Using EMA Data to Inform a Web-intervention for Couples Concerned About Drinking
ConditionAlcohol; Use, Problem
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorStanford University
About this trial
Alcohol misuse is a prevalent and serious problem with significant harms to society, individuals, and their relationships. Romantic partners have a strong influence on their partner's behavior, uniquely positioning them as a motivator and supportive factor in changing their partner's alcohol use, but little evidence exists on the specific ways they can influence their partner. The impact this has on the quality of their relationship, communication, and overall well-being has yet to be explored. Thus, this study utilizes qualitative, quantitative, and ecological momentary assessment (EMA) data from both partners to develop a web-based intervention that applies communication-based personalized feedback to support the concerned partner (CP) in motivating their drinking partner (DP) to reduce drinking and other adverse relationship outcomes.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
be at least 18 years of age
be in a romantic relationship
live with their partner
have a computer, tablet, or phone with internet access
Disqualifiers
report 4/5+ on the AUDIT-C
be at least 18 years of age
report 4/5+ on the AUDIT-C
have a computer, tablet, or phone with internet access
Trial design
Design model
Single group
Treatments tested in this trial
WBI
BehavioralThe WBI will comprise of four sessions focusing on CRAFT principles including: (1) self-care, (2) positive communication including ways to increase responsiveness to the DP (PPR; i.e., actively listening, showing understanding, expressing interest in what their DP is thinking and feeling, and trying to see where the DPs is coming from), (3) understanding the DP's drinking reinforcers, and (4) supporting the DP if they want help and engaging in positive, healthy activities with the DP. ' partner. Each module will take \~20-30 minutes and each session will: (1) instill optimism in CPs, (2) be solution-focused, (3) emphasize that the CP is not responsible for the DP's behaviors, and (4) use a nonjudgmental, non-confrontational, empathetic style. The WBI intervention is focused on reduced drinking in the DP and improved CP wellness.
Treatment groups
275 Participants
are divided into 3 treatment groupsGroup A: Identify CP communication behaviors that elicit or inhibit DP drinking using EMANo intervention 0 interventions
Group B: Develop and evaluate the feasibility and acceptability of a WBI providing personalized feedbackExperimental treatment 1 intervention
Group C: Perform a pilot randomized controlled trial (RCT) comparing WBI to psychoeducation controlActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
DP Alcohol Use
The frequency of and amount of alcohol use, craving, and consequences experienced by the drinking partner
Time frame
Baseline, Daily (EMA), 1-month-follow-up2
CP Well-Being
The severity of depression and anxiety symptoms, level of anger, and perceived social support in the concerned partner
Time frame
Baseline, 1-month-follow-up3
CP-DP Relationship Quality
The degree of conflict and cohesion, style of communication, satisfaction, frequency of disagreement, and overall quality of the relationship
Time frame
Baseline, Daily (EMA), 1-month-follow-upSecondary outcomes
1
CP Communication and Responsiveness about Drinking
The degree to which the concerned partner employs strategies to reduce the drinking partner's drinking and the level of enablement and responsiveness towards their drinking
Time frame
Baseline, Daily (EMA), 1-month-follow-upSponsors and contacts
Click on the lead sponsor to view all of their trials.
Stanford University
Lead sponsor
Portland State University
Collaborator
Source ClinicalTrials.gov