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 Effectiveness of a Text Messaging�Based Intervention Targeting Alcohol Consumption Among University Students: Randomized Controlled Trial (Preprint)

2017 ◽  
Author(s):  
Kristin Thomas ◽  
Ulrika Müssener ◽  
Catharina Linderoth ◽  
Nadine Karlsson ◽  
Preben Bendtsen ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
University Students ◽  
Controlled Trial ◽  
Intervention Group ◽  
Heavy Drinking ◽  
Text Message ◽  
Control Group ◽  
Excessive Drinking ◽  
Secondary Outcomes ◽  
Text Message Intervention

BACKGROUND Excessive drinking among university students is a global challenge, leading to significant health risks. However, heavy drinking among students is widely accepted and socially normalized. Mobile phone interventions have attempted to reach students who engage in excessive drinking. A growing number of studies suggest that text message–based interventions could potentially reach many students and, if effective, such an intervention might help reduce heavy drinking in the student community. OBJECTIVE The objective of this study was to test the effectiveness of a behavior change theory–based 6-week text message intervention among university students. METHODS This study was a two-arm, randomized controlled trial with an intervention group receiving a 6-week text message intervention and a control group that was referred to treatment as usual at the local student health care center. Outcome measures were collected at baseline and at 3 months after the initial invitation to participate in the intervention. The primary outcome was total weekly alcohol consumption. Secondary outcomes were frequency of heavy episodic drinking, highest estimated blood alcohol concentration, and number of negative consequences attributable to excessive drinking. RESULTS A total of 896 students were randomized to either the intervention or control group. The primary outcome analysis included 92.0% of the participants in the intervention group and 90.1% of the control group. At follow-up, total weekly alcohol consumption decreased in both groups, but no significant between-group difference was seen. Data on the secondary outcomes included 49.1% of the participants in the intervention group and 41.3% of the control group. No significant between-group difference was seen for any of the secondary outcomes. CONCLUSIONS The present study was under-powered, which could partly explain the lack of significance. However, the intervention, although theory-based, needs to be re-assessed and refined to better support the target group. Apart from establishing which content forms an effective intervention, the optimal length of an alcohol intervention targeting students also needs to be addressed in future studies. CLINICALTRIAL International Standard Randomised Controlled Trial Number ISRCTN95054707; http://www.isrctn.com/ISRCTN95054707 (Archived by WebCite at http://www.webcitation.org/70Ax4vXhd)

scholarly journals Estudio sobre el consumo de riesgo y perjudicial del alcohol en alumnos de la UT del Norte de Aguascalientes

2019 ◽  
pp. 21-31
Author(s):  
Paula Carmina Del Valle-Ávila ◽  
Juan Carlos García-Rodríguez
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Young People ◽  
Alcohol Use Disorders ◽  
Educational Programs ◽  
Negative Consequences ◽  
Scholastic Performance ◽  
Identification Test ◽  
The University ◽  
Technological University

This article presents a study about the risk and harmful consumption of alcohol in young people of the Technological University of North Aguascalientes, whose objective is to make a situational diagnosis about the habits of alcohol consumption, as well as their level of risk, harmful consumption and possible dependence in said population, for this purpose the Identification Test of Alcohol Consumption Disorders (Alcohol Use Disorders Identification Test, AUDIT) was used as an instrument, which was applied digitally in 756 students of second semester in 14 educational programs of the Higher University Technical level, in this way the type of alcohol consumption was identified, which will allow the University to implement actions to raise awareness and awareness of the negative consequences of its consumption in the different areas of his life as the academic is, manifested through the low scholastic performance, lag and / or desertion, as well as in the personal, social and family area.

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.

Changing University Students’ Alcohol Culture with a web-based intervention: Clustered Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Jane Greve ◽  
Rune Vammen Lesner ◽  
Stefan Bastholm Andrade
Keyword(s):  
Alcohol Consumption ◽  
University Students ◽  
Alcohol Intake ◽  
Intervention Group ◽  
Control Group ◽  
First Year Students ◽  
Personal Benefit ◽  
Drinking Culture ◽  
The University ◽  
The Impact

