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A randomised trial of the effect of appearance versus health-framed messages on engagement with an online brief screening and alcohol reduction intervention
Authors:Anna Sallis  Sophie Attwood  Hugo Harper  John Larsen  Dan Berry  Ivo Vlaev
Affiliation:1. Behavioural Insights, Public Health England, London, UK;2. Department of Health and Social Care, London, UK;3. The Behavioural Insights Team, London, UK;4. The Drinkaware Trust, London, UK;5. Warwick Business School University of Warwick, Coventry, UK
Abstract:Objectives: To compare the impact of appearance versus health-framed messages on engagement in a brief web-based risk screening and alcohol reduction intervention.

Design: Randomised trial delivered via Drinkaware’s website. Visitors were exposed to appearance (n?=?51,588) or health-framed messages (n?=?52,639) directing them towards an AUDIT-C risk screening questionnaire. Users completing this questionnaire were given feedback on their risk level and extended frame-congruent information.

Outcomes: The primary outcome is completion of the AUDIT-C questionnaire. The secondary outcome is whether the participant accessed any of four further resources.

Results: The appearance-framed message led to a small but significant increase in the number of users completing the AUDIT-C compared to the health-framed message (n?=?3,537, 6.86% versus n?=?3,355, 6.37%, p?n?=?1,146, 2.17% versus n?=?942, 1.83%, p?

Conclusions: Physical appearance-framed messages increased the likelihood of engagement with an online alcohol screening and brief intervention tool, whereas health-framed messages increased the likelihood of accessing further resources. This highlights the potential for the use of multi-level approaches in alcohol reduction interventions.

Keywords:Behaviour change  health communication  alcohol consumption  public health  AUDIT-C  screening and brief interventions (SBI)
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