Helpline Pilot Factorial Trial

Trial statusNot yet recruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexFemale
Age18-45
SponsorThe National Center on Addiction and Substance Abuse at Columbia University

About this trial

The pilot factorial trial will (1) evaluate feasibility, acceptability, and fidelity of the intervention components (Aim 2.1), and (2) collect proof-of-concept data on the impact of the components on the proximal (motivation, self-efficacy, and self-regulation) and distal (quantity and frequency of HED) outcomes (Aim 2.2). Participants will include 120 postpartum mothers recruited from social media. The investigators will conduct a pilot 2X2X2 balanced full factorial trial, with 4 factors (1 constant, 3 randomized to 2 levels each) and 8 study conditions. The 4 factors will include: (1) Standard Helpline (constant); (2) Motivational Interviewing (yes vs. no); (3) Coping skills training (yes vs. no); (4) Automated messaging (yes vs. no). Participants will be randomly assigned to one of 8 study conditions, which will determine which combination of intervention components participants receive.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Resides full-time in the United States

Age 18-45 years

Gave birth to an infant within the prior 4 weeks

Speaks and reads English

Disqualifiers

Resides outside of the United States

Age under 18 years or over 45 years

Did not give birth to an infant within the prior 4 weeks

Cannot speak and read English

Trial design

Design model

Factorial

Treatments tested in this trial

  • Standard Helpline (SH)

    Behavioral

    One digital helpline session that includes assessment, psychoeducation, and links to resources. Participants are also offered ongoing asynchronous digital support from the helpline.

  • Motivational Interviewing (MI)

    Behavioral

    One digital helpline session that includes a structured motivational interviewing brief intervention.

  • Coping Skills Training (CST)

    Behavioral

    One digital helpline session that includes a structured cognitive coping skills brief intervention.

  • Automated Text Messaging (ATM)

    Behavioral

    Automated text messages are sent daily for 4 weeks.

Treatment groups

120 Participants
are divided into 8 treatment groups

8

Treatment groups

See each treatment group below.

Group A: SH OnlyActive comparator 1 intervention
Group B: SH+CSTExperimental treatment 2 interventions
Group C: SH+ATMExperimental treatment 2 interventions
Group D: SH+CST+ATMExperimental treatment 3 interventions
Group E: SH+MIExperimental treatment 2 interventions
Group F: SH+MI+CSTExperimental treatment 3 interventions
Group G: SH+MI+ATMExperimental treatment 3 interventions
Group H: SH+MI+CST+ATMExperimental treatment 4 interventions

Trial outcomes

Primary outcomes

1

Heavy episodic drinking

Number of episodes of heavy episodic drinking, measured by the Timeline Follow Back.

Time frame
3-month follow-up; 6-month follow-up

Secondary outcomes

1

Motivation to avoid alcohol

Motivation to avoid alcohol use until the baby is one year old, assessed via the Maternal Motivation Scale. Likert scale 1-10.

Time frame
3-month follow-up; 6-month follow-up
2

Drinking self-efficacy

Total score on the Drinking Refusal Self-Efficacy Questionnaire.

Time frame
3-month follow-up; 6-month follow-up
3

Maternal self-efficacy

Total score on the Karitane Parenting Confidence Scale.

Time frame
3-month follow-up; 6-month follow-up
4

Self-regulation

Total score on the Coping Self-Efficacy Scale.

Time frame
3-month follow-up; 6-month follow-up

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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