BACKGROUND In most Western countries, excessive alcohol intake among university students is a cause of concern. The majority of students view drinking as a cornerstone of university life, and many find it difficult to go against the dominant drinking culture. While digital health interventions have been shown to reduce drinking among university students, no intervention has been aimed at changing the overall university drinking culture. This intervention provided the students with tools that helped them make pre-commitment strategies and change their views on the social norms that prevent excessive alcohol intake. OBJECTIVE Our objective is to evaluate the impact of an intervention aimed at reducing the excessive drinking culture among Danish university students. As a secondary outcome, we measured the impact of the intervention on two individual motivational factors for participating in the drinking culture at the university: alcohol consumption as both a personal benefit and a facilitator of socialization. METHODS To evaluate the impact of the intervention, we conducted a cluster randomized controlled experiment among university students at Aarhus University. The students were stratified by gender and self-reported binge drinking. Each student was assigned to either a control or an intervention group. A baseline questionnaire was sent to the participants when school started in September 2019, and a follow-up questionnaire was sent out two months later. The primary outcomes were measured with the Alcohol Use Disorder Identification Test (questions 1-3). To examine the mechanisms underlying the effect, we analyzed two motivational factors for participating in the drinking culture at the university: alcohol consumption as both and a personal benefit and a facilitator of socialization. RESULTS In total 961 students signed up, and 509 of them completed the follow-up questionnaire. Compared to the students in the control group, the students in the intervention group had a 15.8% (P<.001) reduction on their monthly level of alcohol intake two months after the intervention. The result is driven by a large effect on male and first-year students. The intervention had no effect on binge drinking, alcohol addiction, or severely harmful alcohol consumption. Our results also showed that while the students in the intervention group found it less difficult to say “no” to drinking there were no difference in the assessment of being part of the student environment between the students in the intervention and control Group. CONCLUSIONS The intervention had a significant and reducing impact on the students’ monthly alcohol intake. That the effect of the intervention was largest among the young and first-year students, who will be the responsible for the drinking culture at the University in the coming years, suggest that small nudging-based interventions can potentially have significant long-term beneficial effects. CLINICALTRIAL American Economic Association’s registry for randomized trials with RCT ID: AEARCTR-0004703. https://www.socialscienceregistry.org/trials/4703.

scholarly journals Protocol for the impact of CBT for insomnia on pain symptoms and central sensitisation in fibromyalgia: a randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e033760
Author(s):  
Christina S McCrae ◽  
Ashley F Curtis ◽  
Jason Craggs ◽  
Chelsea Deroche ◽  
Pradeep Sahota ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Controlled Trial ◽  
Control Group ◽  
Behavioural Treatment ◽  
Pain Mechanisms ◽  
University Of Missouri ◽  
Central Sensitisation ◽  
Pain Symptoms ◽  
The University ◽  
The Impact

IntroductionApproximately 50% of individuals with fibromyalgia (a chronic widespread pain condition) have comorbid insomnia. Treatment for these comorbid cases typically target pain, but growing research supports direct interventions for insomnia (eg, cognitive behavioural treatment for insomnia (CBT-I)) in these patients. Previous research suggests sustained hyperarousal mediated by a neural central sensitisation mechanism may underlie insomnia and chronic pain symptoms in fibromyalgia. We hypothesise CBT-I will improve insomnia symptoms, improve clinical pain and reduce central sensitisation. The trial will be the first to evaluate the short-term and long-term neural mechanisms underlying insomnia and pain improvements in fibromyalgia. Knowledge obtained from this trial might allow us to develop new or modify current treatments to better target pain mechanisms, perhaps reversing chronic pain or preventing it.Methods and analysisFemale participants (n=130) 18 years of age and older with comorbid fibromyalgia (with pain severity of at least 50/100) and insomnia will be recruited from the University of Missouri in Columbia, Missouri, and surrounding areas. Participants will be randomised to 8 weeks (plus 4 bimonthly booster sessions) of CBT-I or a sleep hygiene control group (SH). Participants will be assessed at baseline, post-treatment, 6 and 12 months follow-ups. The following assessments will be completed: 2 weeks of daily diaries measuring sleep and pain, daily actigraphy, insomnia severity index, pain-related disability, single night of polysomnography recording, arousal (heart rate variability, cognitive affective arousal), structural and functional MRI to examine pain-related neural activity and plasticity and mood (depression, anxiety).Ethics and disseminationEthics approval was obtained in July 2018 from the University of Missouri. All data are expected to be collected by 2022. Full trial results are planned to be published by 2024. Secondary analyses of baseline data will be subsequently published.Trial registration numberNCT03744156.

scholarly journals Feasibility and Acceptability of a Text Message–Based Intervention to Reduce Overuse of Alcohol in Emergency Department Patients: Controlled Proof-of-Concept Trial

10.2196/17557 ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. e17557
Author(s):  
Elizabeth Burner ◽  
Mark Zhang ◽  
Sophie Terp ◽  
Kelsey Ford Bench ◽  
Joshua Lee ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Screening Program ◽  
Intervention Group ◽  
Heavy Drinking ◽  
Text Message ◽  
Text Messages ◽  
Control Group ◽  
Motivation To Change ◽  
Risky Alcohol

