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Background for Real-Time Monitoring and Intervention Related to Alcohol Use

Real-time assessment, known as ecological momentary assessment (EMA), and real-time intervention (ecological momentary intervention [EMI]) can significantly extend the reach and impact of interventions to help individuals reduce their drinking behavior. For EMA, the user provides information on the variable of interest (e.g., drinking or craving) via a mobile device. This data reporting can occur...

Enhancing the Use of Vehicle Alcohol Interlocks With Emerging Technology

Among the earliest applications of health technologies to a safety program was the development of blood alcohol content (BAC) tests for use in impaired-driving enforcement. This led to the development of miniature, highly accurate devices that officers could carry in their pockets. A natural extension of this technology was the vehicle alcohol interlock, which is used to reduce recidivism among...

Influence of Social Media on Alcohol Use in Adolescents and Young Adults

Participation in online social media Web sites (e.g., Facebook and Twitter) has skyrocketed in recent years and created a new environment in which adolescents and young adults may be exposed to and influenced by alcohol-related content. Thus, young people are exposed to and display pro-alcohol messages and images through online portrayals of drinking on personal pages as well as unregulated...

Privacy and Security in Mobile Health (mHealth) Research

Research on the use of mobile technologies for alcohol use problems is a developing field. Rapid technological advances in mobile health (or mHealth) research generate both opportunities and challenges, including how to create scalable systems capable of collecting unprecedented amounts of data and conducting interventions—some in real time—while at the same time protecting the privacy and safety...

Mobile Delivery of Treatment for Alcohol Use Disorders: A Review of the Literature

Several systems for treating alcohol-use disorders (AUDs) exist that operate on mobile phones. These systems are categorized into four groups: text-messaging monitoring and reminder systems, text-messaging intervention systems, comprehensive recovery management systems, and game-based systems. Text-messaging monitoring and reminder systems deliver reminders and prompt reporting of alcohol...

Putting the Screen in Screening: Technology-Based Alcohol Screening and Brief Interventions in Medical Settings

Alcohol is strongly linked to the leading causes of adolescent and adult mortality and health problems, making medical settings such as primary care and emergency departments important venues for addressing alcohol use. Extensive research evidence supports the effectiveness of alcohol screening and brief interventions (SBIs) in medical settings, but this valuable strategy remains underused, with...

Computerized Cognitive–Behavioral Therapy

With an estimated 90 percent or more of alcohol use disorders going untreated (Substance Abuse and Mental Health Services Administration 2012), the search for interventions that easily, effectively, and economically reach more people has become a priority. The landmark 1990 report, Broadening the Base of Treatment for Alcohol Problems (Institute of Medicine 1990), refocused alcohol treatment...

Sleep and Alcohol Use in Women

Sleep disturbance is common among individuals with alcohol use disorder (AUD). Insomnia not only is a pathway toward alcohol consumption but also is related to increased risk of relapse, psychosocial impairment, decreased quality of life, and suicidal ideation in individuals with AUD. Few studies examining sleep disturbance and alcohol use have explored how this relationship differs between men...

A Watershed Year for an Update on the Genetics of Alcoholism

It is easy to think of genetics as the study of genes, but given our current knowledge of genetics, this definition is now considered inadequate. Genetics is the study of differences among individuals—even between identical twins. We know that some differences between individuals are linked to variations in DNA sequence (i.e., the genome), but most differences actually are caused by complex...