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Table 2 Summary of Included Studies

From: A systematic review of the effectiveness of digital interventions for illicit substance misuse harm reduction in third-level students

Author

Study Type

Sample Size

Outcome Measures

Intervention Type

Delivery

Population

Critical Appraisal Score

Overall Result

Lee et al. 2010 [51]

RCT

341

Marijuana use and consequences of use. Also evaluated contemplation to change and family history of drug problems as potential mediators of efficacy

Personalised feedback and descriptive norm correction

Online

Students reporting any use of Marijuana in past 3-months

Moderate

No overall effect on use or consequences. Significant reduction in use in students higher in contemplation.

Elliott & Carey 2012 [50]

CCT

245

Descriptive norms, injunctive norms, marijuana use/initiation

“eTOKE” personalised feedback and descriptive norm correction

Online

Students reporting no marijuana use in past 30 days

Weak

No significant effect on marijuana initiation, but less exaggerated norms.

Elliott et al. 2014 [53]

CCT

317

Marijuana use, problems, user disorder symptoms, and descriptive norms

“eTOKE” personalised feedback and descriptive norm correction

Online

Students reporting past-month marijuana use

Weak

Minimal to small effect for user frequency, problems, disorder symptoms and medium changes for all descriptive norms.

Epton et al. 2014 [54]

RCT

1445

Fruit/veg intake, physical activity, alcohol consumption, smoking, health status, recreational drug use, BMI, health service usage, academic performance, social cognitive variables.

“U@Uni” Self-affirmation manipulation, theory based messages, implementation intention tasks

Online

All incoming undergraduate students

Weak

Increase in recreational drug use in intervention arm

Palfai et al. 2014 [55]

CCT

123

Frequency of marijuana use, marijuana related consequences, readiness to change, perceived norms.

“Marijuana eCHECK UP TO GO” personalised feedback and descriptive norm correction

Online in Student Health Service and off-site

Students attending Student Health Service reporting at least monthly Marijuana use

Moderate

No effect on marijuana use. Medium effect on negative consequences. Significantly reduced student estimates of peer marijuana use.

Cameron et al. 2015 [56]

RCT

2621

Fruit/veg intake, physical activity, alcohol consumption, smoking, health status, recreational drug use, BMI, health service usage, social cognitive variables.

“U@Uni:LifeGuide” Self-affirmation manipulation, theory based messages, implementation intention tasks

Online

All incoming undergraduate students

Weak

Non-significant effect on recreational drug use

Christoff & Boerngen-Lacerda 2015 [57]

CCT

458

ASSIST score (alcohol, tobacco, marijuana, cocaine, amphetamine-stimulants, inhalants, sedatives, hallucinogens, opioids)

“ASSIST/MBI” ASSIST screening and Motivational Brief Intervention

Online on-site

Students with moderate/high ASSIST scores

Weak

Small positive effect, reduction in ASSIST score for marijuana.

Haug et al. 2017 [58]

Pre-Post

1067

Perceived stress, self-management and coping behaviours, interpersonal skills, at risk alcohol use, tobacco smoking, and cannabis use.

“Ready4life” – personalised feedback and weekly messages based on social cognitive theory

Online on-site plus off-site text messages

All students with a mobile phone

Weak

No significant pre-post differences in the percentage of persons using cannabis.