Mobile phone text message intervention to reduce binge drinking among young adults: study protocol for a randomized controlled trial

Suffoletto, Brian; Callaway, Clifton W.; Kristan, Jeffrey; Monti, Peter M.; Clark, Duncan B.

doi:10.1186/1745-6215-14-93

Cited by 30 publications

(40 citation statements)

References 37 publications

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“…Further, it extends previous research in this area [12,38], which has applied limited tailoring of message content for SMS-based brief interventions. Participants in this trial have been screened multiple times for risky drinking behavior, and as such, are an ideal cohort to target with an intervention.…”

Section: Discussionsupporting

confidence: 68%

An Ecological Momentary Intervention to Reduce Alcohol Consumption in Young Adults Delivered During Drinking Events: Protocol for a Pilot Randomized Controlled Trial

Wright¹,

Dietze²,

Agius³

et al. 2017

JMIR Res Protoc

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BackgroundRisky drinking is a significant public health issue in young Australian adults. Brief interventions are one of few effective methods of reducing risky drinking but are time and cost intensive; innovative methods of delivery are therefore of interest. Mobile phones offer new opportunities to collect data and intervene during risky drinking events. Mobile phones have successfully been used for delivery of alcohol-related brief interventions and data collection but not in combination with or during drinking events.ObjectiveThis pilot study will investigate the efficacy of an ecological momentary intervention (EMI), with combined ecological momentary assessment (EMA) and brief intervention delivered by mobile phones to young adults during risky drinking events.MethodsWe will use a 3-armed randomized controlled trial to investigate the efficacy of the intervention for reducing peak single occasion drinking. Our sample is recruited from an observational cohort study of young, risky drinkers. Participants will be randomized into 1 of 3 intervention arms. On 6 nights across a 12-week study period, EMI and EMA groups will complete hourly EMA surveys on their mobile phone. EMI participants will receive tailored feedback short message service (SMS) texts corresponding to their EMA survey responses. The EMI participants will not receive feedback SMS. A third group will have no contact (no-contact control). All groups will then be contacted for a follow-up interview within 4 weeks of the 12-week study period ending.ResultsThe primary outcome is mean reduction in standard drinks consumed during their most recent heavy drinking occasion as measured at follow-up. Secondary outcomes include alcohol consumption over the previous 6 months, experiences of alcohol-related harms, attitudes toward drinking and drunkenness, hazardous drinking and use of tobacco and illicit drugs. A random effects mixed modelling approach using maximum likelihood estimation will be used to provide estimates of differences in mean drinking levels between those receiving the intervention and control participants.ConclusionsThis study is novel in that, unlike previous work, it will intervene repeatedly during single occasion drinking events. Further, it extends previous research in this area, which has applied limited tailoring of message content for SMS-based brief interventions. The findings of this study will contribute to the growing body of evidence to inform the use of mobile health interventions for reducing alcohol consumption and harms.Trial RegistrationAustralian New Zealand Clinical Trials ACTRN12616001323415; https://www.anzctr.org.au/ Trial/Registration/TrialReview.aspx?id=369534 (Archived by WebCite at http://www.webcitation.org/ 6qDqBZV9b)

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Section: Discussionsupporting

confidence: 68%

An Ecological Momentary Intervention to Reduce Alcohol Consumption in Young Adults Delivered During Drinking Events: Protocol for a Pilot Randomized Controlled Trial

Wright¹,

Dietze²,

Agius³

et al. 2017

JMIR Res Protoc

View full text Add to dashboard Cite

show abstract

“…In addition, looking ahead to the future, the smartphone can also be used as an intervention delivery platform. In previous work, we found that interactive text messages were successful in reducing heavy drinking episodes among young adults [58][59][60][61].…”

Section: Esm Serves As "Ground Truth" For Drinking Behaviormentioning

confidence: 89%

Detecting Drinking Episodes in Young Adults Using Smartphone-based Sensors

Bae

Ferreira

Suffoletto

et al. 2017

Proc. ACM Interact. Mob. Wearable Ubiquitous Technol.

