scholarly journals A Text Message Intervention with Adaptive Goal Support to Reduce Alcohol Consumption Among Non-Treatment-Seeking Young Adults: Non-Randomized Clinical Trial with Voluntary Length of Enrollment (Preprint)

2017 ◽  
Author(s):  
Brian Suffoletto ◽  
Tammy Chung ◽  
Frederick Muench ◽  
Peter Monti ◽  
Duncan B Clark
Keyword(s):  
Young Adults ◽  
Alcohol Consumption ◽  
Self Efficacy ◽  
Self Regulation ◽  
Text Message ◽  
Confidence Score ◽  
Preliminary Evidence ◽  
Goal Commitment ◽  
Reduce Alcohol Consumption ◽  
Text Message Intervention

BACKGROUND Stand-alone text message–based interventions can reduce binge drinking episodes (≥4 drinks for women and ≥5 drinks for men) among nontreatment-seeking young adults, but may not be optimized. Adaptive text message support could enhance effectiveness by assisting context-specific goal setting and striving, but it remains unknown how to best integrate it into text message interventions. OBJECTIVE The objective of this study was to evaluate young adults’ engagement with a text message intervention, Texting to Reduce Alcohol Consumption 2 (TRAC2), which focuses on reducing weekend alcohol consumption. TRAC2 incorporated preweekend drinking-limit goal-commitment ecological momentary assessments (EMA) tailored to past 2-week alcohol consumption, intraweekend goal reminders, self-efficacy EMA with support tailored to goal confidence, and maximum weekend alcohol consumption EMA with drinking limit goal feedback. METHODS We enrolled 38 nontreatment-seeking young adults (aged 18 to 25 years) who screened positive for hazardous drinking in an urban emergency department. Following a 2-week text message assessment-only run-in, subjects were given the opportunity to enroll in 4-week intervention blocks. We examined patterns of EMA responses and voluntary re-enrollment. We then examined how goal commitment and goal self-efficacy related to event-level alcohol consumption. Finally, we examined the association of length of TRAC2 exposure with alcohol-related outcomes from baseline to 3-month follow-up. RESULTS Among a diverse sample of young adults (56% [28/50] female, 54% [27/50] black, 32% [12/50] college enrolled), response rates to EMA queries were, on average, 82% for the first 4-week intervention block, 75% for the second 4-week block, and 73% for the third 4-week block. In the first 4 weeks of the intervention, drinking limit goal commitment was made 68/71 times it was prompted (96%). The percentage of subjects being prompted to commit to a drinking limit goal above the binge threshold was 52% (15/29) in week 1 and decreased to 0% (0/15) by week 4. Subjects met their goal 130/146 of the times a goal was committed to (89.0%). There were lower rates of goal success when subjects reported lower confidence (score <4) in meeting the goal (76% [32/42 weekends]) compared with that when subjects reported high confidence (98% [56/57 weekends]; P=.001). There were reductions in alcohol consumption from baseline to 3 months, but reductions were not different by length of intervention exposure. CONCLUSIONS Preliminary evidence suggests that nontreatment-seeking young adults will engage with a text message intervention incorporating self-regulation support features, resulting in high rates of weekend drinking limit goal commitment and goal success.

scholarly journals Health- or Environment-Focused Text Messages as a Potential Strategy to Increase Plant-Based Eating among Young Adults: An Exploratory Study

Foods ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. 3147
Author(s):  
Tze Joo Lim ◽  
Richard Nii Okine ◽  
Jonathan C. Kershaw
Keyword(s):  
Young Adults ◽  
Self Efficacy ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
Text Message ◽  
Text Messages ◽  
Plant Protein ◽  
Explanatory Role ◽  
Potential Strategy ◽  
Text Message Intervention

