Mental Contrasting With Implementation Intentions Reduces Drinking When Drinking Is Hazardous: An Online Self-Regulation Intervention

Sandra Wittleder, Andreas Kappes, Gabriele Oettingen, Peter Gollwitzer, Melanie Jay, Jon Morgenstern

Research output: Contribution to journalArticle

Abstract

Introduction. Drinking alcohol has detrimental health consequences, and effective interventions to reduce hazardous drinking are needed. The self-regulation intervention of Mental Contrasting with Implementation Intentions (MCII) promotes behavior change across a variety of health behaviors. In this study, we tested if online delivery of MCII reduced hazardous drinking in people who were worried about their drinking. Method. Participants (N = 200, female = 107) were recruited online. They were randomized to learn MCII or solve simple math problems (control). Results. Immediately after the intervention, participants in the MCII condition (vs. control) reported an increased commitment to reduce drinking. After 1 month, they reported having taken action measured by the Readiness to Change drinking scale. When drinking was hazardous (Alcohol Use Disorders Identification Test ≥ 8, n = 85), participants in the MCII condition indicated a decreased number of drinking days, exp(β) = 0.47, CI (confidence interval) [−1.322, −.207], p =.02, and drinks per week, exp(β) = 0.57, CI [0.94, 5.514], p =.007, compared with the control condition. Discussion. These findings demonstrate that a brief, self-guided online intervention (Mdn = 28 minutes) can reduce drinking in people who worry about their drinking. Our findings show a higher impact in people at risk for hazardous drinking. Conclusion. MCII is scalable as an online intervention. Future studies should test the cost-effectiveness of the intervention in real-world settings.

Original languageEnglish (US)
JournalHealth Education and Behavior
DOIs
StatePublished - Jan 1 2019

Fingerprint

Drinking
Self-Control
Self-regulation
Intentions
Confidence Intervals
Health Behavior
Alcohol Drinking
Cost-Benefit Analysis
Alcohols
Health

Keywords

  • alcohol
  • computer-mediated health promotion
  • Mental Contrasting with Implementation Intentions (MCII)
  • self-guided brief intervention
  • self-regulation

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Public Health, Environmental and Occupational Health

Cite this

Mental Contrasting With Implementation Intentions Reduces Drinking When Drinking Is Hazardous : An Online Self-Regulation Intervention. / Wittleder, Sandra; Kappes, Andreas; Oettingen, Gabriele; Gollwitzer, Peter; Jay, Melanie; Morgenstern, Jon.

In: Health Education and Behavior, 01.01.2019.

Research output: Contribution to journalArticle

@article{b0da98e8375645e8914e9c2eb0ebed76,
title = "Mental Contrasting With Implementation Intentions Reduces Drinking When Drinking Is Hazardous: An Online Self-Regulation Intervention",
abstract = "Introduction. Drinking alcohol has detrimental health consequences, and effective interventions to reduce hazardous drinking are needed. The self-regulation intervention of Mental Contrasting with Implementation Intentions (MCII) promotes behavior change across a variety of health behaviors. In this study, we tested if online delivery of MCII reduced hazardous drinking in people who were worried about their drinking. Method. Participants (N = 200, female = 107) were recruited online. They were randomized to learn MCII or solve simple math problems (control). Results. Immediately after the intervention, participants in the MCII condition (vs. control) reported an increased commitment to reduce drinking. After 1 month, they reported having taken action measured by the Readiness to Change drinking scale. When drinking was hazardous (Alcohol Use Disorders Identification Test ≥ 8, n = 85), participants in the MCII condition indicated a decreased number of drinking days, exp(β) = 0.47, CI (confidence interval) [−1.322, −.207], p =.02, and drinks per week, exp(β) = 0.57, CI [0.94, 5.514], p =.007, compared with the control condition. Discussion. These findings demonstrate that a brief, self-guided online intervention (Mdn = 28 minutes) can reduce drinking in people who worry about their drinking. Our findings show a higher impact in people at risk for hazardous drinking. Conclusion. MCII is scalable as an online intervention. Future studies should test the cost-effectiveness of the intervention in real-world settings.",
keywords = "alcohol, computer-mediated health promotion, Mental Contrasting with Implementation Intentions (MCII), self-guided brief intervention, self-regulation",
author = "Sandra Wittleder and Andreas Kappes and Gabriele Oettingen and Peter Gollwitzer and Melanie Jay and Jon Morgenstern",
year = "2019",
month = "1",
day = "1",
doi = "10.1177/1090198119826284",
language = "English (US)",
journal = "Health Education and Behavior",
issn = "1090-1981",
publisher = "SAGE Publications Inc.",

