CClinicalTrials.gg
CompletedNCT05373706Project ACEUpdated Jun 4, 2024Results posted

Testing Brief Personalized Feedback Integrating EMA Alcohol Cue Information

An interventional study of Alcohol Cue Reactivity Personalized Feedback Intervention in Alcohol Drinking and Problem Drinking, sponsored by University of Washington. Completed at 1 site in United States. Open to participants aged 18 Years to 24 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-06-04.

Sponsored by University of Washington · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
99
Allocation
Randomized
Ages
18 Years to 24 Years
Sex
All
01

Study summary

This study aims to develop a brief intervention that incorporates ecological momentary assessments (EMAs; i.e., four brief surveys per day for 17 days) to create personalized feedback targeting high-risk alcohol use among young adult drinkers. The intervention mainly focuses on providing feedback on individuals' drinking desire and how it varies as a function of a number of real-world factors. Other psycho-educational alcohol-related content is also provided in the intervention including strategies for decreasing exposure to cues that increase drinking desires and how to cope with increased desire to drink. This brief intervention will be used in a randomized controlled trial (RCT) comparing young adults who receive the intervention with those who only complete identical assessments.

Read the detailed description

The purpose of this study is to develop and test a brief intervention that provides personalized feedback to young adults using participants' own event-level, real-world experiences. The aim of the intervention is to increase young adults' awareness of their desire to drink as it varies as a function of a number of real-world factors including alcohol cues, social context, physical context, anticipation of later drinking, mood, and time of day. The intervention also aims to equip young adults with strategies for reducing exposure to factors that increase their desire to drink, how to cope with an increased desire to drink, and how to reduce potential harms from drinking.

This brief personalized feedback intervention is used in a randomized controlled trial comparing young adults who receive the intervention with those who complete the EMAs but do not receive any personalized feedback. Assessments include an eligibility survey, baseline assessment, 17 days of EMAs (4x/day), and follow-up assessments occurring 2-weeks and 3-months post-intervention. The 2-week and 3-month follow-ups occurred 2-weeks and 3-months, respectively, from Day 17 of the EMA period, because the intervention was delivered on Day 17. The intervention will be examined for its feasibility, acceptability, and its effects in reducing alcohol-related outcomes at the follow-up assessments.

02

Conditions studied

  • Alcohol Drinking
  • Problem Drinking

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Keywords

  • Alcohol
  • Intervention
  • Young Adults
  • Personalized Feedback
03

In context

Alcohol Drinking

925 studies on the registry are indexed under Alcohol Drinking; 172 are open to participants now.

This study's enrollment of 99 is close to the median of 108 across 802 interventional studies indexed under Alcohol Drinking.

Browse Alcohol Drinking studies →

Lead sponsor

University of Washington is the lead sponsor of 1,397 studies on the registry; 225 are open to participants now.

Of its 154 completed or terminated interventional studies of FDA-regulated products, 132 (86%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 24 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

    1. Between ages 18-24, 2) Lives in Washington state, 3) Reports drinking at least two days per week in the last six months, 4) Reports at least one heavy drinking episode (4+/5+ drinks for women/men) in the past month, 5) Open to changing drinking behavior, 6) Schedule allows for participation in study with daily surveys, 7) Able to attend Zoom training session, 8) Must have cellphone for daily surveys.

Exclusion criteria

Exclusion Criteria:

    1. Actively seeking treatment for alcohol use, 2) Currently participating in another study in our research center regarding young adult drinking behavior.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
99 participants (actual)

Study arms

  • Experimental
    Cue Reactivity Personalized Feedback Intervention (PFI)

    Participants randomized to the Cue Reactivity PFI condition will receive personalized feedback at the end of completing 17 days of ecological momentary assessments (EMAs) four times a day. The personalized feedback will be delivered online and contains information summarizing participants' desire to drink as it varied as a function of several real-world factors across the 17-day EMA period.

    Behavioral: Alcohol Cue Reactivity Personalized Feedback Intervention

  • No intervention
    Assessment-only control

    Participants randomized to the control group will not receive any intervention. They will be an assessment-only control group.

Interventions

  • BehavioralAlcohol Cue Reactivity Personalized Feedback Intervention

    This online brief intervention provides personalized feedback using EMA data focused on alcohol cue reactivity to reduce alcohol misuse among young adults.

06

What researchers measure

Primary outcomes

  1. Daily Drinking Questionnaire

    Number of standard drinks consumed on each day of a typical week during the \[past 3 months for baseline and 3-month follow-up; past two weeks for 2-week follow-up\]. Participants responded on a scale from 0 (0 drinks) to 25 (25 or more drinks). Totals for each day are summed to calculate the typical number of drinks consumed per week.

    Time frame: Baseline, 2 week follow-up, and 3 month follow-up

  2. Number of Heavy Episodic Drinking Occasions

    Participants were asked, "During the past two weeks, how many times did you have \[4/5 for females/males\] or more drinks at one sitting?". Participants responded on a scale from 0 (0 times) to 10 (10 or more times) and possible range was 0-10.

