周饮酒量增加;单因素分析显示,高中及以下学历(OR=2.240,95%CI:1.172~4.280)、无业(P=0.047)、焦虑评分≥50分(OR=2.245,95%CI:1.191~4.234)、有失眠症状(OR=1.813,95%CI:1.030~3.192)的饮酒者每周饮酒量增加的风险更高;多因素分析显示,高中及以下学历(OR=2.235,95%CI:1.161~4.303)、焦虑评分≥50分(OR=2.240,95%CI:1.180~4.255)为每周饮酒量增加的相关因素。结论:新冠肺炎疫情背景下,超过五分之二的饮酒者饮酒渴望增加,在业及无业为饮酒渴望增加的相关因素;超过五分之一的饮酒者每周饮酒量增加,较低学历及较高焦虑水平为每周饮酒量增加的相关因素。展开更多
文摘This study examined the effects of the Hizen Alcoholism Prevention Program (HAPPY) and the revised version of HAPPY (HAPPY Plus), and also compared the two programs to determine whether the HAPPY Plus achieved better outcomes for heavy drinkers in the workplace. The HAPPY Plus designed to strengthen participants’ recruitment, perception of threat, stress management, behavior modification by self-monitoring using a calendar-based diary, and to prevent dropout by telephone and e-mail follow-up by a trained nurse. Participants were men and women who consumed at least 20 g and 10 g of alcohol daily, respectively, and had not been diagnosed with alcohol dependence. A group intervention, 3-month randomized controlled trial was conducted. The control and intervention groups received the HAPPY and HAPPY Plus, respectively. The primary endpoint was average daily alcohol consumption. The Alcohol Use Disorders Identification Test (AUDIT), weight, body mass index, blood pressure, liver function, goal achievement rate, self-efficacy, and self-esteem were also measured. Out of 88 recruited employees, 83 (intervention group: 40;control group: 43) completed the study (completion rates were 100% and 93.4% respectively). As a result, average daily alcohol consumption decreased significantly in both groups (p < 0.001), but did not differ between groups. Even though behavior change rate was higher, and self-efficacy and confidence increased in the intervention group, AUDIT decreased in both groups but was significant only in the control group. Physiological indicators in the intervention group improved, but were not significant between the groups. Against the program revision, this study did not prove superiority of HAPPY Plus to the HAPPY regarding the indicators. However, better behavior modification and lower dropout were observed in the HAPPY Plus. Therefore, after further improvement is made, this group intervention program is applied to the workplace.
文摘目的:了解饮酒者在新冠肺炎疫情背景下饮酒渴望及每周饮酒量增加状况及相关因素。方法:2020年2月16日至22日,通过网络调查问卷的形式开展横断面调查研究。采用自编调查问卷评估饮酒者每周饮酒量增加状况及失眠症状,采用酒精使用障碍筛查量表(Alcohol Use disorders Identification Test,AUDIT)评估近一年的饮酒状况,采用视觉模拟标尺(Visual Analog Scale,VAS)评估疫情发生前后的饮酒渴望及焦虑、抑郁程度。对饮酒渴望及每周饮酒量增加的相关因素进行单因素及多因素分析。结果:41.9%的饮酒者饮酒渴望增加;单因素分析显示,在业及无业较上学的饮酒者饮酒渴望增加的风险更高(P=0.009);多因素分析显示,工作(OR=3.225,95%CI:1.364~7.624)及无业(OR=4.780,95%CI:1.575~14.510)为饮酒渴望增加的相关因素。22.5%的饮酒者每周饮酒量增加;单因素分析显示,高中及以下学历(OR=2.240,95%CI:1.172~4.280)、无业(P=0.047)、焦虑评分≥50分(OR=2.245,95%CI:1.191~4.234)、有失眠症状(OR=1.813,95%CI:1.030~3.192)的饮酒者每周饮酒量增加的风险更高;多因素分析显示,高中及以下学历(OR=2.235,95%CI:1.161~4.303)、焦虑评分≥50分(OR=2.240,95%CI:1.180~4.255)为每周饮酒量增加的相关因素。结论:新冠肺炎疫情背景下,超过五分之二的饮酒者饮酒渴望增加,在业及无业为饮酒渴望增加的相关因素;超过五分之一的饮酒者每周饮酒量增加,较低学历及较高焦虑水平为每周饮酒量增加的相关因素。
