Consequences In Everyday Life Research Articles

An integrated intervention on well-being: A qualitative study on relationships and emotions

BackgroundOncological treatments lead to physical and emotional difficulties with notable consequences in everyday life. Thus, integrated interventions that can promote quality of life are needed. Since current studies suggest that integrated programs of both physical exercises and psychological sessions can promote positive emotions, this pilot study aims to explore the impact of a one-week intervention that combines sailing activities and psychological support. MethodsTwenty-nine breast cancer survivors took part in this study. Before and after the intervention, participants were invited to answer three open questions to evaluate their perceptions of personal evaluations about their relationships and emotions. A Qualitative Thematic Analysis was used to evaluate participants' answers and to compare the sub-themes that emerged in the two times. ResultsFindings highlighted three main themes: a) caregivers and emotional closeness - family members are generally a crucial point of reference for participants. Friends, colleagues, and healthcare professionals were also cited as relevant figures during the cancer journey and after the psychological intervention; b) emotions towards others - positive and negative emotions towards these figures emerged, and some women felt alone, and c) emotions towards oneself – exploring emotions related to themselves highlighted positive and negative feelings and the desire for change to promote love and care towards themselves. Interestingly, the number of negative emotions towards themselves decreased after the intervention. ConclusionsThe integrated intervention could promote the reflection on personal relationships and emotions.

Digital Well-Being as a New Kind of Adaptation to the New Millennium Needs: A State-of-the-Art Analysis

Abstract Since technology has been entering into human beings’ everyday life, individuals established a deep relationship with digital technology, thus an embodied link between people and digital instruments has been born. This is particularly evidenced by recent literature about screen time (duration of time spent by the individual in using electronic/digital media like television, smartphone, tablet or computer), it significantly influences different human beings’ dimensions: physical, psychological and neurological functions. Impact of digital technology on human beings can be considered as a result of syntonic functioning in order to improve different people’s life areas (e.g., work, social or intimate relationship, learning), while the dystonic relationship is evidenced as a result of human addiction to digital technology. The present study aims to provide a cognitive and social psychology perspective on how screen time is changing our existences, defining digital technology as a gift which people should be aware of in terms of positive but even negative consequences in everyday life.

An Imagined Shrinking Community: Japanese Nationalism and The Chronology of the Future

ABSTRACT How should we understand the relationship between nationalism and discourses of national decline, and more specifically the discourses of a shrinking nation? Driven by this question, this article highlights how bleak imaginings of the future also work to construct the relationship of the individual to the putative national community, creating forms of sentimental national belonging. This article analyses an emerging genre of best-selling books in Japan, Mirai no nenpyō [The chronology of the future] series, that present a dismal vision of Japan’s national demographic future. Their goal is to provoke a sense of national urgency by encouraging Japanese nationals to feel personally the shrinking nation through imagining its coming consequences for everyday life. Such narrations of an imagined shrinking community act to create a timeless sense of national belonging, with daily lived experience in the imagined future interpreted through the lens of the contracting nation. Importantly, the future that these discourses present is nationalized within boundaries separating it from global developments and intercourse. Ultimately, this form of nationalism is constituted not by dying for the nation, but instead by people seeing the continued stability of everyday life as intricately tied to the fate of the national community.

GIS, satellite image and risks in urban and Peri-urban areas; methodological aspects

Evoking the risk, even in urban areas, brings us back almost mechanically to the risks of flooding, or even silting up in certain regions. However, there are many other risks in cities that are still little or no explored using GIS solutions. We will mention in particular the problems encountered in the outskirts of cities and so-called sensitive areas, but also those due to the very configuration of certain neighborhoods (concentration of buildings, absence of support infrastructure) which generate risk situations. , or rather danger. Of course, we cannot overlook the problem of old neighborhoods that are abandoned in certain regions, but where populations still live and are exposed to multiple dangers following the continuous dilapidation of buildings. Finally, it is useful, even necessary, to also mention the perception of risk, which is sometimes extremely vague, in the minds of populations who end up generating their own risk themselves. In this article, we briefly examine the notion of risk, its perception in the collective mind and its consequences in everyday life. We then present, on a practical example, the contribution of GIS solutions and satellite imagery to the analysis and forecasting of risk in urban areas. The examples are taken from Algerian towns in the pre-Saharan zone. We will take the city of Laghouat as an example and we will develop the aspect of risk generation by the individual and society as a whole; we will also see how the local authority contributes to this situation of generation of risk or danger and, above all, how it can remedy it.

