An interventional study of GSDG multi-component intervention in Binge Drinking, Underage Drinking, Drinking and Driving, Alcohol-Related Harms, sponsored by HBSA. Recruiting at 1 site in United States. Open to participants aged 12 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-03.
Sponsored by HBSA · Not applicable, Interventional, and Prevention
This study will evaluate effects of a multi-component, population-level intervention on alcohol use and related harms in six intervention cities relative to six matched comparison cities. Intervention components include screening and brief interventions by health providers, other evidence-based interventions (e.g., enforcement of drink-driving or underage drinking laws), and novel or partially tested interventions that warrant further evaluation. Key outcomes of interest include alcohol-related harms such as alcohol-related motor vehicle crashes and fatalities, heavy/binge drinking, underage drinking, and drinking and driving.
This study will evaluate effects of a multi-component, population-level intervention on alcohol use and related harms in six intervention cities relative to six matched comparison cities. The trial is expected to expand to nine intervention and nine comparison cities in 2018. Intervention components include screening and brief interventions by health providers, other evidence-based interventions (e.g., enforcement of drink-driving or underage drinking laws), and novel or partially tested interventions that warrant further evaluation. Key outcomes of interest include alcohol-related harms such as alcohol-related motor vehicle crashes and fatalities, heavy/binge drinking, underage drinking, and drinking and driving.
Multiple years of pre- and post-intervention survey data will be collected from cross-sectional samples of adults and youth in each city to assess intervention effects on harmful alcohol use. Multiple years of archival data will also be collected from each city to assess intervention effects on alcohol-related harms such as motor vehicle crashes and fatalities, violence and unintentional injuries. Multi-level analyses will be conducted with data for the total sample of 18 cities and for each pair of cities to determine whether the overall goal of reducing harmful alcohol use by at least 10% is achieved.
Exclusion Criteria:
Cities receiving a multi-component intervention, including screening and brief intervention, other evidence-based interventions (e.g., enforcement of drink-driving or underage drinking laws), and novel or partially tested interventions that warrant further evaluation.
Behavioral: GSDG multi-component intervention
Comparison cities receiving no evidence-based interventions.
Multi-component intervention, including screening and brief intervention, other evidence-based interventions, and novel or partially tested interventions that warrant further evaluation.
Health and social harms related to alcohol use
Self-reported problems related to alcohol use (e.g., drinking and driving, injury, unwanted sex, vandalism, property crime); alcohol-related motor vehicle crashes and fatalities
Time frame: 1 year
Heavy/binge drinking
Self-reported heavy alcohol use (e.g., 5+ drinks within 2 hours)
Time frame: 1 year
Underage drinking
Self-reported alcohol use
Time frame: 1 year
Perceived alcohol use and alcohol-related attitudes among family and friends
Beliefs regarding alcohol use among family and friends, and acceptability of alcohol use
Time frame: 1 year
Alcohol expectancies
Expectations regarding positive and negative consequences of alcohol use
Time frame: 1 year
Awareness of alcohol policies
Knowledge of policies such as the minimum legal drinking age and maximum allowable blood alcohol concentration limit for driving
Time frame: 1 year
Perceived enforcement of alcohol policies
Perceived likelihood of being asked for age identification, being stopped by police for drinking and driving, etc.
Time frame: 1 year
Awareness of chronic health risks associated with alcohol use
Self-reported knowledge of possible chronic health-related consequences of alcohol use (e.g., liver cirrhosis, coronary heart disease)
Time frame: 1 year
Awareness of alcohol health guidance labels and information
Self-reported knowledge of guidance labels and information on beer bottles, cans and elsewhere
Time frame: 1 year
Consumption of no-alcohol and low-alcohol beer
Self-reported consumption (quantity and frequency) of no-alcohol and low-alcohol beer, no-alcohol and low-alcohol beer sales, underage use of no-alcohol and low-alcohol beer
Time frame: 1 year
Screening and brief intervention for heavy/binge drinking
Self-reported frequency and impacts, archival medical record data
Time frame: 1 year
Plan to share: Yes — De-identified survey and archival data collected for the evaluation will be made available upon completion of the study.
Supporting information: Study protocol
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