ModerateDrinking.com and Moderation Management are online programs, often used together, that help people who are heavy drinkers, but who do not have alcohol dependence, reduce their use of alcohol and resulting alcohol-related problems.
ModerateDrinking.com (MD) is a web-based behavioral self-control training program comprised of 4 basic elements: setting goals, self-monitoring, controlling drinking, and tracking progress over time. Moderation Management (MM) is an online support network that includes peer support, self-help tools, and recommended guidelines for non-problematic drinking.
Link to commercial site here.
Motivational Enhancement Therapy (MET)
Cognitive Behavioral Skills Training
Peak blood alcohol concentration
Alcohol use-related problems
Young Adults (18-30)
Summary: This article reports on 3-month outcomes of a randomized controlled trial of problem drinkers who were not alcohol-dependent, recruited through newspaper ads. Eligible participants were randomly assigned to either (a) the Moderate Drinking intervention plus Moderation Management online support (MD-MM; n=38), or (b) Moderation Management online support only (MM only; n=40). Assessments were conducted at baseline and at 3-month follow-up.
At follow-up, people in both groups showed significantly lower alcohol use on (all measures) and fewer alcohol-related problems. Groups differed on two variables: people who received MD-MM had significantly higher percentage of days abstinent and fewer drinks per drinking day than those who received MM only.
Take Away: Both MM only, and MD-MM were effective at helping people decrease their drinking and alcohol-related problems. The combined MD-MM treatment may be slightly better depending on the target outcome.
Follow-Up of Previous Study:
ModerateDrinking.com and Moderation Management: Outcomes of a randomized clinical trial with non-dependent problem drinkers.
Summary: This article reports on the full 12-month outcomes of the randomized controlled trial described in the previous paper (Hester et al, 2009).
At 12-month follow-up, both groups continued to show significantly lower alcohol use and fewer alcohol-related problems than at baseline. The groups differed on two variables: the group receiving MD-MM had higher percentage of days abstinent and fewer alcohol-related problems than the group receiving MM only. There were also interactions between treatment type and baseline heavy drinking status on estimated mean BAC and drinks per day. Specifically, those who were not binge drinkers and who received MD-MM showed significantly lower BAC and drinks per day than binge drinkers and those receiving MM only.
Take Away: Both MM only and MD-MM were effective at helping people decrease their drinking and alcohol-related problems. The combined MD-MM treatment may be slightly better depending on the target outcome and type of drinker.