Cognitive and Emotional Disorders during Multiple Sclerosis – Exogenous and Endogenous Conditions, Contemporary Methods of Treatment and Prevention

Multiple sclerosis (SM) is an autoimmune, demyelinating disease of the central nervous system. The disease affects patients of all ages, with a higher incidence in women. The etiopathogenesis of SM is not fully understood — it is believed that autoreactive lymphocytes play a key role in the development of the disease, although genetic predisposition and environmental factors also play a role. Diagnosis is based on the McDonald criteria, and the disease has different clinical presentations. Treatment is based on immunomodulation, aims to control the disease, and prevent recurrence. Frequent symptoms of the disease are motor, sensory, and cognitive disorders. Cognitive impairment, which is common in multiple sclerosis patients, has numerous consequences in everyday life (mental, social, economic) that significantly reduce the quality of life. Psycho-cognitive dysfunction, which can occur at any stage of the disease, is associated with changes in the central nervous system. Prevention of these disorders includes the early application of treatment methods that modify the natural course of the disease and the implication of pro-health behaviors, such as quitting smoking, proper diet and physical exercise. Pharmacological treatment shows limited effectiveness. Rehabilitation involving the use of compensatory strategies, remedial methods aimed at brain neuroplasticity and cognitive training shaping new functional networks of the brain is important. The aim of this work is to present the problem of cognitive and emotional disorders in the course of multiple sclerosis, with particular emphasis on endo- and exogenous conditions, together with modern methods of their treatment and prevention. (JNNN 2023;12(3):140–146)

“Scanxiety” and a sense of control: the perspective of lung cancer survivors and their caregivers on follow-up - a qualitative study

ObjectivesLung cancer survivors often suffer from physical, emotional and social long-term effects of disease and treatment. Caregivers are also affected by the cancer diagnosis throughout the course of the disease and are frequently burdened by high levels of psychosocial stress. However, little is known about how follow-up care after the completed treatment phase can help to improve long-term quality of life. In the context of patient-centred cancer care, considering the survivors’ and caregivers’ perspectives is an important step toward improving care structures. We therefore explored how lung cancer survivors and their caregivers experience follow-up examinations and their possible psychosocial effects on everyday life in order to shed light on what support is helpful for improving their quality of life.Material and Methods25 survivors after curative lung cancer treatment and 17 caregivers underwent a face-to-face semi-structured, audio-recorded interview that was analysed using qualitative content analysis.ResultsEspecially burdened cancer survivors and caregivers described recurring anxiety before a follow-up appointment influencing their everyday life. At the same time, follow-up care also provided reassurance of still being healthy and helped regain a sense of security and control until the following scan. Despite possible long-term consequences in everyday life, the interviewees reported that the survivors´ psychosocial needs were not explicitly assessed or discussed. Nevertheless, the interviewees indicated that conversations with the physician were important for the success of “good” follow-up care.ConclusionAnxiety surrounding follow-up scans, also known as “scanxiety”, is a common problem. In this study, we expanded on previous findings and found a positive aspect of scans, namely regaining a sense of security and control, which can strengthen the psychological well-being of the survivors and their families. To optimize follow-up care and improve the quality of life of lung cancer survivors and caregivers, strategies to integrate psychosocial care, like the introduction of survivorship care plans or increased use of patient-reported outcomes, should be explored in the future.

The Danish landscape of providing support for caregivers of people with potentially life-threatening disease: A cross-sectional study among representatives of health services in Danish municipalities and hospitals.

(a) To investigate support for caregivers of people diagnosed with stroke, cancer, chronic obstructive pulmonary disease (COPD), dementia, or heart disease provided across healthcare settings in Denmark; (b) to assess differences in caregiver support across diagnoses and settings. A cross-sectional nationwide survey among professionals representing healthcare settings at municipalities (n = 479) and hospital wards and outpatient clinics (n = 425). The survey assessed identification of caregivers and support initiatives. The response rate was 81% for municipalities and 49% for hospitals. Identification of caregivers was frequent in dementia care (81% and 100%) and less frequent in COPD care (58% and 64%) in municipalities and hospitals, respectively. Caregiver support differed significantly across diagnoses within municipalities (p = 0.009) and hospitals (p < 0.001). Systematic identification of vulnerable caregivers was <25% for all diagnoses except dementia. The most common support initiatives involving caregivers were primarily aimed at the ill person and included guidance about the disease and consequences for everyday life and lifestyle changes. Caregivers were least involved in support initiatives addressing physical training, work retention, sexuality, or cohabitation. Disparities and significant differences across diagnoses exist in the identification of caregivers and the provision of support initiatives. Support initiatives involving caregivers primarily targeted patients. Future studies should investigate how caregivers' needs can be met across different diagnoses and healthcare settings and investigate potential changes in caregivers' needs during disease trajectories. In clinical practice, identification of vulnerable caregivers should be a major focus, and disease-specific clinical guidelines may be required to ensure sufficient support for caregivers.

