Mental Contrasting With Implementation Intentions Reduces Drinking When Drinking Is Hazardous: An Online Self-Regulation Intervention

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2019
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Wittleder, Sandra
Kappes, Andreas
Oettingen, Gabriele
Jay, Melanie
Morgenstern, Jon
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Health education & behavior : the official publication of the Society for Public Health Education. 2019, 46(4), pp. 666-676. ISSN 1090-1981. eISSN 1552-6127. Available under: doi: 10.1177/1090198119826284
Zusammenfassung

Introduction. Drinking alcohol has detrimental health consequences, and effective interventions to reduce hazardous drinking are needed. The self-regulation intervention of Mental Contrasting with Implementation Intentions (MCII) promotes behavior change across a variety of health behaviors. In this study, we tested if online delivery of MCII reduced hazardous drinking in people who were worried about their drinking. Method. Participants (N = 200, female = 107) were recruited online. They were randomized to learn MCII or solve simple math problems (control). Results. Immediately after the intervention, participants in the MCII condition (vs. control) reported an increased commitment to reduce drinking. After 1 month, they reported having taken action measured by the Readiness to Change drinking scale. When drinking was hazardous (Alcohol Use Disorders Identification Test ≥ 8, n = 85), participants in the MCII condition indicated a decreased number of drinking days, exp(β) = 0.47, CI (confidence interval) [-1.322, -.207], p = .02, and drinks per week, exp(β) = 0.57, CI [0.94, 5.514], p = .007, compared with the control condition. Discussion. These findings demonstrate that a brief, self-guided online intervention (Mdn = 28 minutes) can reduce drinking in people who worry about their drinking. Our findings show a higher impact in people at risk for hazardous drinking. Conclusion. MCII is scalable as an online intervention. Future studies should test the cost-effectiveness of the intervention in real-world settings.

Zusammenfassung in einer weiteren Sprache
Fachgebiet (DDC)
150 Psychologie
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alcohol, computer-mediated health promotion, Mental Contrasting with Implementation Intentions (MCII), self-guided brief intervention, self-regulation
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ISO 690WITTLEDER, Sandra, Andreas KAPPES, Gabriele OETTINGEN, Peter M. GOLLWITZER, Melanie JAY, Jon MORGENSTERN, 2019. Mental Contrasting With Implementation Intentions Reduces Drinking When Drinking Is Hazardous: An Online Self-Regulation Intervention. In: Health education & behavior : the official publication of the Society for Public Health Education. 2019, 46(4), pp. 666-676. ISSN 1090-1981. eISSN 1552-6127. Available under: doi: 10.1177/1090198119826284
BibTex
@article{Wittleder2019-08Menta-46586,
  year={2019},
  doi={10.1177/1090198119826284},
  title={Mental Contrasting With Implementation Intentions Reduces Drinking When Drinking Is Hazardous: An Online Self-Regulation Intervention},
  number={4},
  volume={46},
  issn={1090-1981},
  journal={Health education & behavior : the official publication of the Society for Public Health Education},
  pages={666--676},
  author={Wittleder, Sandra and Kappes, Andreas and Oettingen, Gabriele and Gollwitzer, Peter M. and Jay, Melanie and Morgenstern, Jon}
}
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