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Using the internet's power and anonymity to reduce problem drinking

f the drinker's risk factors, family history, alcohol and drug use, alcohol-related problems, symptoms of dependence, and motivation for change; objective feedback based on their answers; and a module that helps them resolve their ambivalence about whether to change their drinking."

Hester said the DCU program can help users decide whether or not they want to change their drinking, and to consider what goals of change whether stopping or cutting back might be most helpful if they do decide to change. "In our clinical trial," said Hester, "heavy drinkers increased their internal motivation for change and reduced their drinking, alcohol-related problems, and symptoms of dependence by 50 percent at a 12-month follow-up."

  • The e-CHUG is a web-based version of the Check-Up to Go (CHUG) mailed feedback instrument that has proven effective in college trials. Recent program evaluations offer evidence that the e-CHUG may compare favorably to more lengthy prevention programs and may increase the impact of educational or skill-based prevention efforts.

    "The e-CHUG is an intervention that provides information about personal consumption, potential risk factors, and a comparison to campus norms," said Walters. "College students tend to think they're roughly in the middle of other students in terms of their drinking. However, people tend to hang around others that drink like them. Heavy drinkers hang around other heavy drinkers. It's always surprising to me how many heavy-drinking college students are shocked to learn that they're at the 95th percentile of college drinkers. Yet because they hang around other people that drink like they do, it has never occurred to them that there might be a large number of students that don't drink nearly as much as they do. It's a wake up call."

    Walters added that many college drinkers seem to prefer the e-CHUG format. "This is consistent with how most college students change their drinking anyway,
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  • 14-Feb-2005


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