ClinicalTrials.gg
CompletedNCT04853628Updated Oct 12, 2022

An Animation- Versus Text-based Computer-tailored Game Intervention to Prevent Alcohol Consumption in Adolescents

An interventional study of Alerta Alcohol and Alerta Alcohol 2.0 in Alcohol Drinking, Binge Drinking and Adolescent Behavior, sponsored by University of Seville. Completed at 1 site in Spain. Open to participants aged 14 Years to 19 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-10-12.

Primary conditionBinge DrinkingRegistry: Alcohol DrinkingReclassifiedWhy we changed it
Registry
Alcohol Drinking — the first condition term the registry derived for this study.
ClinicalTrials.gg
Binge Drinking
Why
  1. Alcohol Drinking is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Binge Drinking, a narrower term within Alcohol Drinking.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by University of Seville · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 6 months after the study started (first participant enrolled Oct 2020, registered Apr 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
2,625
Allocation
Randomized
Ages
14 Years to 19 Years
Sex
All
01

Study summary

This study consists in the design, implementation and evaluation of an animation (Alerta Alcohol 2.0)- versus text-based (Alerta Alcohol) computer-tailored game intervention aimed to prevent alcohol consumption and binge drinking (BD) in Spanish adolescents. A Cluster Randomized Controlled Trial (CRCT) is conducted to test the effectiveness of Alerta Alcohol versus Alerta Alcohol 2.0 in students aged 14 to 19 years across 24 high schools from Andalusia (southern Spain), which are randomized either to the experimental (EC-1, EC-2) or the control conditions (CC).

Read the detailed description

Alcohol use and misuse, and particularly, BD in adolescents are a highly prevalent healthcare problem that associates physical and mental health complications and community implications. The Alerta Alcohol and Alerta Alcohol 2.0 programs are based on the I-Change Model. A CRCT is carried out. The schools from Andalusia are randomized either to the experimental (EC-1, EC-2) or the control conditions (CC). The EC-1 receives an online intervention (Alerta Alcohol, which has adapted from a previous version) with personalized health advice, using textual feedback and several gamification techniques, and consists of nine sessions (performing seven of them at the high school): session 1 or baseline, sessions 2 and 3 where adolescents are provided with answers related to their views to provide highly specific feedback regarding their knowledge, risk perception, self-esteem, attitude, social influence and self-efficacy; sessions 4, 5, 7 and 8 are reinforcement sessions (booster sessions) and sessions 6 and 9 are follow-up questionnaires at six and twelve months. The EC-2 receives an improved version of Alerta Alcohol (Alerta Alcohol 2.0) using animated videos and new gamification strategies. The CC just completes the baseline and the evaluation questionnaires and then they are allowed to receive the intervention as well (as a waiting list). To test the effectiveness, the primary outcome is BD within 30 days prior to evaluation and alcohol use (high-intensity drinking, weekly and any consumption) in the previous week as secondary outcomes.

02

Conditions studied

  • Alcohol Drinking
  • Binge Drinking
  • Adolescent Behavior

Browse trials for

Keywords

  • Alcohol use
  • Binge drinking
  • High-intensity drinking
  • Adolescents
  • Web-based interventions
  • Computer-tailoring
  • Animation
03

In context

Binge Drinking Reclassified

71 studies on the registry are indexed under Binge Drinking; 20 are open to participants now.

This study's enrollment of 2,625 is above the median of 120 across 64 interventional studies indexed under Binge Drinking.

Browse Binge Drinking studies →

Lead sponsor

University of Seville is the lead sponsor of 130 studies on the registry; 39 are open to participants now.

Compared within Binge Drinking, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Alcohol Drinking. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
14 Years to 19 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Students aged 14 to 19 years.
  • Enrolled in Andalusian public or private high schools.
  • Access to the Internet at the schools and the use of computer, mobile or tablet is allowed.
  • Access to the Internet in their homes.

Exclusion criteria

Exclusion Criteria:

  • Language barriers.
  • Previous participation in prevention programs for BD.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2,625 participants (actual)

Study arms

  • Experimental
    Alerta Alcohol

    The EC-1 receives Alerta Alcohol, which consists of session 1 or baseline, two sessions in three scenarios: at home, celebrations, and public places, and two follow-up evaluations. The adolescents are provided with answers related to their views of each scenario; this information is used to provide highly specific feedback regarding their knowledge, risk perception, self-esteem, attitude, social influence (modelling, norms and social pressure), self-efficacy and action plans. In addition, four booster sessions are given at home to reinforce the contents of the three scenarios. Evaluations take place after six and twelve months.

