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

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

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 ]
    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 ]
    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.

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
  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 identifier: NCT01197352

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

Responsible Party: University of Pittsburgh Identifier: NCT01197352     History of Changes
Other Study ID Numbers: PRO10040186
Study First Received: August 20, 2010
Last Updated: May 18, 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 processed this record on August 16, 2017