Previous plant-based diet (PBD) adoption strategies have primarily focused on health rather than environmental rationale and meat reduction rather than plant-based protein promotion. In this study, we explored the effect of a theory-informed text-message intervention on dietary intentions and behaviors in young adult omnivores and the potential explanatory role of PBD beliefs, subjective norm, self-efficacy, moral norm, and health and environmental values. Participants completed baseline questionnaires and reported dietary intake before being randomly assigned to receive 2–3 health- or environment-focused text messages per week for eight weeks and then repeated baseline assessments. Although we did not see significant changes in meat or plant protein intake, we did observe a marked decrease in intentions to consume animal protein and a marginal increase in fruit and vegetable consumption intention. We identified subjective norms, self-efficacy, and moral satisfaction as the strongest predictors of changes in intention to consume animal or plant protein. Although few group differences were observed, those receiving environment-focused text messages experienced a greater change in values and were more likely to increase vegetable intake. Messages that improve sustainability awareness and provide practical adoption strategies may be part of an effective strategy to influence PBD intake among young adults.

Personalized drinking feedback : an event-specific text-message intervention

2016 ◽  
Author(s):  
◽  
Jennifer Marie Cadigan
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Text Message ◽  
Group Differences ◽  
Control Group ◽  
Personalized Feedback ◽  
Alcohol Education ◽  
University Of Missouri ◽  
The University ◽  
Text Message Intervention

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT REQUEST OF AUTHOR.] This study examined the efficacy and feasibility of an event-specific, text-message personalized feedback intervention (PFI) among 130 college students. Results indicated significant between-group differences for peak eBAC and drinks consumed when tailgating, with those in the text message PFI condition reporting a lower peak eBAC and less alcohol use than those in the text message alcohol education control group. Providing normative feedback on tailgating alcohol use in the PFI condition was effective in changing perceived drinking norms and alcohol consumption. This suggests the intervention was effective in correcting normative misperceptions of tailgating alcohol use, which was subsequently associated with reduced alcohol consumption. Findings provide preliminary support for the efficacy of an event-specific text-message PFI.

scholarly journals Acceptability and Effects of a Mobile Digital Intervention to Support Mental Health for Young Adults Transitioning to College: Pilot Randomized Trial During the COVID-19 Pandemic (Preprint)

2021 ◽  
Author(s):  
Brian Suffoletto ◽  
Tina Goldstein ◽  
Dawn Gotkiewicz ◽  
Emily Gotkiewicz ◽  
Branie George ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Usual Care ◽  
Self Efficacy ◽  
Emotional Health ◽  
Text Message ◽  
Health Clinic ◽  
Depression Symptoms ◽  
Web Based ◽  
System Usability Scale

BACKGROUND The transition from high school to college can exacerbate mental health problems in young adults yet barriers prevent seamless mental health care. Existing digital support tools show promise, but are not yet designed to optimize engagement or implementation. OBJECTIVE Test acceptability and effects of an automated digital Mobile Support Tool for Mental Health (MoST-MH) for young adults transitioning to college METHODS Youth aged 18 years with a current mental health diagnosis preparing to transition to college (n=52; 85% female, 91% White race) were recruited from one primary care (n=31) and one mental health clinic (n=21). Participants were randomized 2:1 to either receive MoST-MH (n=34) or enhanced Usual Care (eUC; n=18). MoST-MH included periodic text-message and web-based check-ins of emotional health, stressors, negative impacts, and self-efficacy, which informed tailored self-care support messages. Both eUC and MoST-MH participants received links to a library of psycho-educational videos and were asked to complete web-based versions of the Mental Health Self-Efficacy Scale (MHSES), College Counseling Center Assessment of Psychological Symptoms (CCAPS), and Client Service Receipt Inventory for Mental Health (C-SRI) monthly for 3 months and Post-Study System Usability Scale (PSSUQ) at 3-months. RESULTS MoST-MH participants were sent a median of 5 (range 3 to 10) text-message check-in prompts over the 3-month study period and 100% were completed and participants were sent a median of 2 (range 1 to 8) web-based check-in prompts among which 78% were completed. PSSUQ scores indicate high usability (mean score 2.0). Results from the completer analysis demonstrated reductions in mental health symptoms over time and significant between-group effects of MoST-MH compared to eUC on depressive symptom severity (d = 0.36; 95% CI: 0.08-0.64). No significant differences in mental health self-efficacy or MH healthcare utilization were observed. CONCLUSIONS In this pilot trial we found preliminary evidence that MoST-MH was engaged with at high rates, was found to be highly usable, and reduced depression symptoms relative to enhanced usual care among youth with mental health disorders transitioning to college. Findings were measured during the COVID-19 pandemic and study was not powered to detect differences in outcomes between groups, therefore further testing is needed.

