Mechanisms for Alcohol Treatment Change [MATCH] Study
| Status: | Recruiting |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - 25 |
| Updated: | 5/19/2018 |
| Start Date: | December 2016 |
| End Date: | December 2021 |
| Contact: | Brian Sufffoletto, MD MS |
| Phone: | 412-901-6892 |
A 5-arm randomized trial to determine what components of a text message intervention are
necessary to reduce hazardous drinking among young adults and mechanisms through which these
changes occur.
necessary to reduce hazardous drinking among young adults and mechanisms through which these
changes occur.
Young adults ages 18-25 have high rates of hazardous alcohol use and alcohol-related
consequences. The Emergency Department (ED) provides an important opportunity to identify
young adult hazardous drinkers who could benefit from interventions. A Text Message (TM)
intervention was shown to reduce alcohol consumption among young adult ED patients, showing
durable effects over 9-months. The TM intervention uses behavior change techniques with the
largest effect sizes in an alcohol intervention meta-analysis: "goal commitment" and
"self-monitoring", along with real-time "feedback". However, the unique effect of these
ingredients, and mechanisms (processes occurring within the individual) through which they
operate to reduce drinking remain unclear, a critical gap addressed by this project. Young
adult ED patients (ages 18-25) who screen positive for hazardous drinking will be recruited
to participate in a randomized trial to determine how best to help individuals reduce
hazardous drinking. All participants will be asked to complete web-based surveys at baseline,
12 and 24 weeks after enrollment, complete brief psychomotor tasks weekly for 14 weeks, and
respond to text messages each Thursday and Sunday for the next 12 weeks. Those randomized to
the TM interventions will additionally receive feedback on their text reports. The four TM
intervention arms are: (1) Drinking Cognition Feedback (DCF), (2) Alcohol Risk Feedback
(ARF), (3) Adaptive Goal Support (AGS) and (4) a combination of DCF, ARF, and AGS=COMBO).
Study results have implications for designing efficient mobile interventions, and developing
a dynamic theory of behavior change.
consequences. The Emergency Department (ED) provides an important opportunity to identify
young adult hazardous drinkers who could benefit from interventions. A Text Message (TM)
intervention was shown to reduce alcohol consumption among young adult ED patients, showing
durable effects over 9-months. The TM intervention uses behavior change techniques with the
largest effect sizes in an alcohol intervention meta-analysis: "goal commitment" and
"self-monitoring", along with real-time "feedback". However, the unique effect of these
ingredients, and mechanisms (processes occurring within the individual) through which they
operate to reduce drinking remain unclear, a critical gap addressed by this project. Young
adult ED patients (ages 18-25) who screen positive for hazardous drinking will be recruited
to participate in a randomized trial to determine how best to help individuals reduce
hazardous drinking. All participants will be asked to complete web-based surveys at baseline,
12 and 24 weeks after enrollment, complete brief psychomotor tasks weekly for 14 weeks, and
respond to text messages each Thursday and Sunday for the next 12 weeks. Those randomized to
the TM interventions will additionally receive feedback on their text reports. The four TM
intervention arms are: (1) Drinking Cognition Feedback (DCF), (2) Alcohol Risk Feedback
(ARF), (3) Adaptive Goal Support (AGS) and (4) a combination of DCF, ARF, and AGS=COMBO).
Study results have implications for designing efficient mobile interventions, and developing
a dynamic theory of behavior change.
Inclusion Criteria:
- total score of >2 for women or >3 for men on the AUDIT-C
- at least 1 binged drinking episode in the prior 30 days
Exclusion Criteria:
- no cell phone with text messaging
- have been diagnosed with an alcohol or substance use disorder
- pregnant or planning pregnancy
- taking medicine for a psychiatric disorder (including depression, anxiety)
- taking any medicine that could interact with alcohol
We found this trial at
1
site
200 Lothrop Street
Pittsburgh, Pennsylvania 15261
Pittsburgh, Pennsylvania 15261
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