    Time frame: Baseline, 2 week follow-up, and 3 month follow-up

  3. Penn Alcohol Craving Scale

    Self-reported subjective alcohol craving during the past week. Response options were scored from "0" to "6" with text varying across items. A sum score of the five items was calculated and the possible range was from 0-30. Higher scores reflect more craving.

    Time frame: Baseline, 2 week follow-up, and 3 month follow-up

  4. Brief Young Adult Alcohol Consequences Questionnaire

    Participants responded "no" (0) or "yes" (1) to whether they experienced each of 24 consequences during the \[past 3 months for baseline and 3-month follow-up; past two weeks for 2-week follow-up\]. A sum of the number of negative alcohol-related consequences was calculated and the possible range was 0-24.

    Time frame: Baseline, 2 week follow-up, and 3 month follow-up

07

Results

Posted Jun 4, 2024
Limitations and caveats
This is a small pilot trial designed to collect feasibility and acceptability information. Study data were collected during the COVID-19 pandemic from April 2022 through May 2023, which may have impacted alcohol use and contexts of alcohol use among young adult participants. All findings are based on self-report of alcohol use.

Participant flow

Participants were recruited from Washington state using a variety of recruitment methods (e.g., predominantly Instagram, random selection of students from university registrar's lists). Individuals were invited to complete an online eligibility survey for participation in a randomized clinical trial to test the effect of an online personalized feedback intervention. Recruitment/enrollment period went from April 2022 to January 2023.

Participant flow — Overall Study
MilestoneAssessment-only ControlCue Reactivity Personalized Feedback Intervention (PFI)
Started4851
Completed4649
Not completed22
Withdrew: Lost to follow-up22

Outcome measures

PrimaryDaily Drinking Questionnaire

Number of standard drinks consumed on each day of a typical week during the \[past 3 months for baseline and 3-month follow-up; past two weeks for 2-week follow-up\]. Participants responded on a scale from 0 (0 drinks) to 25 (25 or more drinks). Totals for each day are summed to calculate the typical number of drinks consumed per week.

Time frame:
Baseline, 2 week follow-up, and 3 month follow-up
Reported as:
Mean · Drinks per week
Daily Drinking Questionnaire
Drinks per weekAssessment-only ControlCue Reactivity Personalized Feedback Intervention (PFI)
Baseline12.23 ± 11.8511.78 ± 7.24
2-Week Follow-Up10.31 ± 10.779.40 ± 6.28
3-Month Follow-Up7.54 ± 7.168.49 ± 7.16
Statistical analysis
  • Assessment-only Control vs Cue Reactivity Personalized Feedback Intervention (PFI) · Generalized linear mixed model · p = 0.68 · Count/rate ratio: 0.95 · 95% CI 0.76 to 1.20Models controlled for sex assigned at birth, age, and student status (4-year vs. not) and used a Poisson error distribution.
  • Assessment-only Control vs Cue Reactivity Personalized Feedback Intervention (PFI) · Generalized linear mixed model · p = 0.56 · Count/rate ratio: 1.10 · 95% CI 0.81 to 1.49Models controlled for sex assigned at birth, age, and student status (4-year vs. not) and used a Poisson error distribution.
PrimaryNumber of Heavy Episodic Drinking Occasions

Participants were asked, "During the past two weeks, how many times did you have \[4/5 for females/males\] or more drinks at one sitting?". Participants responded on a scale from 0 (0 times) to 10 (10 or more times) and possible range was 0-10.

Time frame:
Baseline, 2 week follow-up, and 3 month follow-up
Reported as:
Mean · Number heavy episodic drinking occasions
Number of Heavy Episodic Drinking Occasions
Number heavy episodic drinking occasionsAssessment-only ControlCue Reactivity Personalized Feedback Intervention (PFI)
Baseline2.46 ± 2.322.43 ± 1.97
2-Week Follow-Up2.46 ± 2.102.28 ± 1.72
3-Month Follow-Up1.63 ± 1.821.98 ± 1.93
Statistical analysis
  • Assessment-only Control vs Cue Reactivity Personalized Feedback Intervention (PFI) · Generalized linear mixed model · p = 0.68 · Count/rate ratio: 0.93 · 95% CI 0.64 to 1.33Models controlled for sex assigned at birth, age, and student status (4-year vs. not) and used a Poisson error distribution.
  • Assessment-only Control vs Cue Reactivity Personalized Feedback Intervention (PFI) · Generalized linear mixed model · p = 0.30 · Count/rate ratio: 1.24 · 95% CI 0.82 to 1.88Models controlled for sex assigned at birth, age, and student status (4-year vs. not) and used a Poisson error distribution.
PrimaryPenn Alcohol Craving Scale

Self-reported subjective alcohol craving during the past week. Response options were scored from "0" to "6" with text varying across items. A sum score of the five items was calculated and the possible range was from 0-30. Higher scores reflect more craving.

