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The Effect of the First UK COVID-19 Lockdown on Users of the Drink Less App: Interrupted Time Series Analysis of Sociodemographic Characteristics, Engagement, and Alcohol Reduction.
Oldham, Melissa; Perski, Olga; Loebenberg, Gemma; Brown, Jamie; Garnett, Claire.
  • Oldham M; Department of Behavioural Science and Health, University College London, London, United Kingdom.
  • Perski O; Department of Behavioural Science and Health, University College London, London, United Kingdom.
  • Loebenberg G; Department of Behavioural Science and Health, University College London, London, United Kingdom.
  • Brown J; Department of Behavioural Science and Health, University College London, London, United Kingdom.
  • Garnett C; Department of Behavioural Science and Health, University College London, London, United Kingdom.
J Med Internet Res ; 24(11): e42320, 2022 11 10.
Article in English | MEDLINE | ID: covidwho-2141450
ABSTRACT

BACKGROUND:

The first UK COVID-19 lockdown had a polarizing impact on drinking behavior and may have impacted engagement with digital interventions to reduce alcohol consumption.

OBJECTIVE:

We examined the effect of lockdown on engagement, alcohol reduction, and the sociodemographic characteristics of users of the popular and widely available alcohol reduction app Drink Less.

METHODS:

This was a natural experiment. The study period spanned 468 days between March 24, 2019, and July 3, 2020, with the introduction of UK lockdown measures beginning on March 24, 2020. Users were 18 years or older, based in the United Kingdom, and interested in drinking less. Interrupted time series analyses using generalized additive mixed models (GAMMs) were conducted for each outcome variable (ie, sociodemographic characteristics, app downloads and engagement levels, alcohol consumption, and extent of alcohol reduction) for existing (downloaded the app prelockdown) and new (downloaded the app during the lockdown) users of the app.

RESULTS:

Among existing users of the Drink Less app, there were increases in the time spent on the app per day (B=0.01, P=.01), mean units of alcohol recorded per day (B>0.00 P=.02), and mean heavy drinking (>6 units) days (B>0.00, P=.02) during the lockdown. Previous declines in new app downloads plateaued during the lockdown (incidence rate ratio [IRR]=1.00, P=.18). Among new app users, there was an increase in the proportion of female users (B>0.00, P=.04) and those at risk of alcohol dependence (B>0.00, P=.01) and a decrease in the proportion of nonmanual workers (B>-0.00, P=.04). Among new app users, there were step increases in the mean number of alcohol units per day (B=20.12, P=.03), heavy-drinking days (B=1.38, P=.01), and the number of days the app was used (B=2.05, P=.02), alongside a step decrease in the percentage of available screens viewed (B=-0.03, P=.04), indicating users were using less of the intervention components within the app.

CONCLUSIONS:

Following the first UK lockdown, there was evidence of increases in engagement and alcohol consumption among new and existing users of the Drink Less app.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Mobile Applications / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans Country/Region as subject: Europa Language: English Journal: J Med Internet Res Journal subject: Medical Informatics Year: 2022 Document Type: Article Affiliation country: 42320

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Mobile Applications / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans Country/Region as subject: Europa Language: English Journal: J Med Internet Res Journal subject: Medical Informatics Year: 2022 Document Type: Article Affiliation country: 42320