67 EMFPatterns of Alcohol Consumption in Young Adults Using Text-Message, AUDIT-C and Timeline Follow-Back Assessments

2011 ◽  
Vol 58 (4) ◽  
pp. S199-S200 ◽  
Author(s):  
B. Suffoletto ◽  
J. Kristan ◽  
C. Callaway ◽  
K. Kraemer ◽  
D. Clark
Keyword(s):  
Young Adults ◽  
Alcohol Consumption ◽  
Text Message

scholarly journals Text message intervention to reduce frequency of binge drinking among disadvantaged men: the TRAM RCT

2018 ◽  
Vol 6 (6) ◽  
pp. 1-156 ◽  
Author(s):  
Iain K Crombie ◽  
Linda Irvine ◽  
Brian Williams ◽  
Falko F Sniehotta ◽  
Dennis J Petrie ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Binge Drinking ◽  
Treatment Effect ◽  
Health Research ◽  
Primary Outcome ◽  
Text Message ◽  
Public Health Research ◽  
Primary Outcome Measure ◽  
Text Messages ◽  
Text Message Intervention

Background Socially disadvantaged men are more likely to binge drink frequently and to experience high levels of alcohol-related harm. Objectives To test the effectiveness and cost-effectiveness of a text message intervention in reducing the frequency of binge drinking among disadvantaged men. Study design A four-centre, parallel-group, pragmatic, individually randomised controlled trial was conducted. Randomisation was carried out using a secure remote web-based system. It was stratified by participating centre and recruitment method and restricted using block sizes of randomly varying lengths. Setting The study was conducted in the community. Members of the public helped to develop the study methods. Participants Participants were men aged 25–44 years who had ≥ 2 episodes of binge drinking (> 8 units of alcohol in a single session) in the preceding 28 days. Men were recruited from areas of high deprivation. Interventions An empirically and theoretically based text message intervention was delivered by 112 interactive text messages over a 12-week period. The control group received an attentional control comprising 89 text messages on general health. Primary outcome measure The primary outcome measure was the proportion of men consuming > 8 units of alcohol on ≥ 3 occasions (in the previous 28 days) at 12 months post intervention. Results The recruitment target of 798 was exceeded and 825 men were randomised. Retention was high and similar in the intervention (84.9%) and control (86.5%) groups. Most men in the intervention group engaged enthusiastically with the text messages: almost all (92%) replied to text messages and over two-thirds (67%) replied more than 10 times. The intervention was estimated to have had a modest, statistically non-significant effect on the primary outcome at the 12-month follow-up [odds ratio 0.79, 95% confidence interval (CI) 0.57 to 1.08]. This corresponds to a net reduction of 5.7% in regular binge drinking. Five secondary outcomes showed small non-significant and inconsistent effects on alcohol consumption, with one suggesting a positive effect and four suggesting an adverse effect. Both the short- and the long-term cost per quality-adjusted life-year (QALY) analysis suggested that the brief intervention was dominated by a ‘do-nothing’ option. The intervention’s impacts on patterns of alcohol consumption, QALYs and downstream costs were inconsistent and uncertain. Limitations The study used an active control that, combined with the recruitment procedures and baseline assessments, could have biased the treatment effect towards the null. The measurement of alcohol consumption relied on self-reported drinking. Conclusions The trial has demonstrated that it is possible to recruit and retain large numbers of socially disadvantaged men in a research study. The text messages delivered a complex theoretically and empirically based intervention that fostered enthusiastic engagement with the key components of the behaviour change sequence. The intervention produced a modest, statistically non-significant effect on the primary outcome, with wide CIs. Further research is needed to reduce uncertainty about the treatment effect. The methods developed for this study provide a platform for the design and testing of interventions to reduce inequalities in health. Future work A future trial could reduce the uncertainty around the treatment effect of the intervention. Trial registration Current Controlled Trials ISRCTN07695192. Funding This study was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 6, No. 6. See NIHR Journals Library website for further information.

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