Alcohol Drinking, Cannabis Use, Couples
Conditions
Keywords
alcohol use, cannabis use, couples, healthy relationships, young adults
Brief summary
The goal of this clinical trial is to develop and test a brief online intervention to reduce alcohol and cannabis misuse and improve healthy relationship skills among young adult couples. The main questions it aims to answer are: * Will the intervention be feasible and acceptable to young adult couples? * Will the intervention demonstrate initial efficacy in reducing risky substance use and increasing relationship functioning? Eligible couples will complete a virtual baseline session and be randomized to intervention condition (online intervention with 3-5 weeks of self-paced modules) or control condition (no intervention). Couples will complete two follow-up surveys (post-assessment - approximately 5 weeks after baseline, 3-month). Couples in the control condition will be offered the intervention after 3-month follow-up. Researchers will compare intervention and control groups to see if there there is a difference between the groups on substance misuse and relationship functioning at post-assessment and 3-month follow-up.
Interventions
During Phase 1 of the present study, the intervention will be iteratively developed using a rigorous, user-centered design approach through integration of knowledge gained from Phase 1 dyadic analyses and qualitative interviews, and existing gold-standard treatments for substance use among couples, including Integrative Behavioral Couples Therapy (IBCT; Christensen \& Doss, 2016) and Behavioral Couples Therapy for Alcohol (ABCT; McCrady et al, 1995) and substance use brief interventions for young adults (Halladay, et al., 2019; Tanner-Smith et al., 2015).
Sponsors
Study design
Eligibility
Inclusion criteria
* Both partners in the couple are 18-29 years old * In a committed romantic relationship (e.g., dating seriously, cohabiting, married) with each other for at least 3 months * Face-to-face contact their partner at least 5 days per week * Live in Washington State * Have a valid email address and access to a cell phone * Report alcohol and cannabis co-use at least three times in the past month * Willingness to: complete online surveys during the allotted time frames, receive text messages and emails from the project, complete a baseline session, and participate during the same time period as their partner
Exclusion criteria
* Couples who endorse any perpetration or receipt of severe interpersonal aggression during screening will be excluded and provided with resources
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Heavy episodic and high intensity drinking | Screening, baseline, approximately 5 weeks after baseline, 3-month followup | Alcohol use - number of days in the past month participant engaged in heavy episodic drinking (4+/5+ drinks in one occasion for women/men) and high intensity drinking (8+/10+ drinks in one occasion for women/men) |
| Daily Drinking Questionnaire (DDQ) | Screening, baseline, approximately 5 weeks after baseline, 3-month followup | Alcohol use - Average total drinks per week will be calculated as the sum of the total number of drinks reported. |
| Daily Marijuana Questionnaire (DMQ) | Screening, baseline, approximately 5 weeks after baseline, 3-month followup | Cannabis use - Average total hours high from cannabis per week will be calculated as the sum of the total hours high reported |
| Intensity of Marijuana Use | Screening, baseline, approximately 5 weeks after baseline, 3-month followup | Cannabis use intensity - Average number of times used cannabis per day will be calculated as the mean number of times participant reports using cannabis per each day of a typical week in the past month |
| Perceived Program Effects on Healthy Relationship Self-Efficacy items | Screening, baseline, approximately 5 weeks after baseline, 3-month followup | Healthy relationship self-efficacy - 3 items assessing perceived intervention impacts on healthy relationship self-efficacy scored 0=strongly disagree to 5=strongly agree. Scores will be summed, total scores will range from 0 to 15, with higher scores indicating greater healthy relationship self-efficacy |
| Couples Satisfaction Index | Screening, baseline, approximately 5 weeks after baseline, 3-month followup | Relationship satisfaction - sum of 4 items ranges from 0 to 21, higher scores indicate greater relationship satisfaction |