Alcohol Abuse, Anxiety
Conditions
Keywords
African American, Black, Personalized Feedback Intervention
Brief summary
The purpose of this study is to develop and examine a culturally adapted, mobile health application for the Android and iOS platform. The application uses a personalized feedback intervention (PFI) designed to enhance knowledge regarding adverse anxiety-alcohol interrelations, increase motivation and intention to reduce hazardous drinking, and reduce positive attitudes and intention regarding anxiety-related alcohol use among Black hazardous drinkers with clinical anxiety.
Detailed description
Investigators will develop a culturally adapted, brief, single-session PFI delivered via a mobile health application for the Android and iOS platform through an iterative approach using expert input and semi-structured interview sessions. Next, Black hazardous drinkers with clinical anxiety will assess program navigation and conduct usability testing. Finally, Black hazardous drinkers with clinical anxiety will be recruited to complete the final prototype of the mobile health application in order to evaluate the feasibility, acceptability, and initial effects. Initial screening will be conducted via Zoom; baseline and post-treatment data will be collected via Zoom and 1-week, 1-month, and 3-months follow-up data will be collected remotely.
Interventions
BEHAVIORALMobile Application
The mobile application is a culturally adapted, brief, personalized feedback intervention (PFI) to address alcohol misuse in the context of clinical anxiety,
Sponsors
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
University of Houston
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Being 21 years of age or older * Self-identifying as Black or African American * Meeting criteria for current hazardous drinking pattern * Meeting criteria for clinical anxiety * Being able to provide written, informed consent * Owning a smartphone.
Exclusion criteria
* Current participation in alcohol or other substance abuse treatment * Engaged in psychotherapy for anxiety or depression * Concurrent use of medication for anxiety or depression * Being pregnant by self-report * Residence outside of the United States confirmed via survey geolocation * Inability to provide a valid United States-issued driver's license or identification card to verify identity.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Alcohol Use Disorders Identification Test | Change from Baseline Pre PFI Completion to 3-months Post PFI Completion | The Alcohol Use Disorders Identification Test will be used to assess drinking quantity, craving, and related consequences to alcohol use. The 10 items are rated with various Likert-type scales. The measure produces a total score by adding all of the items of the measure with higher scores indicating greater problems with alcohol (possible range 0 to 40). A higher score indicates a worse outcome. |
| Overall Anxiety Severity and Impairment Scale | Change from Baseline Pre PFI Completion to 3-months Post PFI Completion | The 5-item Overall Anxiety Severity and Impairment Scale will be used to assess anxiety symptom severity and impairment. Each of the items is rated on a Likert-type scale ranging from 0 to 4. Items are summed to produce a total score (possible range 0 to 20). A higher score indicates a worse outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Motivation to Reduce Alcohol Consumption Scale | Change from Baseline Pre PFI Completion to 3-months Post PFI Completion | The 1-item Motivation to Reduce Alcohol Consumption Scale will be used to measure current motivation/intention to reduce alcohol. Participants will be asked to select the statement that best describes their motivation/intention to reduce drinking (e.g., I really want to cut down on drinking alcohol and intend to in the next month). Higher scores on this measure indicate greater motivation/intention to reduce alcohol consumption (possible range (0-7). |
| Modified Drinking Motives Questionnaire-Revised | Change from Baseline Pre PFI Completion to 3-months Post PFI Completion | The Modified Drinking Motives Questionnaire-Revised will be used to assess expectancies of drinking. For the current study, the 28-item questionnaire will be used as a measure of expectancies of drinking to reduce/cope with anxiety. The measure utilizes a 5-point Likert scale ranging from 1 (almost never/never) to 5 (almost always/always). Scores are averaged with higher scores indicating greater expectancies of drinking to reduce/cope with anxiety (possible range 1 to 5). |
| Alcohol Attitudes Scale | Change from Baseline Pre PFI Completion to 3-months Post PFI Completion | The 7-item Alcohol Attitudes Scale will be utilized to measure maladaptive attitudes for drinking (e.g., Drinking alcohol is good). Items are rated on a Likert-type scale from 1 (strongly disagree) to 7 (strongly agree). Scores will be averaged to create a composite score (possible range 1 to 7). Higher scores indicate greater maladaptive attitudes for drinking. |
Countries
United States
Contacts
Primary ContactBrooke Y Redmond, Ph.D.
Backup ContactMichael J Zvolensky, Ph.D.
Outcome results
None listed