}

TY - JOUR

T1 - Mental Contrasting With Implementation Intentions Reduces Drinking When Drinking Is Hazardous

T2 - An Online Self-Regulation Intervention

AU - Wittleder, Sandra

AU - Kappes, Andreas

AU - Oettingen, Gabriele

AU - Gollwitzer, Peter

AU - Jay, Melanie

AU - Morgenstern, Jon

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Introduction. Drinking alcohol has detrimental health consequences, and effective interventions to reduce hazardous drinking are needed. The self-regulation intervention of Mental Contrasting with Implementation Intentions (MCII) promotes behavior change across a variety of health behaviors. In this study, we tested if online delivery of MCII reduced hazardous drinking in people who were worried about their drinking. Method. Participants (N = 200, female = 107) were recruited online. They were randomized to learn MCII or solve simple math problems (control). Results. Immediately after the intervention, participants in the MCII condition (vs. control) reported an increased commitment to reduce drinking. After 1 month, they reported having taken action measured by the Readiness to Change drinking scale. When drinking was hazardous (Alcohol Use Disorders Identification Test ≥ 8, n = 85), participants in the MCII condition indicated a decreased number of drinking days, exp(β) = 0.47, CI (confidence interval) [−1.322, −.207], p =.02, and drinks per week, exp(β) = 0.57, CI [0.94, 5.514], p =.007, compared with the control condition. Discussion. These findings demonstrate that a brief, self-guided online intervention (Mdn = 28 minutes) can reduce drinking in people who worry about their drinking. Our findings show a higher impact in people at risk for hazardous drinking. Conclusion. MCII is scalable as an online intervention. Future studies should test the cost-effectiveness of the intervention in real-world settings.

AB - Introduction. Drinking alcohol has detrimental health consequences, and effective interventions to reduce hazardous drinking are needed. The self-regulation intervention of Mental Contrasting with Implementation Intentions (MCII) promotes behavior change across a variety of health behaviors. In this study, we tested if online delivery of MCII reduced hazardous drinking in people who were worried about their drinking. Method. Participants (N = 200, female = 107) were recruited online. They were randomized to learn MCII or solve simple math problems (control). Results. Immediately after the intervention, participants in the MCII condition (vs. control) reported an increased commitment to reduce drinking. After 1 month, they reported having taken action measured by the Readiness to Change drinking scale. When drinking was hazardous (Alcohol Use Disorders Identification Test ≥ 8, n = 85), participants in the MCII condition indicated a decreased number of drinking days, exp(β) = 0.47, CI (confidence interval) [−1.322, −.207], p =.02, and drinks per week, exp(β) = 0.57, CI [0.94, 5.514], p =.007, compared with the control condition. Discussion. These findings demonstrate that a brief, self-guided online intervention (Mdn = 28 minutes) can reduce drinking in people who worry about their drinking. Our findings show a higher impact in people at risk for hazardous drinking. Conclusion. MCII is scalable as an online intervention. Future studies should test the cost-effectiveness of the intervention in real-world settings.

KW - alcohol

KW - computer-mediated health promotion

KW - Mental Contrasting with Implementation Intentions (MCII)

KW - self-guided brief intervention

KW - self-regulation

UR - http://www.scopus.com/inward/record.url?scp=85062677013&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85062677013&partnerID=8YFLogxK

U2 - 10.1177/1090198119826284

DO - 10.1177/1090198119826284

M3 - Article

C2 - 30836781

AN - SCOPUS:85062677013

JO - Health Education and Behavior

JF - Health Education and Behavior

SN - 1090-1981

ER -