TY  - JOUR
PY  - 2021//
TI  - The systematic development of a mobile phone-delivered brief intervention for hazardous drinking in India
JO  - Journal of substance abuse treatment
A1  - Nadkarni, Abhijit
A1  - Costa, Sheina
A1  - Gupta, Devika
A1  - Fernandes, Danielle
A1  - Catalano, Alexander
A1  - Velleman, Richard
A1  - Sambari, Seema
A1  - Pednekar, Subhash
A1  - Hussain, Farah
A1  - D'Souza, Ethel
A1  - Houde, Amruta
A1  - Chaudhuri, Neal
A1  - Heath, Anna
SP  - 108331
EP  - 108331
VL  - 126
IS  - 
N2  - BACKGROUND: The treatment gap for alcohol use disorders (AUD) in India is the highest among all mental health and substance use disorders. Despite evidence of the cost effectiveness of brief interventions (BIs) for hazardous drinking, implementation in low- and middle-income countries (LMICs) is rare due to several human resource-related barriers. This paper describes the processes and outputs of a study aimed at systematically developing a mobile phone-delivered BI to overcome such barriers. <br><br>METHODS: This is a mixed methods study with four steps: (1) Review of existing relevant evidence base by extracting data from studies cited in two recent, relevant and high-quality systematic reviews; (2) In-depth interviews (IDIs) with 11 national experts in addictions research and practice, and 22 hazardous drinkers; (3) Delphi survey (2 rounds) to identify components for the intervention package through consensus building; and (4) Content and intervention development workshops with a range of stakeholders to develop the intervention package. <br><br>RESULTS: The research team sourced 72 journal articles from two selected systematic reviews. Key content areas extracted from the studies included facts and statistics about health related to drinking behavior, self-reflection, goal-setting messages, motivational messages, and skills to manage risky situations. The IDIs with experts and hazardous drinkers endorsed most of these content areas as well. The Delphi survey achieved consensus on 19 content areas, which included targeted recommendations, personalized feedback and information, goal management, and coping skills. The content and intervention development workshops resulted in an intervention package delivered over 8 weeks, with the following seven themes guiding the content of the weekly messages: safe drinking/health education, alcohol reduction, drinking and risk management, drinking alternatives, situational content, urge management, and maintenance and relapse prevention. <br><br>CONCLUSION: The research team designed this study to consider contextual factors while developing the intervention, which is important to ensure acceptability and feasibility of the intervention. Interestingly, the contextually informed intervention components had several commonalities with BIs developed and tested in high-income countries.<p />  <p>Language: en</p>
LA  - en
SN  - 0740-5472
UR  - http://dx.doi.org/10.1016/j.jsat.2021.108331
ID  - ref1
ER  -