An interventional study of Motivational and Normative Feedback and Self-Awareness in Alcohol Abuse, Alcohol Consumption and Drinking Behavior, sponsored by University of Pittsburgh. Completed at 1 site in United States. Open to participants aged 18 Years to 24 Years. Per ClinicalTrials.gov, last updated 2012-05-21.
Sponsored by University of Pittsburgh · Not applicable, Interventional, and Screening
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.
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.
1,674 studies on the registry are indexed under Alcoholism; 331 are open to participants now.
This study's enrollment of 45 is below the median of 88 across 1,428 interventional studies indexed under Alcoholism.
Browse Alcoholism studies →University of Pittsburgh is the lead sponsor of 1,419 studies on the registry; 168 are open to participants now.
Of its 9 completed or terminated interventional studies of FDA-regulated products, 4 (44%) have results posted.
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Exclusion Criteria:
Weekly prompted queries about drinking behavior with personalized feedback.
Behavioral: Motivational and Normative Feedback
Weekly prompted queries about drinking behavior
Behavioral: Self-Awareness
Weekly text reminders to complete final (12 week) instruments
Weekly feedback based on their frequency and degree of at-risk drinking behavior using normative, educational and motivational feedback
Weekly queries to raise awareness and allow self-reflection about drinking habits
Ability of system to collect drinking information from young adults
We will report the proportion of weeks with completed drinking assessments in the EA and EA\&I groups.
Time frame: 12 weeks
Number of binge drinking episodes in subjects as a measure of safety and efficacy
We will compare the number of binge drinking episodes between subjects in the three groups.
Time frame: 12 weeks
The record gives a start of Aug 2010, a primary completion of Feb 2011 and a completion of Feb 2011. It does not say whether these dates are actual or estimated.
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This study is completed, as verified in May 2012. You cannot join it, but the record below documents what was studied.
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