Time frame:
Baseline, 2 week follow-up, and 3 month follow-up
Reported as:
Mean · Score on a scale
Penn Alcohol Craving Scale
Score on a scaleAssessment-only ControlCue Reactivity Personalized Feedback Intervention (PFI)
Baseline6.58 ± 5.127.92 ± 5.07
2-Week Follow-Up7.80 ± 4.558.66 ± 5.81
3-Month Follow-Up5.80 ± 4.287.46 ± 5.01
Statistical analysis
  • Assessment-only Control vs Cue Reactivity Personalized Feedback Intervention (PFI) · Generalized linear mixed model · p = 0.36 · Count/rate ratio: 0.89 · 95% CI 0.69 to 1.15Models controlled for sex assigned at birth, age, and student status (4-year vs. not) and used a Poisson error distribution.
  • Assessment-only Control vs Cue Reactivity Personalized Feedback Intervention (PFI) · Generalized linear mixed model · p = 0.73 · Count/rate ratio: 1.05 · 95% CI 0.80 to 1.38Models controlled for sex assigned at birth, age, and student status (4-year vs. not) and used a Poisson error distribution.
PrimaryBrief Young Adult Alcohol Consequences Questionnaire

Participants responded "no" (0) or "yes" (1) to whether they experienced each of 24 consequences during the \[past 3 months for baseline and 3-month follow-up; past two weeks for 2-week follow-up\]. A sum of the number of negative alcohol-related consequences was calculated and the possible range was 0-24.

Time frame:
Baseline, 2 week follow-up, and 3 month follow-up
Reported as:
Mean · Number of consequences (range 0-24)
Brief Young Adult Alcohol Consequences Questionnaire
Number of consequences (range 0-24)Assessment-only ControlCue Reactivity Personalized Feedback Intervention (PFI)
Baseline7.81 ± 5.028.78 ± 4.13
2-Week Follow-Up4.78 ± 4.354.52 ± 3.61
3-Month Follow-Up6.37 ± 5.656.04 ± 5.12
Statistical analysis
  • Assessment-only Control vs Cue Reactivity Personalized Feedback Intervention (PFI) · Generalized linear mixed model · p = 0.11 · Count/rate ratio: 0.83 · 95% CI 0.66 to 1.04Models controlled for sex assigned at birth, age, and student status (4-year vs. not) and used a Poisson error distribution.
  • Assessment-only Control vs Cue Reactivity Personalized Feedback Intervention (PFI) · Generalized linear mixed model · p = 0.38 · Count/rate ratio: 0.88 · 95% CI 0.66 to 1.17Models controlled for sex assigned at birth, age, and student status (4-year vs. not) and used a Poisson error distribution.

Adverse events

Collected over Adverse event data were collected between initial screening and final follow-up for each participant, a period of approximately 4 months.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Assessment-only Control0/48 (0%)0/48 (0%)0/48 (0%)
Cue Reactivity Personalized Feedback Intervention (PFI)0/51 (0%)0/51 (0%)0/51 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Assessment-only ControlCue Reactivity Personalized Feedback Intervention (PFI)Total
<=18 years000
Between 18 and 65 years485199
>=65 years000
Age, Continuous
Age, Continuous(years)Assessment-only ControlCue Reactivity Personalized Feedback Intervention (PFI)Total
Mean21.42 ± 1.7521.69 ± 1.8621.56 ± 1.80
Sex: Female, Male
Sex: Female, Male(Participants)Assessment-only ControlCue Reactivity Personalized Feedback Intervention (PFI)Total
Female262854
Male222345
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Assessment-only ControlCue Reactivity Personalized Feedback Intervention (PFI)Total
Hispanic or Latino257
Not Hispanic or Latino464692
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Assessment-only ControlCue Reactivity Personalized Feedback Intervention (PFI)Total
American Indian or Alaska Native000
Asian71017
Native Hawaiian or Other Pacific Islander011
Black or African American314
White303464
More than one race639
Unknown or Not Reported224
Region of Enrollment
Region of Enrollment(participants)Assessment-only ControlCue Reactivity Personalized Feedback Intervention (PFI)Total
United States485199
Current educational status
Current educational status(Participants)Assessment-only ControlCue Reactivity Personalized Feedback Intervention (PFI)Total
4-year student272855
Not a 4-year student212344
08

Study locations

1 site
  • University of Washington
    Seattle, Washington 98155, United States
09

References and documents

Study documents

  • Study protocol · Apr 30, 2024
  • Statistical analysis plan · Apr 30, 2024
  • Informed consent form · Feb 3, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — We plan to share limited, de-identified datasets for the purposes of data analysis and dissemination.

Supporting information: Sap, Analytic code

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05373706
Lead sponsor
University of Washington
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Responsible party
Jason Ramirez (Research Assistant Professor: School of Medicine, University of Washington) — Principal investigator
First posted
May 13, 2022
Start date
Apr 29, 2022
Primary completion
May 1, 2023
Completion
May 1, 2023
Results posted
Jun 4, 2024
Last update
Jun 4, 2024

Study contacts

Jason Ramirez, PhD
principal investigator · University of Washington
Anne Fairlie, PhD
principal investigator · University of Washington

Oversight

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

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