About this trial
This is the third stage of a three-stage, NIH-funded study to develop and test a multi-modal intervention concerning blood/breath alcohol concentration for young adults who drink heavily. The multimodal intervention will be made up of brief telehealth counseling and psychoeducation and use of three existing mobile technologies. The brief counseling/psychoeducation and mobile technologies provide personalized feedback regarding blood or breath alcohol content. The long-term goal of use of these mobile technologies will be to facilitate moderate drinking. However, the main goals of the proposed research are to learn more about feasibility of our procedures, perceived value of the technologies and ease of use from the research participants' points of view. In this third stage of the study, the investigators will conduct a randomized controlled trial building on the formative research conducted in Stages 1 and 2.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Be between the ages of 18-25
Be able to read English and complete study evaluations
Report at least four days with heavy episodic drinking (i.e., 4 or more drinks for women and 5 or more drinks for men) out of the prior 30 days
Report having consumed at least one alcoholic drink during a minimum of 12 days out of the prior 30 so that subjects will have multiple opportunities to use the moderate drinking technologies during the intervention period.
Disqualifiers
Have been in inpatient or intensive outpatient treatment within the past 12 months
Have used a smartphone application to facilitate moderate drinking more than 1 time within the past 12 months
Meet DSM-5 criteria for current substance use disorder with the exception of tobacco use disorder, mild or moderate alcohol use disorder or mild cannabis use disorder.
History of alcohol withdrawal or medically-assisted detoxification as individuals with this history will likely be in need of more intensive treatment than is offered in this study.
Trial design
Factorial
Treatments tested in this trial
Alcohol-related mobile health technologies
DeviceParticipants will be asked to use the mobile technologies as they choose while drinking for a four-week period.
Motivational interview and psychoeducation on blood/breath alcohol concentration
BehavioralBrief 25/30-minute motivational interview and psychoeducation on blood/breath alcohol concentration that includes both personalized and standardized information.
Lower tech facilitation
BehavioralStudy staff will review instructions for technology use closely with participants and guide them in use of existing phone technologies as reminders for use of the three moderate drinking technologies during drinking situations.
Higher tech facilitation
BehavioralParticipants will use an app developed during the study, SmartSip, that will provide protective behavioral strategies and reminders for use of the three moderate drinking technologies during drinking situations.
Alcohol Education
BehavioralBrief 25/30-minute psychoeducation on generalized alcohol use providing information about alcohol and its effects, adapted from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) Rethinking Drinking resources
Alcohol Education Technology
DeviceParticipants will be able to prompt text messages which will provide them one-off trivia facts using information provided during the attention control psychoeducation session
Treatment groups
Trial outcomes
Primary outcomes
Technology utilization
Percentage of reported drinking days on which one reports that moderate drinking technology use has occurred
Acceptability
Score on acceptability subscale of Modified System Usability Scale
Usability
Score on acceptability subscale of Modified System Usability Scale
Secondary outcomes
Drinks per drinking day
Number of drinks per day during field testing period
Estimated blood alcohol content
Average estimated blood alcohol content reached on drinking days
Negative Consequences
Score on the Young Adult Alcohol Consequences Questionnaire
Sponsors and contacts
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Northeastern University
Lead sponsor
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Collaborator