Appotential. iphone apps 11/23/2015. idrinkulater. Drink Tracker. Ray s Night Out: A new iphone app for reducing risky alcohol use in young people

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Hortense Randall
6 years ago
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: A new iphone app for reducing risky alcohol use in young people // Why?

Stoyanov, Wendall Cocksaw & David Kavanagh 89-99% of young Australian s own a smartphone 80% check phone within 15 min of waking & have it with them for all but 2 hours of their day Real-time

Smartphone penetration is a catalyst for exponential growth in mobile apps > 2 billion apps available in the 4 leading app stores Innovative, youth-friendly and highly accessible ways of delivering

1 : A new iphone app for reducing risky alcohol use in young people // Why? Web and mobile based alcohol interventions can rapidly increase treatment access 99% of young people are online daily and own a mobile phone Leanne Hides, Lake-Hui Quek, Oksana Zelenko, Stoyan Stoyanov, Wendall Cocksaw & David Kavanagh 89-99% of young Australian s own a smartphone 80% check phone within 15 min of waking & have it with them for all but 2 hours of their day Real-time standardised BIs to young people in their natural environment. Interventions with small effects could result in population level changes Appotential. Smartphone penetration is a catalyst for exponential growth in mobile apps > 2 billion apps available in the 4 leading app stores Innovative, youth-friendly and highly accessible ways of delivering brief alcohol interventions iphone apps Jan 2011: 767 targeting alcohol use 29%: aimed at helping the user decrease drinking. 90% used some principles of alcohol treatment social support, self-control training, self-monitoring and feedback 23/11/ Drink Tracker Estimates Blood Alcohol Concentrations (BAC) Able to set personal BAC limits Provides location specific transport info idrinkulater Drinks menu Graphical feedback Easy to use Calorie counter ibreathulizer Helpful tips 1

User Feedback on Existing Apps Alcohol monitoring

Drinking alcohol in moderation can increase

to promote safer drinking practices and increased

Ray promotes harm minimization and controlled

2 User Feedback on Existing Apps Alcohol monitoring apps difficult and boring to use Liked fun, interactive and youth-friendly apps Non-stigmatising and non-judgemental apps Drinking alcohol in moderation can increase positive experiences Harm minimisation approach to promote safer drinking practices and increased awareness of drinking limits. Ray promotes harm minimization and controlled drinking strategies Aims to increase asafe drinking behaviours and awareness of alcohol use limits. 2

RCT N=197 young people (16-25 yrs) Alcohol

= 96 males n = 20; age M = 20.41 (SD = 2.

3 RCT N=197 young people (16-25 yrs) Alcohol in the last month RCT: Imm vs. 1mth delayed access Impact on alcohol knowledge, alcohol use & related behaviours 1 (98%), 2 (93%), 3 (92%), 6 (93%) mth follow-ups Participants Immediate group, n = 96 males n = 20; age M = (SD = 2.19) Delayed group, n = 101 males = 24 age M = (SD = 2.45) Highest level of education - secondary school 50.3% (n = 99) - degree or above 36.5% (n = 72) 3

Alcohol Use MOBILE APPLICATION RATING SCALE (MARS) CLASSIFICATION What is the focus, theoretical background, technical aspects, developers affiliations?

Max drinks on at least one occasion 86% (n = 166) > 3 drinks 22.3% (n = 43) > 11 drinks 2.

4 Alcohol Use MOBILE APPLICATION RATING SCALE (MARS) CLASSIFICATION What is the focus, theoretical background, technical aspects, developers affiliations? ENGAGEMENT Is the app fun, interesting, customisable, interactive, well-targeted to audience? FUNCTIONALITY Is the app functioning well, easy to learn, with good navigation, flow, logic? Max drinks on at least one occasion 86% (n = 166) > 3 drinks 22.3% (n = 43) > 11 drinks 2.1% (n = 4) > 20 drinks AESTHETICS INFORMATION QUALITY SUBJECTIVE QUALITY Does the app have good graphic design, visual appeal, colour scheme, stylistic consistency? Does the app contain high quality information (e.g. text, feedback, measures, references) from a credible source? Star rating, # of times rater would use it, would they recommend it, pay for it? Objective App Quality User Feedback MARS scores: Mean (SD) Interpretation Engagement 3.2 (.63) Acceptable Functionality 4.0 (.73) Good Aesthetics 4.1 (.60) Good Information 4.0 (.56) Good Total 3.8 (.52) Good Subjective App Quality Increased awareness of drinking: 68% made them think about their drinking 37% may influence them to drink less 31% motivated them to change their drinking. Support for alcohol control: 46% helped identify their stupid line 80% gave helpful hints on safer drinking 77% think about how their drinking goals. 85% rated the app > 3 stars Alcohol Knowledge Alcohol Use p<.001 time x group interaction at 1 mth scores steadily increased over time in both groups Mean number of drinks consumed on one occasion significantly decreased from baseline to 2 (p <.001), 3 (p =.002) and 6 (p =.002) mths Mean maximum number of drinks consumed on a single occasion decreased at 2 (p =.010), 3 (p =.059) & 6 mths (p =.013), AUDIT scores decreased significantly between baseline and 6 mths (p =.007) 4

5 Alcohol-related Problems Rutgers Alcohol Problem Index (RAPI) The frequency of alcohol-related problems decreased from baseline to 2 (p <.001), 3 (p =.043) and 6 (p =.005) Proportion with NO alcohol-related problems Baseline 1 month 2 month 3 month 6 month 24.9% 32.1% 39.7% 39.0% 48.1% Summary Immediate access group had greater alcohol 1 mth No other group x time differences = Ray ineffective? 1 mth timeframe too brief? Assessment effects? Positive changes over time found in both groups on: alcohol use, severity of problematic alcohol use % with NO alcohol related problems almost doubled User feedback 68% app made them think about their drinking goals 50% helped them identify their stupid line' for drinking 80% gave helpful hints on safer drinking Conclusions provides a nonstigmatising, acceptable and easily accessible approach to increase young people s alcohol knowledge and awareness of their drinking limits Thank you! Ray is available in the Australian itunes App store leanne.hides@qut.edu.au 5

Managing addictions via mobile applications: a smartphone app to assist management of cannabis use

Managing addictions via mobile applications: a smartphone app to assist management of cannabis use Jan Copeland (PhD) Lisa Gibson Sally Rooke (PhD) UNSW Medicine Rationale 10.2% of Australians used cannabis