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Online Program for Young Adult Veteran Drinkers

Brief Online Intervention to Reduce Heavy Alcohol Use Among Young Adult Veterans

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02187887
Enrollment
793
Registered
2014-07-11
Start date
2015-05-31
Completion date
2017-10-01
Last updated
2025-03-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

AOD Associated Consequences, AOD Misuse

Keywords

alcohol, young adult veterans, brief intervention, online, perceived norms

Brief summary

The primary objective of the research study is to test the feasibility of a brief Internet-based intervention to reduce heavy alcohol use among young adult veterans of wars in Iraq and Afghanistan. Veterans are recruited through the social media website Facebook in two phases. In the first phase, investigators collect data from 800 veteran participants to document and analyze drinking norms in this population. In the second phase, investigators use the norms collected in Phase 1 and information from the analyses to develop and pilot test an online intervention with young adult veteran participants. Six hundred participants are recruited through Facebook and randomly assigned to intervention (N = 300) or control (N = 300) conditions. It is hypothesized that those in the intervention condition will drink less at a one-month follow-up period than those in the control condition. Investigators also collect feedback from participants on the usability of the online intervention.

Detailed description

This study was conducted in two phases with the main goal of developing and testing a very brief online program to reduce heavy alcohol use among young adult veterans in the United States. In the first phase, we examined how the social media website Facebook could be used to reach veterans in the community for the intervention effort. Although veterans are an at-risk group for heavy drinking and mental health problems, few seek care. Thus, we were able to document that targeted Facebook advertisements can be used to reach out to veterans and provide them with an alcohol reduction program that they likely would not have received otherwise. In the second phase, we used the data we collected from participants in the first phase to develop a personalized normative feedback intervention. This intervention was very brief and online, and showed young veterans information to correct their misperceptions about the drinking behavior of their peers. For example, in the intervention, young veterans would be asked how much they believe other veterans like themselves drink alcohol. Then, they would view information about veterans like themselves that showed them that other veterans do not drink as much as they think they do. This is important because much research has documented that perceptions about how much others drink is a major factor contributing to how much one drinks themselves. Thus, correcting these misperceptions has been a primary strategy for reducing drinking among young people. These norms correction strategies have mostly been tested with college students or other non-veteran young adult groups, and when they have been tested with veterans they have been tested within much lengthier, multicomponent interventions. Our study was the first to test the norms correction strategy alone with young veterans using an online design meant to reach veterans in the community through recruitment on Facebook.

Interventions

Participants receive behavioral norms feedback based on their response to items in a baseline survey. Personal responses are presented along with perceptions of other same gender veterans and actual drinking norms of same gender veterans.

Sponsors

National Institute on Alcohol Abuse and Alcoholism (NIAAA)
CollaboratorNIH
RAND
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 34 Years
Healthy volunteers
Yes

Inclusion criteria

1. United States veteran from Operation Enduring Freedom, Operation Iraqi Freedom, or Operation New Dawn who has been discharged or separated from the Army, Navy, Marines, or Air Force and is not currently in the reserves 2. between the ages of 18 and 34 3. the ability to read English (also a requirement of military service) 4. access to a computer and the Internet 5. has an email address 6) an AUDIT score of \>4 (men) or \>3 (women) in order to reach those who may benefit from an intervention targeted toward reducing alcohol misuse

Exclusion criteria

* None besides not meeting inclusion criteria

Design outcomes

Primary

MeasureTime frameDescription
Alcohol UsePast month (30 days)Total drinks per week in the past 30 days
Alcohol-related ConsequencesPast month (30 days)Brief Young Adult Alcohol Consequences Questionnaire. This is a 21 item measure of alcohol-related consequences experienced by young adults. Participants indicate whether or not they have experienced each of the consequences in the past month (1 = yes, 0 = no). Scores range from 0 to 21 with higher scores indicated a greater number of consequences experienced. Citation: Kahler, C. W., Strong, D. R., & Read, J. P. (2005). Toward efficient and comprehensive measurement of the alcohol problems continuum in college students: The Brief Young Adult Alcohol Consequences Questionnaire. Alcoholism: Clinical and Experimental Research, 29(7), 1180-1189.

Countries

United States

Participant flow

Participants by arm

ArmCount
Personalized Normative Feedback
Intervention participants receive feedback correcting their misperceptions of the drinking behavior and attitudes of fellow veterans Personalized normative feedback: Participants receive behavioral norms feedback based on their response to items in a baseline survey. Personal responses are presented along with perceptions of other same gender veterans and actual drinking norms of same gender veterans.
388
Control
Control participants receive feedback correcting their misperceptions of the video game playing behavior and attitudes of fellow veterans
396
Total784

Baseline characteristics

CharacteristicControlTotalPersonalized Normative Feedback
Age, Continuous28.9 years
STANDARD_DEVIATION 3.5
28.9 years
STANDARD_DEVIATION 3.4
28.8 years
STANDARD_DEVIATION 3.3
Ethnicity (NIH/OMB)
Hispanic or Latino
46 Participants82 Participants36 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
350 Participants702 Participants352 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
10 Participants19 Participants9 Participants
Race (NIH/OMB)
Asian
4 Participants8 Participants4 Participants
Race (NIH/OMB)
Black or African American
18 Participants32 Participants14 Participants
Race (NIH/OMB)
More than one race
20 Participants45 Participants25 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants3 Participants2 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants13 Participants4 Participants
Race (NIH/OMB)
White
334 Participants664 Participants330 Participants
Sex: Female, Male
Female
70 Participants131 Participants61 Participants
Sex: Female, Male
Male
326 Participants653 Participants327 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
0 / 3880 / 396
serious
Total, serious adverse events
0 / 3880 / 396

Outcome results

Primary

Alcohol-related Consequences

Brief Young Adult Alcohol Consequences Questionnaire. This is a 21 item measure of alcohol-related consequences experienced by young adults. Participants indicate whether or not they have experienced each of the consequences in the past month (1 = yes, 0 = no). Scores range from 0 to 21 with higher scores indicated a greater number of consequences experienced. Citation: Kahler, C. W., Strong, D. R., & Read, J. P. (2005). Toward efficient and comprehensive measurement of the alcohol problems continuum in college students: The Brief Young Adult Alcohol Consequences Questionnaire. Alcoholism: Clinical and Experimental Research, 29(7), 1180-1189.

Time frame: Past month (30 days)

ArmMeasureValue (MEAN)Dispersion
Personalized Normative FeedbackAlcohol-related Consequences3.8 consequences at follow-up monthStandard Deviation 5.6
ControlAlcohol-related Consequences5.3 consequences at follow-up monthStandard Deviation 6.3
Primary

Alcohol Use

Total drinks per week in the past 30 days

Time frame: Past month (30 days)

ArmMeasureValue (MEAN)Dispersion
Personalized Normative FeedbackAlcohol Use9.9 drinks per week at follow-up monthStandard Deviation 12.1
ControlAlcohol Use13.4 drinks per week at follow-up monthStandard Deviation 14.8

Source: ClinicalTrials.gov · Data processed: Mar 4, 2026