Self Cite

120

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Alcohol use in young adults is common, with high rates of morbidity and mortality largely due to periodic, heavy drinking episodes (HDEs). Behavioral interventions delivered through electronic communication modalities (e.g., text messaging) can reduce the frequency of HDEs in young adults, but effects are small. One way to amplify these effects is to deliver support materials proximal to drinking occasions, but this requires knowledge of when they will occur. Mobile phones have built-in sensors that can potentially be useful in monitoring behavioral patterns associated with the initiation of drinking occasions. The objective of our work is to explore the detection of daily-life behavioral markers using mobile phone sensors and their utility in identifying drinking occasions. We utilized data from 30 young adults aged 21-28 with past hazardous drinking and collected mobile phone sensor data and daily Experience Sampling Method (ESM) of drinking for 28 consecutive days. We built a machine learning-based model that is 96.6% accurate at identifying non-drinking, drinking and heavy drinking episodes. We highlight the most important features for detecting drinking episodes and identify the amount of historical data needed for accurate detection. Our results suggest that mobile phone sensors can be used for automated, continuous monitoring of at-risk populations to detect drinking episodes and support the delivery of timely interventions. CCS Concepts: • Human-centered computing ➝ Human computer interaction (HCI) ➝ Empirical studies in HCI

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“…The University of Pittsburgh Institutional Review Board approved study procedures. The trial was registered at http://www.clinicaltrials.gov:NCT01688245 and the protocol is described in detail in a prior publication 16 .…”

Section: Methodsmentioning

confidence: 99%

A Text Message Alcohol Intervention for Young Adult Emergency Department Patients: A Randomized Clinical Trial

Suffoletto

Kristan

Callaway

et al. 2014

Annals of Emergency Medicine

Self Cite

139

194

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Objective Opportunistic brief in-person Emergency Department (ED) interventions can be effective at reducing hazardous alcohol use in young adult drinkers, but require resources frequently unavailable. Mobile phone text messaging (SMS) could sustainably deliver behavioral support to young adult patients, but efficacy remains unknown. We report 3-month outcome data of a randomized controlled trial testing a novel SMS-delivered intervention in hazardous drinking young adults. Methods We randomized 765 young adult ED patients who screened positive for past hazardous alcohol use to one of three groups: SMS Assessments + Feedback (SA+F) intervention who were asked to respond to drinking-related queries and received realtime feedback through SMS each Thursday and Sunday for 12 weeks (n=384); SMS Assessments (SA) who were asked to respond to alcohol consumption queries each Sunday but did not receive any feedback (N=196); and a control group who did not participate in any SMS (n=185). Primary outcomes were number of binge drinking days and number of drinks per drinking day in the past 30 days collected by web-based Timeline Follow-Back method and analyzed with regression models. Secondary outcomes were the proportion of participants with weekend binge episodes and most drinks consumed per drinking occasion over 12 weekends collected by SMS. Results Using web-based data, there were decreases in the number of binge drinking days from baseline to 3 months in the SA+F group (-.51 [95% confidence interval {CI} -.10 to -.95]), whereas there were increases in the SA group (.90 [95% CI .23 to 1.6]) and the control group (.41 [95% CI -.20 to 1.0]). There were also decreases in the number of drinks per drinking day from baseline to 3 months in the SA+F group (-.31 [95% CI -.07 to -.55]), whereas there were increases in the SA group (.10 [95% CI -.27 to .47]) and the control group (.39 [95% CI .06 to .72]). Using SMS data, there was a lower mean proportion of SA+F participants reporting a weekend binge over 12 weeks (30.5% [95% CI 25% to 36%) compared to the SA participants (47.7% [95% CI 40% to 56%]). There was also a lower mean drinks consumed per weekend over 12 weeks in the SA+F group (3.2 [95%CI 2.6 to 3.7]) compared to the SA group (4.8 [95% CI 4.0 to 5.6]). Conclusion A text message intervention can produce small reductions in binge drinking and the number of drinks consumed per drinking day in hazardous drinking young adults after ED discharge.

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Mobile phone text message intervention to reduce binge drinking among young adults: study protocol for a randomized controlled trial

Cited by 30 publications

References 37 publications

An Ecological Momentary Intervention to Reduce Alcohol Consumption in Young Adults Delivered During Drinking Events: Protocol for a Pilot Randomized Controlled Trial

An Ecological Momentary Intervention to Reduce Alcohol Consumption in Young Adults Delivered During Drinking Events: Protocol for a Pilot Randomized Controlled Trial

Detecting Drinking Episodes in Young Adults Using Smartphone-based Sensors

A Text Message Alcohol Intervention for Young Adult Emergency Department Patients: A Randomized Clinical Trial

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