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AMADEUS (Alcohol e-Mail Assessment and feedback study Dismantling Effectiveness for University Students)

The AMADEUS (Alcohol e-Mail Assessment and feedback study Dismantling Effectiveness for University Students) Research and Development programme aims to evaluate and develop the national system for online alcohol intervention used in routine practice among the student healthcare centres in Sweden. The programme consists of a series of large pragmatic RCTs. 

The 3 arm AMADEUS-1 RCT targeted both risky and non-risky drinkers in unselected student populations and showed evidence of very small but beneficial effects after 3 months, with 4% fewer risk drinkers in the intervention group. The effects were largely attributable to assessment rather than feedback in the dismantling design comparison with a no-contact control group.

AMADEUS-2 was a conventional 2 arm RCT design targeting hazardous and harmful drinkers only, with fully informed consent, and using only a single screening question and no baseline assessment in order to minimise assessment reactivity. After 2 months there was no strong evidence of effectiveness, with no statistically significant differences in planned analyses. We concluded that any effects of current national provision are likely to be very small and further research and development work is needed.

Ongoing work is exploring the extension of this system to include interventions delivered by SMS text. Links are provided to the main trial outcome papers below, with other published papers also available open access.

 

Mental Health and Addiction Research in the Department of Health Sciences