Which behavior change techniques help young adults reduce binge drinking? A pilot randomized clinical trial of 5 text message interventions

Suffoletto, Brian; Kirisci, Levent; Clark, Duncan B.; Chung, Tammy

doi:10.1016/j.addbeh.2019.01.006

Cited by 15 publications

(25 citation statements)

References 19 publications

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“…Students are now accustomed to accessing a range of information technologies. Our study validates Suffoletto et al (2019) who propose that different combinations of SMSdelivered harm minimization strategies may be effective. Knowledge of DGs patterns and outcomes could be utilized by student support services to implement these strategies online or via SMS.…”

Section: Discussionsupporting

confidence: 86%

Drinking games among university students in five countries: Participation rates, game type, contexts, and motives to play

McInnes

Blackwell

2021

Addictive Behaviors

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Section: Discussionsupporting

confidence: 86%

Drinking games among university students in five countries: Participation rates, game type, contexts, and motives to play

McInnes

Blackwell

2021

Addictive Behaviors

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“…Findings from MSEMs demonstrated that SMS interventions incorporating goal support reduced alcohol consumption and the likelihood of heavy drinking through reduced subjective desire to get drunk. These findings build on prior work (Suffoletto et al, 2019) where we found that individuals exposed to a combination of behavior change techniques, including goal support, exhibited This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.…”

Section: Discussionsupporting

confidence: 81%

“…For example, if USE participants reported a heavy drinking episode, they might receive: “This amount of drinking probably is affecting your brain’s ability to concentrate and learn.” GOAL intervention focused on promoting specific drinking limit goals and providing feedback on goal successes. If GOAL participants reported planning a drinking event on a given day, they received: “Would you be willing to commit to a goal to drink less than [X] drinks today?” where [X] was calculated using a formula described in Suffoletto et al (2019). GOAL participants also received feedback on their confidence to meet this goal.…”

Section: Methodsmentioning

confidence: 99%

The effect of SMS behavior change techniques on event-level desire to get drunk in young adults.

Suffoletto¹,

Huber²,

Kirisci³

et al. 2020

Psychology of Addictive Behaviors

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Text messaging (SMS) interventions incorporating a combination of behavior change techniques can assist reductions in alcohol consumption among young adult hazardous drinkers, but mechanisms of action remain unknown. In this secondary analysis, we test the hypothesis that desire to get drunk (DD) recorded prior to drinking episodes would mediate SMS intervention effects on the likelihood of event-level heavy drinking (4ϩ/5ϩ drinks for women/men). We recruited young adult hazardous drinkers to a trial where they were randomized to 1 of 5 SMS interventions: TRACK (self-monitoring of alcohol use), PLAN (feedback on drinking plans and DD), USE (postdrinking feedback on alcohol consumed), GOAL (goal prompts/support), and COMBO (i.e., 4 interventions combined). Up to 3 days per week for 14 weeks, when participants reported a plan to drink, they were asked to report DD on a scale from 0 (none) to 8 (completely) and next day asked to recall drink quantity. Multilevel structural equation models showed that DD mediated the treatment effect of GOAL on heavy drinking. This work illustrates the importance of goal support features in digital alcohol interventions and the utility of measuring desire to get drunk as a key mediator in alcohol studies.

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“…The trial was preregistered (NCT02918565). Full details of the screening, enrollment, and intervention features are described in prior papers [ 12 , 13 ].…”

Section: Methodsmentioning

confidence: 99%

In-Person Contacts and Their Relationship With Alcohol Consumption Among Young Adults With Hazardous Drinking During a Pandemic

Suffoletto

Ram

Chung

2020

Journal of Adolescent Health

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Purpose Social distancing strategies such as “stay-at-home” (SAH) orders can slow the transmission of contagious viruses like the SARS-CoV-2 virus, but require population adherence to be effective. This study explored adherence to SAH orders by young adults with hazardous drinking, and the role of alcohol consumption with in-person contacts on adherence. Methods Analyses included young adults with hazardous drinking (i.e., AUDIT-C score ≥3/4 for women/men; n = 50; ages 18–25) participating in a randomized trial in Pittsburgh, PA. Participants provided experience sampling reports on drinking twice per week from the week before SAH orders started on April 1, 2020 through 6 weeks during the SAH period. We examined how in-person contact with non-household friends changed over time and event-level relationships between alcohol consumption and in-person contacts. Results The percentage of participants with any in-person contact in the week before SAH was 44% (95% confidence interval [CI] 30%–59%), which decreased to 29% (95% CI 15%–43%) in the first SAH week and increased to 65% (95% CI 46%–85%) by SAH week 6. Controlling for average levels of alcohol consumption, on days when young adults drank, participants reported more in-person contacts compared to nondrinking days. Conclusions Preliminary data indicate that, among young adults with hazardous drinking, adherence to public policies like SAH orders is suboptimal, declines over time, and is associated with drinking events. Interventions aimed at enhancing young adults' adherence to social distancing policies are urgently needed.

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Which behavior change techniques help young adults reduce binge drinking? A pilot randomized clinical trial of 5 text message interventions

Cited by 15 publications

References 19 publications

Drinking games among university students in five countries: Participation rates, game type, contexts, and motives to play

Drinking games among university students in five countries: Participation rates, game type, contexts, and motives to play

The effect of SMS behavior change techniques on event-level desire to get drunk in young adults.

In-Person Contacts and Their Relationship With Alcohol Consumption Among Young Adults With Hazardous Drinking During a Pandemic

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