{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:18:01Z","timestamp":1792426681353,"version":"4.5.0"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T00:00:00Z","timestamp":1731369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcohol, Clinical and Experimental Research"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Alcohol misuse is prevalent among college students globally, including in India. Digital screening and brief interventions (DSBI) promise to address this issue. This study assesses DSBI's effectiveness in a state\u2010wide cluster randomized trial among college students in India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We recruited 548 participants (274 in each DSBI and digital screening and brief advice\u2010DSBA) from 40 colleges across 10 districts of Punjab, India. Colleges were selected via two\u2010stage cluster random sampling and were allocated to groups using permuted block randomization. Participants with Alcohol Use Disorder Identification Test (AUDIT) scores between 8 and 19 were included. The digital platform directed eligible participants to their respective groups. DSBI participants received information on alcohol harms, normative and personalized feedback, a decisional balance checklist, and a menu of options. DSBA participants received screening and alcohol harm information. Follow\u2010ups were conducted at 3\u2010 and 6\u2010month post\u2010intervention. Primary outcome: reduction in AUDIT scores; secondary outcomes: frequency of drinking, drinks per drinking day, and frequency of heavy episodic drinking (HED).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Baseline demographics and clinical variables did not significantly differ between groups, except for participants' age. 37.6% were women. Follow\u2010up rates were 513\/548 at 3\u2009months and 483\/548 at 6\u2009months, with no group differences in attrition. AUDIT scores significantly decreased in both groups at 3 and 6\u2009months (Time <jats:italic>F<\/jats:italic>\u2009=\u20091870.11, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001, partial <jats:italic>\u03b7<\/jats:italic><jats:sup>2<\/jats:sup> =\u20090.77), with no Group \u00d7 Time effects (<jats:italic>F<\/jats:italic>\u2009=\u20090.160, <jats:italic>p<\/jats:italic>\u2009=\u20090.85). Drinking frequency, HED frequency, and drinks per drinking day decreased significantly in both groups without between\u2010group differences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study highlights the potential policy implications of integrating brief digital interventions for alcohol misuse into educational health initiatives.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.15485","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T12:21:28Z","timestamp":1731500488000},"page":"205-216","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness of digital screening and brief intervention for alcohol misuse among college students: A state\u2010wide cluster randomized trial from India"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0988-7694","authenticated-orcid":false,"given":"Abhishek","family":"Ghosh","sequence":"first","affiliation":[{"name":"Department of Psychiatry Postgraduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blessy B.","family":"George","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Postgraduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narayanan C.","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Department of Data Science IIT Palakkad  Kanjikode India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renjith R.","family":"Pillai","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Postgraduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathirvel","family":"Soundappan","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and School of Public Health PGIMER  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamta","family":"Sharma","sequence":"additional","affiliation":[{"name":"Psychology Department Punjabi University  Patiala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Computer Science Indian Institute of Technology (IIT)  Ropar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debasish","family":"Basu","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Postgraduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,12]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"1","article-title":"On behalf of the group of investigators for the National Survey on extent and pattern of substance use in India (2019)","author":"Ambekar A.","year":"2019","journal-title":"Magnitude of Substance Use in India. 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