Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Trials
Published in: Trials 1/2013

Open Access 01-12-2013 | Study protocol

Mobile phone text message intervention to reduce binge drinking among young adults: study protocol for a randomized controlled trial

Authors: Brian Suffoletto, Clifton W Callaway, Jeffrey Kristan, Peter Monti, Duncan B Clark

Published in: Trials | Issue 1/2013

Login to get access

Abstract

Background

Heavy episodic (binge) drinking is common among young adults and can lead to injury and illness. Young adults who seek care in the Emergency Department (ED) may be disproportionately affected with binge drinking behavior, therefore provide an opportunity to reduce future risk through screening, brief intervention and referral to treatment (SBIRT). Mobile phone text messaging (SMS) is a common form of communication among young adults and has been shown to be effective at providing behavioral support to young adult drinkers after ED discharge. Efficacy of SMS programs to reduce binge drinking remains unknown.

Methods/Design

We will conduct a three parallel arm, randomized trial. A convenience sample of adults aged 18 to 25 years attending three EDs in Pittsburgh, PA and willing to participate in the study will be screened for hazardous alcohol consumption. Participants identified as hazardous drinkers will then be allocated to either 12 weeks of weekly SMS drinking assessments with feedback (SA+F), SMS drinking assessments without feedback (SA), or a control group. Randomization will be via an independent and remote computerized randomization and will be stratified by study site. The SA+F group will be asked to provide pre-weekend drinking intention as well as post-weekend consumption via SMS and will receive feedback messages focused on health consequences of alcohol consumption, personalized normative feedback, protective drinking strategies and goal setting. Follow-up data on alcohol use and injury related to alcohol will be collected through a password-protected website three, six and nine months later. The primary outcome for the study is binge drinking days (≥4 drinks for women; ≥5 drinks for men) during the previous month, and the main secondary outcome is the proportion of participants who report any injury related to alcohol in the prior three months.

Discussion

This study will test the hypothesis that a mobile phone text-messaging program will result in immediate and durable reductions in binge drinking among at-risk young adults. By testing an intervention group to an assessment-only and control group, we will be able to separate the effect of assessment reactivity. By collecting pre-weekend drinking intentions and post-weekend consumption data in the SA+F group, we will be able to better understand mechanism of change.