    Behavioral: Alerta Alcohol

  • Experimental
    Alerta Alcohol 2.0

    The EC-2 receives an improved version of Alerta Alcohol (Alerta Alcohol 2.0) using animated videos and new gamification strategies. Evaluations take place after six and twelve months.

    Behavioral: Alerta Alcohol 2.0

  • No intervention
    Control condition

    The CC just completes the baseline and the evaluation questionnaires and then they are allowed to receive the intervention as well (as a waiting list). Evaluations take place after six and twelve months from baseline.

Interventions

  • BehavioralAlerta Alcohol

    The intervention consists of preventive messages about the benefits of not consuming alcohol, reducing the positive attitudes and encouraging the negative attitudes towards alcohol drinking and BD, as well as social influence and self-efficacy, by personalized feedback. Skills and action plans are encouraged to help the student to reject BD. This information is presented through different tailored text messages. Moreover, several gamification strategies are used (i.e. offering a challenge, giving different stories and the use of avatars in these stories that take place in three different scenarios: at home, at celebrations and in public places).

    Also known as: A text-based computer-tailored game intervention

  • BehavioralAlerta Alcohol 2.0

    The intervention consists of preventive messages about the benefits of not consuming alcohol, reducing the positive attitudes and encouraging the negative attitudes towards alcohol drinking and BD, as well as social influence and self-efficacy, by personalized feedback. Skills and action plans are encouraged to help the student to reject BD. This information is presented through different animated videos. Moreover, new gamification strategies are added (i.e. giving rewards and allocating points that can be accumulated and shown in a progress ranking) to those already used in Alerta Alcohol.

    Also known as: An animation-based computer-tailored game intervention

06

What researchers measure

Primary outcomes

  1. Change on the prevalence of binge drinking

    Change on the prevalence of binge drinking (4/5 standard drink units or standard glasses of alcohol in one occasion for a girl/boy) within 30 days prior to evaluation.

    Time frame: 6 months after the baseline

  2. Change on the prevalence of binge drinking

    Change on the prevalence of binge drinking (4/5 standard drink units or standard glasses of alcohol in one occasion for a girl/boy) within 30 days prior to evaluation.

    Time frame: 12 months after the baseline

Secondary outcomes

  1. Change on the prevalence of high-intensity drinking

    Change on the prevalence of high-intensity drinking (8/10 standard drink units or standard glasses of alcohol in one occasion for a girl/boy) within the 7 days prior to evaluation.

    Time frame: 6 months after the baseline

  2. Change on the prevalence of high-intensity drinking

    Change on the prevalence of high-intensity drinking (8/10 standard drink units or standard glasses of alcohol in one occasion for a girl/boy) within the 7 days prior to evaluation.

    Time frame: 12 months after the baseline

  3. Change on the average of weekly consumption

    Change on the average of the total number of glasses consumed within the 7 days prior to evaluation.

    Time frame: 6 months after the baseline

  4. Change on the average of weekly consumption

    Change on the average of the total number of glasses consumed within the 7 days prior to evaluation.

    Time frame: 12 months after the baseline

  5. Change on the prevalence of any consumption

    Change on the prevalence of any consumption

    Time frame: 6 months after the baseline

  6. Change on the prevalence of any consumption

    Change on the prevalence of any consumption

    Time frame: 12 months after the baseline

07

Study locations

1 site
  • Marta Lima Serrano
    Sevilla, 41009, Spain
08

References and documents

Individual participant data

Plan to share: Yes — The IPD will be shared with other researchers through publications in scientific journals and conferences/congresses.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: From 2021.

Access criteria: The Access Criteria will be the one exposed by the scientific journals where the results of the study will be published.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2020 to primary completion in Jun 2021, 8 months.

Of 38 interventional studies with no phase under Binge Drinking, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 49. This study's 8 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 9, 2021
First posted
Apr 21, 2021
StartActual
Oct 1, 2020
Primary completionActual
Jun 30, 2021
CompletionActual
Feb 28, 2022
Last update
Oct 12, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 12, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04853628
Collaborators
Delegación del Gobierno para el Plan Nacional sobre Drogas, Maastricht University
Responsible party
Marta Lima Serrano (Principal Investigator, University of Seville) — Principal investigator
First posted
Apr 21, 2021
Start date
Oct 1, 2020
Primary completion
Jun 30, 2021
Completion
Feb 28, 2022
Last update
Oct 12, 2022

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion