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Chunk #21 — The Promise of Technology — Alcohol use disorders

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Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again.
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Cunningham and colleagues compared an online SBI (Check Your Drinking) to Check Your Drinking plus an extended internet intervention called the Alcohol Help Center (AHC), which provides cognitive-behavioral and motivational components in a randomized clinical trial with 170 problem drinkers (Cunningham, 2012). Baseline drinking in this predominantly male sample was high (AUDIT mean score 22.1). Seventy-two percent of the sample accessed their assigned condition and 6-month follow-up self-reports were obtained from 90% of the randomized sample. Multivariate analysis of variance indicated greater reduction in drinking outcomes for those assigned to SBI+AHC relative to SBI alone (10.3 versus 11.5 mean highest drinks per occasion at 6 month follow-up, p=.02).