Trial registration

Clinicaltrials.gov NCT01688245
Appendix
Available only for authorised users
Literature
1.
2.
Hingson RW, Edwards EM, Heeren T, Rosenbloom D:Age of drinking onset and injuries, motor vehicle crashes, and physical fights after drinking and when not drinking. Alcohol Clin Exp Res. 2009, 33 (5): 783-790. 10.1111/j.1530-0277.2009.00896.x.CrossRefPubMedPubMedCentral
3.
SA MHSA: Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-41, HHS Publication No. (SMA) 11–4658. 2011, Substance Abuse and Mental Health Services Administration: Rockville, MD
4.
Hingson RW, Zha W, Weitzman ER: Magnitude of and trends in alcohol-related mortality and morbidity among U.S. college students ages 18–24, 1998–2005. J Stud Alcohol Drugs Suppl. 2009, 16: 12-20.CrossRefPubMed
5.
Wechsler H, Kuo M, Lee H, Dowdall GW: Environmental correlates of underage alcohol use and related problems of college students. Am J Prev Med. 2000, 19: 24-29. 10.1016/S0749-3797(00)00163-X.CrossRefPubMed
6.
Edlund MJ, Booth BM, Feldman ZL: Perceived need for treatment for alcohol use disorders: results from two national surveys. Psychiatr Serv. 2009, 60: 1618-1628. 10.1176/appi.ps.60.12.1618.CrossRefPubMedPubMedCentral
7.
Crundall IA: Perceptions of alcohol by student drinkers at university. Drug Alcohol Rev. 1995, 14: 363-368. 10.1080/09595239500185491.CrossRefPubMed
8.
Greenfield TK, Midanik LT, Rogers JD: A 10-year national trend study of alcohol consumption, 1984–1995: is the period of declining drinking over?. Am J Public Health. 2000, 90: 47-52.CrossRefPubMedPubMedCentral
9.
10.
Schappert SM, Rechtsteiner EA: Ambulatory medical care utilization estimates for 2006. Natl Health Stat Report. 2008, 8: 1-29.PubMed
11.
Fortuna RJ, Robbins BW, Mani N, Halterman JS: Dependence on emergency care among young adults in the United States. J Gen Intern Med. 2010, 25: 663-669. 10.1007/s11606-010-1313-1.CrossRefPubMedPubMedCentral
12.
Kelly TM, Donovan JE, Chung T, Bukstein OG, Cornelius JR: Brief screens for detecting alcohol use disorder among 18–20 year old young adults in emergency departments: comparing AUDIT-C, CRAFFT, RAPS4-QF, FAST, RUFT-Cut, and DSM-IV 2-Item Scale. Addict Behav. 2009, 34 (8): 668-674. 10.1016/j.addbeh.2009.03.038.CrossRefPubMedPubMedCentral
13.
Bernstein E, Bernstein JA, Stein JB, Saitz R: SBIRT in emergency care settings: are we ready to take it to scale?. Acad Emerg Med. 2009, 16 (11): 1072-1077. 10.1111/j.1553-2712.2009.00549.x.CrossRefPubMed
14.
15.
Gentilello LM: Alcohol and injury: American College of Surgeons Committee on trauma requirements for trauma center intervention. J Trauma. 2007, 62: S44-S45. 10.1097/TA.0b013e3180654678.CrossRefPubMed
16.
Cunningham RM, Harrison SR, McKay MP, Mello MJ, Sochor M, Shandro JR, Walton MA, D’Onofrio G: National survey of emergency department alcohol screening and intervention practices. Ann Emerg Med. 2010, 55: 556-562. 10.1016/j.annemergmed.2010.03.004.CrossRefPubMed
17.
D’Onofrio G, Fiellin DA, Pantalon MV, Chawarski MC, Owens PH, Degutis LC, Busch SH, Bernstein SL, O’Connor PG: A brief intervention reduces hazardous and harmful drinking in emergency department patients. Ann Emerg Med. 2012, 60: 181-192. 10.1016/j.annemergmed.2012.02.006.CrossRefPubMed
18.
Monti PM, Barnett NP, Colby SM, Gwaltney CJ, Spirito A, Rohsenow DJ, Woolard R: Motivational interviewing versus feedback only in emergency care for young adult problem drinking. Addiction. 2007, 102: 1234-1243. 10.1111/j.1360-0443.2007.01878.x.CrossRefPubMed
19.
Havard A, Shakeshaft A, Sanson-Fisher R: Systematic review and meta-analyses of strategies targeting alcohol problems in emergency departments: interventions reduce alcohol-related injuries. Addiction. 2008, 103: 368-76. 10.1111/j.1360-0443.2007.02072.x. discussion 377–8CrossRefPubMed
20.
Field CA, Baird J, Saitz R, Caetano R, Monti PM: The mixed evidence for brief intervention in emergency departments, trauma care centers, and inpatient hospital settings: what should we do?. Alcohol Clin Exp Res. 2010, 34: 2004-2010. 10.1111/j.1530-0277.2010.01297.x.CrossRefPubMedPubMedCentral
21.
McCormick R, Docherty B, Segura L, Colom J, Gual A, Cassidy P, Kaner E, Heather N:The research translation problem: alcohol screening and brief intervention in primary care: real world evidence supports theory. Drugs Educ Prev Policy. 2010, 17: 732-748. 10.3109/09687630903286800.CrossRef
22.
Lehrer JA, Pantell R, Tebb K, Shafer MA: Forgone health care among U.S. adolescents: associations between risk characteristics and confidentiality concerns. J Adolesc Health. 2007, 40: 218-226. 10.1016/j.jadohealth.2006.09.015.CrossRefPubMed
23.
Clark DB, Moss HB: Providing alcohol-related screening and brief interventions to adolescents through health care systems: obstacles and solutions. PLoS Med. 2010, 7: e1000214-10.1371/journal.pmed.1000214.CrossRefPubMedPubMedCentral
24.
Millstein SG, Marcell AV: Screening and counseling for adolescent alcohol use among primary care physicians in the United States. Pediatrics. 2003, 111: 114-122. 10.1542/peds.111.1.114.CrossRefPubMed
25.
26.
Franklin VL, Waller A, Pagliari C, Greene SA: A randomized controlled trial of Sweet Talk, a text-messaging system to support young people with diabetes. Diabet Med. 2006, 23: 1332-1338. 10.1111/j.1464-5491.2006.01989.x.CrossRefPubMed
27.
