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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01197352
Recruitment Status : Completed
First Posted : September 9, 2010
Last Update Posted : May 21, 2012
Information provided by (Responsible Party):
University of Pittsburgh

Brief Summary:
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 or disease Intervention/treatment Phase
Alcohol Abuse Alcohol Consumption Drinking Behavior Behavioral: Motivational and Normative Feedback Behavioral: Self-Awareness Not Applicable

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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 45 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (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
Study Start Date : August 2010
Actual Primary Completion Date : February 2011
Actual Study Completion Date : February 2011

Arm Intervention/treatment
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

Primary Outcome Measures :
  1. Ability of system to collect drinking information from young adults [ Time Frame: 12 weeks ]
    We will report the proportion of weeks with completed drinking assessments in the EA and EA&I groups.

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

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Ages Eligible for Study:   18 Years to 24 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01197352

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

Responsible Party: University of Pittsburgh Identifier: NCT01197352     History of Changes
Other Study ID Numbers: PRO10040186
First Posted: September 9, 2010    Key Record Dates
Last Update Posted: May 21, 2012
Last Verified: May 2012

Keywords provided by University of Pittsburgh:

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