Aβ8-20 Fragment as an Anti-Fibrillogenic and Neuroprotective Agent: Advancing toward Efficient Alzheimer's Disease Treatment.

Alzheimer's disease (AD) is the most common cause of dementia, characterized by a spectrum of symptoms associated with memory loss and cognitive decline with deleterious consequences in everyday life. The lack of specific drugs for the treatment and/or prevention of this pathology makes AD an ever-increasing economic and social emergency. Oligomeric species of amyloid-beta (Aβ) are recognized as the primary cause responsible for synaptic dysfunction and neuronal degeneration, playing a crucial role in the onset of the pathology. Several studies have been focusing on the use of small molecules and peptides targeting oligomeric species to prevent Aβ aggregation and toxicity. Among them, peptide fragments derived from the primary sequence of Aβ have also been used to exploit any eventual recognition abilities toward the full-length Aβ parent peptide. Here, we test the Aβ8-20 fragment which contains the self-recognizing Lys-Leu-Val-Phe-Phe sequence and lacks Arg 5 and Asp 7 and the main part of the C-terminus, key points involved in the aggregation pathway and stabilization of the fibrillary structure of Aβ. In particular, by combining chemical and biological techniques, we show that Aβ8-20 does not undergo random coil to β sheet conformational transition, does not form amyloid fibrils by itself, and is not toxic for neuronal cells. Moreover, we demonstrate that Aβ8-20 mainly interacts with the 4-11 region of Aβ1-42 and inhibits the formation of toxic oligomeric species and Aβ fibrils. Finally, our data show that Aβ8-20 protects neuron-like cells from Aβ1-42 oligomer toxicity. We propose Aβ8-20 as a promising drug candidate for the treatment of AD.

Correlation of Fatigue with Cognition and Motor Performance among Stroke Patients

Introduction: Post-Stroke Fatigue (PSF) is the most common debilitating and persistent symptom after a stroke.The impact of fatigue increases during the first year of post-stroke. When most of the recovery has taken place,fatigue could remain an important problem with disabling consequences for everyday life. Understanding theeffect of PSF on cognition and mobility outcomes will help to better manage existing fatigue symptoms in strokepatients and develop strategies to optimize mobility and cognitive performance in patients with the chronic stageof stroke. With this background in mind, the present study aims at establishing a relationship between post-strokefatigue and cognitive and motor performance among persons with stroke.Aim: To correlate fatigue with cognition and motor performance in stroke patientsMaterials and Method: This is the pilot study where 15 post-stroke patients fulfilling the inclusion and exclusioncriteria were included by using the purposive sampling technique. Fatigue was assessed using Fatigue Scale forMotor and Cognitive Function. Motor Function was assessed by using Fugl Meyer Scale for upper and lowerextremity, Chedokes Arm and Hand Inventory, Lower Extremity Functional Scale, and Berg Balance Scale.Cognition was assessed by using the Montreal Cognitive Assessment Scale. Using the scores of these scales, fatiguewas correlated with motor and cognitive functions using Karl Pearson’s correlation test.Result: The study found a moderately significant correlation between Fatigue and Cognition (r=-0.605 p&lt;0.05) anda highly significant correlation between fatigue and motor performance (r=-0.804 p&lt;0.001).Conclusion: This study provides evidence that post-stroke fatigue has significant relationships with both motorperformance and cognitive performance. It is important to consider the influence of fatigue when planning anddelivering interventions for individuals with stroke.

Autism care pathway in Europe.