Background Emergency department (ED) patients have high rates of risky alcohol use, and an ED visit offers an opportunity to intervene. ED-based screening, brief intervention, and referral to treatment (SBIRT) reduces alcohol use and health care costs. Mobile health (mHealth) interventions may expand the impact of SBIRTs but are understudied in low-resource ED populations. Objective The objective of this study was to assess the feasibility of and patient satisfaction with a text-based mHealth extension of an ED screening program to reduce risky alcohol use in low-income, urban patients. Methods Research assistants screened a convenience sample of ED patients in person for risky alcohol use via the Alcohol Use Disorders Identification Test (AUDIT). Patients who reported AUDIT scores ≥8 and <20 were informed of their AUDIT score and risk. RAs invited patients with SMS text message–capable phones to receive mROAD (mobilizing to Reduce Overuse of Alcohol in the ED), an SMS text message–based extension of the ED screening program. mROAD is a 7-day program of twice-daily SMS text messages based on the National Institutes of Health’s Rethinking Drinking campaign. Participants were allocated to a control group (daily sham text messages without specific guidance on behaviors, such as “Thanks for taking part!”) or to the mROAD intervention group. Patients were interviewed at 30 days to assess acceptability, satisfaction, and changes in drinking behavior. Satisfaction was examined descriptively. Pre and post measurements of drinking behaviors and motivation were compared, as were differences in change scores between the intervention arms. Results Of 1028 patients screened, 95 (9.2%) exhibited risky alcohol use based on AUDIT, and 23/95 (24%) of those patients did not own an SMS text messaging–capable phone; this left 72/95 (76%) eligible patients. Among eligible participants, 48/72 (67%) agreed to enroll; 31/48 (65%) achieved follow-up (18/24 (75%) in the intervention group and 13/24 (55%) in the control group). Participants who completed follow-up reported high satisfaction. Changes in behavior were similar between the arms. Overall, the number of drinking days reported in the prior 30 days decreased by 5.0 (95% CI 1.7-8.3; P=.004), and the number of heavy drinking days decreased by 4.1 (95% CI 1.0 to 7.15, P=.01). Patients reported an 11-point increase (95% CI 2.6-20, P=.01, 10% overall increase) in motivation to change alcohol use via the Change Questionnaire. The were no statistical differences in drinking days, heavy drinking days, or motivation to change between the arms. Conclusions The mROAD trial was feasible. Over three-quarters of ED patients with risky alcohol use owned a text message–capable phone, and two-thirds of these patients were willing to participate; only 1 patient opted out of the intervention. Although 35% of patients were lost to follow-up at 30 days, those patients who did follow up had favorable impressions of the program; more than 90% reported that SMS text messages were a “good way to teach,” and 89% of intervention arm participants enjoyed the program and found that the messages were motivating. Both the mROAD and sham message groups showed promising changes in alcohol use and motivation to change. mROAD is a feasible intervention that may reduce rates of risky alcohol use in ED patients. Trial Registration ClinicalTrials.gov NCT02158949; https://clinicaltrials.gov/ct2/show/NCT02158949

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.

A Short- and Long-Term Evaluation of Here's Looking at You Alcohol Education Program

1988 ◽  
Vol 18 (3) ◽  
pp. 235-242 ◽  
Author(s):  
Sehwan Kim
Keyword(s):  
Alcohol Use ◽  
Drinking Behavior ◽  
Control Group ◽  
Knowledge Gain ◽  
Alcohol Education ◽  
Health Related ◽  
Term Basis ◽  
Related Attitude ◽  
Short And Long Term

This study reports short- and long-term outcome evaluation results of an alcohol education prevention program entitled “Here's Looking at You (HLAY)” as implemented by one of the largest school districts in the nation during 1982–1987. Since the adoption of this program as a demonstration project by the National Institute on Alcohol Abuse and Alcoholism, the program has become one of the most widely known alcohol education or prevention programs in the nation. In 1982, the program was adopted by the Charlotte-Mecklenburg Schools (CMS) and has been under continuous replication. On the basis of the most recent replication of the HLAY during the spring semester 1987 and on the basis of the CMS system-wide student drug survey in 1986, the program has been evaluated using the following criterion variables: knowledge gain; three subdimensions on the general attitude about alcohol, i.e., undifferentiated-primitive attitude, reward-associated attitude, and health-related attitude; intentions about future alcohol use; and the actual drinking behavior. On a short-term basis, 1) there has been a knowledge gain about alcohol and alcoholism on the part of the HLAY recipients between the pre and post tests of the Alcohol Education Evaluation Instrument (AEEI). However, this gain in the HLAY group was less than the knowledge gain observed among control group student; 2) in comparison to the students in the control group, there has been a positive attitudinal net gain among the HLAY recipients along the undifferentiated-primitive attitude about alcohol; 3) however, the HLAY was not able to impact upon the reward-associated attitude, health-related attitude, the intentions about future alcohol use, and the actual drinking behavior. On a long-term basis, the actual alcohol drinking pattern of the HLAY recipients was indistinguishable from those students who had not been exposed to the program.

Sign in / Sign up

Export Citation Format

Share Document