Prabhakaran L, Chee WY, Chua KC, Abisheganaden J, Wong WM: The use of text messaging to improve asthma control: a pilot study using the mobile phone short messaging service (SMS). J Telemed Telecare. 2010, 16: 286-290. 10.1258/jtt.2010.090809.CrossRefPubMed
28.
Rodgers A, Corbett T, Bramley D, Riddell T, Wills M, Lin RB, Jones M: Do u smoke after txt? Results of a randomised trial of smoking cessation using mobile phone text messaging. Tob Control. 2005, 14: 255-261. 10.1136/tc.2005.011577.CrossRefPubMedPubMedCentral
29.
Lim MS, Hocking JS, Aitken CK, Fairley CK, Jordan L, Lewis JA, Hellard ME: Impact of text and email messaging on the sexual health of young people: a randomised controlled trial. J Epidemiol Community Health. 2012, 66: 69-74. 10.1136/jech.2009.100396.CrossRefPubMed
30.
Suffoletto B, Callaway CW, Kraemer K, Clark DB: Text-message-based drinking assessments and brief interventions for young adults discharged from the emergency department. Alcohol Clin Exp Res. 2012, 36: 552-560. 10.1111/j.1530-0277.2011.01646.x.CrossRefPubMed
31.
Schulz KF, Altman DG, Moher D: CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. Trials. 2010, 11: 32-10.1186/1745-6215-11-32.CrossRefPubMedPubMedCentral
32.
Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA: The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998, 158 (16): 1789-1795. 10.1001/archinte.158.16.1789. Sep 14CrossRefPubMed
33.
Rosenstock IM, Strecher VJ, Becker MH:Social learning theory and the health belief model. Health Educ Q. 1988, 15: 175-183. 10.1177/109019818801500203.CrossRefPubMed
34.
35.
Ajzen I:The theory of planned behavior. Organ Behav Hum Decis Process. 1991, 50: 179-211. 10.1016/0749-5978(91)90020-T.CrossRef
36.
US Department of Health and Human Services: Rethinking drinking: alcohol and your health (NIH Publication No. 10-3770). 2010, New York, NY: National Institute on Alcohol Abuse and Alcoholism
37.
Miller WR: Motivational interviewing: research, practice, and puzzles. Addict Behav. 1996, 21: 835-842. 10.1016/0306-4603(96)00044-5.CrossRefPubMed
38.
McCambridge J, Kypri K:Can simply answering research questions change behaviour? Systematic review and meta-analyses of brief alcohol intervention trials. PLoS One. 2011, 6: e23748-10.1371/journal.pone.0023748.CrossRefPubMedPubMedCentral
39.
Reinert DF, Allen JP: The alcohol use disorders identification test: an update of research findings. Alcohol Clin Exp Res. 2007, 31: 185-199. 10.1111/j.1530-0277.2006.00295.x.CrossRefPubMed
40.
Sobell LC, Sobell MB:Timeline followback: a technique for assessing self-reported alcohol consumption. Measuring alcohol consumption: Psychosocial and biological methods. Edited by: Litten RZ, Allen J. 1992, New Jersey: Humana Press, 41-72.CrossRef
41.
Longabaugh R, Woolard RE, Nirenberg TD, Minugh AP, Becker B, Clifford PR, Carty K, Licsw , Sparadeo F, Gogineni A: Evaluating the effects of a brief motivational intervention for injured drinkers in the emergency department. J Stud Alcohol. 2001, 62: 806-816.CrossRefPubMed
42.
Humeniuk R, Ali R, Babor TF, Farrell M, Formigoni ML, Jittiwutikarn J, de Lacerda RB, Ling W, Marsden J, Monteiro M, Nhiwatiwa S, Pal H, Poznyak V, Simon S: Validation of the alcohol, smoking and substance involvement screening test (ASSIST). Addiction. 2008, 103: 1039-1047. 10.1111/j.1360-0443.2007.02114.x.CrossRefPubMed
43.
Kroenke K, Spitzer RL, Williams JB, Löwe B: An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009, 50: 613-621.PubMed
44.
Abraham C, Michie S: A taxonomy of behavior change techniques used in interventions. Health Psychol. 2008, 27: 379-387.CrossRefPubMed
45.
Cafazzo JA, Leonard K, Easty AC, Rossos PG, Chan CT: The user-centered approach in the development of a complex hospital-at-home intervention. Stud Health Technol Inform. 2009, 143: 328-333.PubMed
Metadata
Title
Mobile phone text message intervention to reduce binge drinking among young adults: study protocol for a randomized controlled trial
Authors
Brian Suffoletto
Clifton W Callaway
Jeffrey Kristan
Peter Monti
Duncan B Clark
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Trials / Issue 1/2013
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/1745-6215-14-93

Other articles of this Issue 1/2013

Trials 1/2013 Go to the issue

Commentary

Developing a reporting guideline for social and psychological intervention trials

Study protocol

Impact of preoperative patient education on prevention of postoperative complications after major visceral surgery: study protocol for a randomized controlled trial (PEDUCAT trial)

Study protocol

Fluoxetine for motor recovery after acute intracerebral hemorrhage (FMRICH): study protocol for a randomized, double-blind, placebo-controlled, multicenter trial

Study protocol

Angiographic and clinical comparison of novel Orsiro Hybrid sirolimus-eluting stents and Resolute Integrity zotarolimus-eluting stents in all-comers with coronary artery disease (ORIENT trial): study protocol for a randomized controlled trial

Study protocol

Rationale and study design of ViPS – variable pressure support for weaning from mechanical ventilation: study protocol for an international multicenter randomized controlled open trial

Study protocol

IDEAS for a healthy baby - reducing disparities in use of publicly reported quality data: study protocol for a randomized controlled trial