Excessive Drinking, Regular Heavy AOD Use
Conditions
Keywords
Excessive Drinking, Hazardous Drinking
Brief summary
Excessive alcohol use is associated with a range of serious and costly health, social, and economic consequences at the individual and societal level. This program of research serves as a venue by which to produce and test an innovative, science-based, and cost-effective means to intervene in a private, convenient, and individualized way with employed adults who report non-dependent levels of risky drinking. Responsible Drinking offers computer-tailored intervention sessions directed at increasing readiness to limit drinking to national guidelines for low-risk drinking and a complementary dynamic web portal providing additional information, activities, and strategies designed to activate and reinforce the change process. The primary objective is to complete and enhance the development of Responsible Drinking and test it in an effectiveness trial. In Phase II the program capabilities and innovation will expand to integrate the e-Health components (CTI and e-Workbook) with m-Health (mobile health) technologies. The e-Health components will be enhanced to offer a more interactive and engaging user experience. In addition, m-Health technologies (text messaging and mobile device browsing optimization) will be integrated to support engagement in the program and flexible delivery options. 996 employed adults will be recruited to participate in the randomized trial. The treatment group will receive three intervention sessions during the course of six months and group differences on a number of outcomes will be evaluated at 12 and 18 month follow-up assessments.
Interventions
BEHAVIORALTreatment Group
Responsible Drinking intervention sessions include an internet-based, computer-tailored intervention (CTI) grounded in the Transtheoretical Model of Behavior Change (TTM). The intervention includes stage-matched and tailored feedback on alcohol use, alcohol-related problems, and theoretically identified behavior change strategies, as well as access to a web-based portal with stage-matched interactive activities to reinforce and promote stage progression. Finally, the intervention will include 7 months of stage-matched behavior change SMS messages.
Sponsors
Pro-Change Behavior Systems
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. English speaking 2. 21 years of age or older 3. not enrolled full-time in college 4. employed part or full time 5. not pregnant 6. consumed alcohol in the past 30 days 7. exceeded the NIAAA gender-specific low-risk drinking guidelines in the last 30 days 8. not currently interested in or ever having received treatment for substance abuse or dependence 9. not ever having received a physician recommendation to avoid or reduce alcohol use 10. scoring 9 or less on the Alcohol Use Disorders Identification Test (AUDIT-C).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of participants who reach criteria for limiting drinking according to low-risk drinking guidelines | 18 month follow-up | To assess efficacy by comparing treatment and control group participants who are at-risk at baseline - assessed using a self-report Transtheoretical Model of Behavior Change (TTM) stage of change measure |
| Quantity of alcohol use (number of drinks per week, number of drinks per drinking day) | 18 month follow-up | To assess efficacy by comparing treatment and control group participants who are at-risk at baseline - accessed using continuous measures of drinking behavior |
| Frequency of alcohol use (days drinking above recommended limits during the past month, number of drinking days in the past month) | 18 month follow-up | To assess efficacy by comparing treatment and control group participants who are at-risk at baseline- accessed using continuous measures of drinking behavior |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ratings of alcohol-related problems | 18 month follow-up | To assess the efficacy of the intervention by comparing treatment and control group participants who are at-risk at baseline - accessed using the SIP measure |
| Well-being related to productivity | 18 month follow-up | To assess the efficacy of the intervention by comparing treatment and control group participants who are at-risk at baseline - Accessed using WBA-F and WBA-P |
Countries
United States
Outcome results
None listed