Autism is a lifelong complex neurodevelopmental condition that affects brain development and behaviour with significant consequences for everyday life. Despite its personal, familial, and societal impact, Europe-wide harmonised guidelines are still lacking for early detection, diagnosis, and intervention, leading to an overall unsatisfactory autistic person and carer journey. The care pathway for autistic children and adolescents was analysed in Italy, Spain and the UK from the perspective of carers (using a survey aimed at caregivers of autistic children 0-18years old), the autistic community, and professionals in order to identify major barriers (treatment gaps) preventing carers from receiving information, support, and timely screening/diagnosis and intervention. Across all three countries, analysis of the current care pathway showed: long waits from the time carers raised their first concerns about a child's development and/or behaviour until screening and confirmed diagnosis; delayed or no access to intervention once a diagnosis was confirmed; limited information about autism and how to access early detection services; and deficient support for families throughout the journey. These findings call for policy harmonisation in Europe to shorten long wait times for diagnosis and intervention and therefore, improve autistic people and their families' journey experience and quality of life.

Living Hadits untuk Menciptakan Kehidupan Masyarakat Religius di Kelurahan Merjosari Kota Malang

This paper aims to describe community service activities by seeking the realization of religious community life through the living hadith model, which is an effort that the hadith of the Prophet Muhammad SAW can be applied and integrated into people's lives. The target of this activity is the residents of Merjosari Village, Malang City, which is a densely populated urban area and is located close to several major educational institutions in Malang. This activity was carried out intensively using the service learning method by making the Raden Rahmat Merjosari Mosque as the basis of activities and the outcome of its activities was observed through direct observation and interviews. Through textual and contextual strategies in this living hadith model, it appears that there has been an increase and strengthening of the religious understanding of the people of Merjosari Village which can be seen from the strong belief of the community in God with the teachings of faith, the practice of praying in congregation in the mosque, inner experiences or expressions of serenity in life. , knowledge of religious teachings in the hadith, and the consequences in everyday life in the form of harmony and cohesiveness. This living hadith is also a provision for the community in realizing religious life so that they can respond to shifts in religious social values and are expected to reduce the potential for social conflicts that can occur at any time.

Handling fatigue in everyday activities at five years after stroke: A long and demanding process

Background Fatigue is common and can be challenging after stroke. Aim To explore how post-stroke fatigue (PSF) was experienced and handled among people with stroke in their performance of everyday activities and in participation in social activities five years after stroke. Methods Nine persons who perceived PSF one year after stroke onset were interviewed five years later. The interviews were analysed using qualitative content analysis. Results Most participants experienced PSF even five years after stroke and reported longstanding difficulties in everyday activities. Handling fatigue—a long slow process with invisible adjustments in everyday life emerged as the theme. By implementing new strategies in everyday life their PSF lessened over time. Understanding among significant others as to how PSF appears and providing information about PSF early after stroke was perceived important. Conclusion This study adds new knowledge regarding experiences of PSF and long-term support needs. Even if PSF still was reported the participants experienced improvements in everyday life through the application of new strategies. Information about PSF and strategies for managing everyday life should be provided during rehabilitation. Significance This study is one out of only a few focussing on long-term PSF and adjustment to its consequences in everyday life.

Care pathway for autistic children and their families in Europe

IntroductionAutism is a lifelong complex neurodevelopmental condition that affects brain development and behaviour with significant consequences for everyday life (WHO, 2018). Despite its personal, familial and societal impact, there is still a European-wide lack of harmonised guidelines about the support needed from early stages, the most sensitive time to gain positive future outcomes (Berajamo-Martin et al, 2019).ObjectivesThe objectives were: 1. To analyse autistic children care pathway and patient/carer journey in three European countries: Italy, Spain and U.K. 2. To propose policy recommendations on how to improve this pathway.MethodsTo identify major barriers and treatment gaps, we conducted a rapid literature review of the care pathway in Europe and a survey aimed at parents or carers of autistic children ages 0 to 18 living in the three countries. The survey gathered information on screening, diagnosis, accessibility and support received before, during and after diagnosis. Members of the working group met to discuss results and propose policy recommendations.Results1. Current care pathway analysis showed the following treatment gaps: Long waiting time from first concerns until screening visit and confirmed diagnosis. Delayed or no access to intervention once diagnosis has been confirmed. Overall limited information about autism and how to access early detection services. Overall deficient support to families. 2. Please see Box 1 for our proposed policy recommendations.Box 1. Policy recommendationsConclusionsOur findings and recommendations will inform policy harmonisation in Europe to shorten long waiting times, diagnosis process and intervention, and therefore, improve autistic people and their families’ journey experience and quality of life.DisclosureNo significant relationships.

