Pilot Study of a Text Message Platform to Reduce Risky Drinking in Young Adults (PART)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
University of Pittsburgh
ClinicalTrials.gov Identifier:
NCT01197352
First received: August 20, 2010
Last updated: May 18, 2012
Last verified: May 2012
  Purpose

Young adults are in a critical period where they can be influenced to avoid a trajectory of high-risk drinking and harmful outcomes in the later adult years. The Emergency Department might offer a unique opportunity to reach young adults, if an easy to implement screening, brief intervention and referral to treatment was available. The investigators are investigating the feasibility and accuracy of ED-initiated and outpatient-continued assessment of drinking behavior in young adults using a computer-driven text messaging platform. Based on the subject's response to weekly assessments, the computer platform will send personalized motivational messages in real-time.


Condition Intervention
Alcohol Abuse
Alcohol Consumption
Drinking Behavior
Behavioral: Motivational and Normative Feedback
Behavioral: Self-Awareness

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Screening
Official Title: Pilot Study of a Computer-driven Platform That Uses Text Messages to Collect Drinking Information and Deliver Personalized Motivational Messages to At-risk Young Adults

Resource links provided by NLM:


Further study details as provided by University of Pittsburgh:

Primary Outcome Measures:
  • Ability of system to collect drinking information from young adults [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
    We will report the proportion of weeks with completed drinking assessments in the EA and EA&I groups.


Secondary Outcome Measures:
  • Number of binge drinking episodes in subjects as a measure of safety and efficacy [ Time Frame: 12 weeks ] [ Designated as safety issue: Yes ]
    We will compare the number of binge drinking episodes between subjects in the three groups.


Enrollment: 45
Study Start Date: August 2010
Study Completion Date: February 2011
Primary Completion Date: February 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Text message queries with feedback
Weekly prompted queries about drinking behavior with personalized feedback.
Behavioral: Motivational and Normative Feedback
Weekly feedback based on their frequency and degree of at-risk drinking behavior using normative, educational and motivational feedback
Active Comparator: Text message queries
Weekly prompted queries about drinking behavior
Behavioral: Self-Awareness
Weekly queries to raise awareness and allow self-reflection about drinking habits
No Intervention: Control
Weekly text reminders to complete final (12 week) instruments

Detailed Description:

Greater than 45% of young adults have heavy episodic drinking (HED; 5/4 drinks per occasion form men/women), resulting in significant health risks, including injury and death. Early identification and secondary prevention of HED using screening, brief interventions and referral to treatment (SBIRT) is advocated by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) as a way to reduce injury and health consequences. Each day in the United States, there are over 2700 emergency department (ED) visits associated with alcohol, unfortunately, SBIRT is rarely performed in the ED due to time and training requirements. Our application seeks to solve this problem by integrating SBIRT into ED care through the use of ecological assessments with interventions. We will incorporate components of the NIAAA 2005 Clinicians Guide into automated weekly assessments (EA) and branching algorithms for personalized interventions (EA&I) delivered in real-time through mobile phone text messaging to young adults with a history of at-risk drinking behavior. We will assess the feasibility of EA&I to study young adults with a history of at-risk drinking and assess the variability in outcomes in patients undergoing EA&I, EA or standard care. We expect to find that this ED-initiated and outpatientcontinued platform will improve collection of drinking behavior, delivery of real-world motivational feedback and follow-up in young adults with at-risk drinking histories. We anticipate that short-term HED will be reduced in those subjects randomized to EA&I. We will use this information to support further studies with adequate power to show ED-initiated EA&I reduce long-term HED and its adverse consequences in young adults.

  Eligibility

Ages Eligible for Study:   18 Years to 24 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 18-24 years
  • English speaking
  • Owns a personal phone with text messaging

Exclusion Criteria:

  • Pregnant
  • Prisoner
  • Treated for alcohol dependence or abuse
  • Treated for psychiatric disorder
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01197352

Locations
United States, Pennsylvania
University of Pittsburgh Medical Center Emergency Department
Pittsburgh, Pennsylvania, United States
Sponsors and Collaborators
University of Pittsburgh
  More Information

No publications provided

Responsible Party: University of Pittsburgh
ClinicalTrials.gov Identifier: NCT01197352     History of Changes
Other Study ID Numbers: PRO10040186
Study First Received: August 20, 2010
Last Updated: May 18, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by University of Pittsburgh:
Alcohol
Abuse
Drinking
Behavior
Text
Computer

Additional relevant MeSH terms:
Alcohol Drinking
Drinking Behavior
Alcoholism
Alcohol-Related Disorders
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders

ClinicalTrials.gov processed this record on August 18, 2014