The impact of COVID-19 restrictions and care home strategies on residents with dementia as experienced by family carers in Italy

Objectives The COVID-19 pandemic and public health measures caused serious consequences for several population cohorts, including people with dementia in care homes and their families. The aim of this study was to explore the impact of COVID-19 on care home residents with dementia as experienced by family carers in Italy. Specifically, strategies implemented to overcome the pandemic’s constraints, their influence upon care, and consequences for everyday life of residents with dementia and carers were investigated. Methods Semi-structured interviews explored participants’ experiences of the pandemic, its restrictions and the services’ status during lockdown. Transcripts were analysed via thematic analysis. Results 26 family carers were interviewed. Three themes emerged: (1) COVID-19 restrictions negatively affected both residents with dementia and family carers, (2) Changing policies in care homes during COVID-19, and (3) Technology use in care homes during COVID-19. COVID-19 restrictions severely affected care home residents with dementia, disrupted their daily living, and accelerated their cognitive decline. Consequently carers’ emotional burdens increased. Care home response strategies (safe visiting and digital solutions) were critical, though they were not enough to compensate for the lack of close in-person contacts. Conclusions Mixed evidence emerged about the feasibility of care home strategies and their associated benefits. To meet arising needs and possible future pandemic waves, there is a need for updated health strategies. These should prioritise a continuity of therapeutic activities and minimize negative effects on residents’ quality of life, whilst incorporating feasible and accessible digital solutions to provide remote communication and psychological support for family carers.

For feminist geographies of austerity.

Austerity policies and austere socio-economic conditions in the UK have had acute consequences for everyday life and, interconnectedly, the political and structural regimes that impact upon the lives of women and marginalised groups. Feminist geographies have arguably been enlivened and reinvigorated by critical engagements with austerity, bringing to light everyday experiences, structural inequalities and multi-scalar socio-economic relations. With this paper I propose five areas of intervention for further research in this field: social reproduction, everyday epistemologies, intersectionality, voice and silence, and embodied fieldwork. To conclude, I argue for continuing feminist critique and analyses given the legacies and futures of austerity.

Perceived consequences and worries among youth in Norway during the COVID-19 pandemic lockdown.

Aims: To examine perceived consequences for everyday life, learning outcomes, family relations, sleep problems and worries for infection, for friends and their future, among youth aged 12–19 years during weeks 7 to 9 of the COVID-19 lockdown in Norway. We examine variations by age, gender, socioeconomic status and country of birth. Methods: Youth within the municipality of Bergen were invited via SMS to participate in a 15-minute online survey. A total of 2997 (40%) youths participated. The mean age was 17 years (standard deviation 1.7). Results: Overall, 28% reported feeling somewhat to a lot impacted by schools closing, 63% reported learning less. In total, 62% reported improvement of everyday life. The youth’s situation in their family was worse for 13%. Regarding sleep problems, 19% reported difficulties initiating and maintaining sleep, 12% had more nightmares, while 90% reported later bedtime and rise time. Seven per cent worried about getting infected, while 53% worried about infection among family members. A total of 19% worried that the outbreak would lead to a more difficult future, and 32%worried that friends were facing a difficult situation at home. Perceived consequences and worries related to the lockdown varied across sociodemographic groups. Conclusions: The perceived consequences and degree of worries varied by age, gender, socioeconomic status and to a certain degree country of birth. Girls, older youth, youth with lower socioeconomic status and with a migrant background from developing countries seemed to experience the lockdown as more difficult, and thereby possibly accentuating the need for services in these groups.

The value of women coming together: Effects and practices of a gender-focused community intervention funded by a government agency.

The gender focus has been incorporated into public policies as a strategy to reduce gender inequity and overcome discriminatory stereotype behaviors. However, the state or institutional feminism has been questioned for being uncritical and not very transformative, where the critical and transformative nature of community psychology offer valuable opportunities. In this context, effects and practices of a community intervention funded by a government agency and aimed at the de-naturalization of gender stereotypes and its consequences in everyday life with vulnerable women, mostly older adults, are analyzed. Using a qualitative methodology, interviews and focus groups with women who participated in the intervention, community leaders, and key actors were conducted. A total of 46 people took part in the investigation. Data were analyzed using Grounded Theory. Facilitating and hindering factors influencing the gender-focused community intervention implemented were identified. Furthermore, effects linked to community participation among women are regarded as affirmative acts in response to social vulnerability, with self-care, co-care, and empowerment regarding gender stereotypes standing out as the main results. Finally, the value of women's gatherings in community spaces, linking them with the contributions of feminist theory, and outline points of tension and challenges facing gender-focused community interventions are discussed.

Penggunaan Smartphone Bermasalah Pada Siswa SMA Serta Implikasinya Bagi Pelayanan Bimbingan dan Konseling di Sekolah

Excessive use of smartphones can lead to problematic smartphone use. Problematic smartphone use is a person's inability to regulate smartphone use, which results in many negative consequences in everyday life. This study aims to determine the problematic description of smartphone use in high school students in the Bogor area. This research uses a quantitative approach with descriptive methods. The sampling technique was using the purposive sampling technique. The research instrument used was the MPPUSA (Mobile Phone Problem Use Scale for Adolescent) adaptation instrument. Its aspects consist of tolerance, escape from problems, craving, withdrawal, negative consequences, and social motivation. The results of the instrument trial obtained a reliability coefficient of 0.877. The questionnaire was distributed online using the Google Forms application, with 188 respondents (45 male respondents and 143 female respondents). The scale used is the five-point Likert scale. The results showed that the category of problematic use was 8.50%, the users were at risk of 43.62%, habitual use was 40.96%, and occasional users were 6.91%. The highest percentage of problematic smartphone use aspects is the escape from problem aspect of 67.84% and the lowest is the withdrawal aspect of 43.09%. The implication of the results of this study can be used as a needs analysis in making guidance and counseling service programs in schools by guidance and counseling teachers.

A radical change: A qualitative study of patients' experiences of eating and daily living through the first year after oesophageal resection.

The purpose of this study is to explore the lived experiences of patients in terms of eating and consequences in everyday life in the first year after oesophageal cancer surgery. Thirteen patients participated in qualitative interviews one year after surgery for oesophageal cancer. Descriptions capturing the meaning of the lived experiences of patients were then derived from subsequent analysis and interpretation of the interviews. A phenomenological hermeneutical approach comprised the epistemological stance, and theoretical perspectives were drawn from Schutz' theory of everyday life. Patient descriptions of their experiences with food, eating and everyday life in the first year after oesophageal cancer surgery fell into four themes: Adjusting to a different anatomy - food and eating as a dominant and difficult activity; changed body - food and eating as an underlying shadow; feeling different - social consequences of changed eating; a nutritional jungle - guidance and support in an uncertain time. The physical and social consequences of oesophageal cancer resection upend everyday structures, requiring patients to adopt a new, conscious and reflexive approach to food and eating as a social activity. Continuous support from healthcare professionals and patient-to-patient interaction can help redefine everyday life.

Reducing Risky Alcohol Use via Smartphone App Skills Training Among Adult Internet Help-Seekers: A Randomized Pilot Trial.

Alcohol is one of the leading risk factors for global disease burden and overconsumption leads to a wide variety of negative consequences in everyday life. Digital interventions have shown small positive effects in contributing to reductions in problematic use. Specific research on smartphone apps is sparse and the few studies published indicate effects ranging from negative or null to small or moderate. TeleCoach™, a web-based skills training smartphone app, has shown positive effects in non-treatment-seeking university students with excessive drinking. This pilot trial aimed to evaluate app effects in a sample of internet help-seekers from the general population in Sweden. A total of 89 participants were recruited via online advertisement. Following baseline assessment for hazardous use, they were randomized to TeleCoach or a web-based control app offering brief information and advice regarding problematic alcohol use. The primary outcome was number of standard drinks per week; secondary outcomes included drinking quantity and frequency, binge drinking and blood alcohol count measures as well as app user data and comorbidity related to depression, anxiety, and drug use. Analysis of baseline and 6-week follow-up outcomes showed significant within-group effects on alcohol consumption but no significant between-group differences. Effect sizes for the within-group changes in the primary outcome over time were significant [F(1, 55)=43.98; p < 0.001], with a Cohen's d of 1.37 for the intervention group and 0.92 for the control group. This difference in effect sizes indicated that continuation of the study as a large randomized, controlled trial with up to 1,000 participants could be worthwhile.Clinical Trial Registrationwww.ClinicalTrials.gov, identifier NCT03696888.