Trial Outcomes & Findings for Proximal Effects of Alcohol on Same-Sex Intimate Partner Violence (NCT NCT04625465)

NCT ID: NCT04625465

Last Updated: 2025-07-14

Results Overview

Proportion of reporting days on which alcohol was consumed

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

474 participants

Primary outcome timeframe

Burst 1, Daily for 14 days

Results posted on

2025-07-14

Participant Flow

Participant milestones

Participant milestones
Measure
No Intervention, No Intervention (AA)
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Overall Study
STARTED
40
38
76
40
40
80
80
80
Overall Study
COMPLETED
36
36
71
36
36
78
80
80
Overall Study
NOT COMPLETED
4
2
5
4
4
2
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
No Intervention, No Intervention (AA)
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Overall Study
Lost to Follow-up
2
2
1
0
0
2
0
0
Overall Study
Death
1
0
0
0
0
0
0
0
Overall Study
Withdrawal by Subject
1
0
4
4
4
0
0
0

Baseline Characteristics

Proximal Effects of Alcohol on Same-Sex Intimate Partner Violence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
No Intervention, No Intervention (AA)
n=36 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=36 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=70 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=78 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Total
n=452 Participants
Total of all reporting groups
Race (NIH/OMB)
Black or African American
11 Participants
n=5 Participants
5 Participants
n=7 Participants
5 Participants
n=5 Participants
3 Participants
n=4 Participants
6 Participants
n=21 Participants
17 Participants
n=8 Participants
16 Participants
n=8 Participants
12 Participants
n=24 Participants
75 Participants
n=42 Participants
Age, Continuous
32.69 Years
STANDARD_DEVIATION 10.92 • n=5 Participants
27.28 Years
STANDARD_DEVIATION 4.41 • n=7 Participants
29.81 Years
STANDARD_DEVIATION 7.92 • n=5 Participants
27.47 Years
STANDARD_DEVIATION 5.07 • n=4 Participants
28.61 Years
STANDARD_DEVIATION 9.77 • n=21 Participants
28.86 Years
STANDARD_DEVIATION 7.04 • n=8 Participants
30.36 Years
STANDARD_DEVIATION 8.66 • n=8 Participants
28.25 Years
STANDARD_DEVIATION 6.87 • n=24 Participants
29.21 Years
STANDARD_DEVIATION 7.85 • n=42 Participants
Sex: Female, Male
Female
29 Participants
n=5 Participants
25 Participants
n=7 Participants
54 Participants
n=5 Participants
25 Participants
n=4 Participants
23 Participants
n=21 Participants
60 Participants
n=8 Participants
52 Participants
n=8 Participants
59 Participants
n=24 Participants
327 Participants
n=42 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
11 Participants
n=7 Participants
16 Participants
n=5 Participants
11 Participants
n=4 Participants
13 Participants
n=21 Participants
18 Participants
n=8 Participants
28 Participants
n=8 Participants
21 Participants
n=24 Participants
125 Participants
n=42 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
2 Participants
n=42 Participants
Race (NIH/OMB)
White
19 Participants
n=5 Participants
27 Participants
n=7 Participants
62 Participants
n=5 Participants
26 Participants
n=4 Participants
24 Participants
n=21 Participants
51 Participants
n=8 Participants
59 Participants
n=8 Participants
61 Participants
n=24 Participants
329 Participants
n=42 Participants
Race (NIH/OMB)
Asian
6 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
2 Participants
n=21 Participants
4 Participants
n=8 Participants
1 Participants
n=8 Participants
4 Participants
n=24 Participants
23 Participants
n=42 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
1 Participants
n=42 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
4 Participants
n=21 Participants
4 Participants
n=8 Participants
4 Participants
n=8 Participants
3 Participants
n=24 Participants
18 Participants
n=42 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
2 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
4 Participants
n=42 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
4 Participants
n=4 Participants
3 Participants
n=21 Participants
10 Participants
n=8 Participants
9 Participants
n=8 Participants
9 Participants
n=24 Participants
53 Participants
n=42 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
32 Participants
n=5 Participants
31 Participants
n=7 Participants
61 Participants
n=5 Participants
32 Participants
n=4 Participants
33 Participants
n=21 Participants
68 Participants
n=8 Participants
71 Participants
n=8 Participants
71 Participants
n=24 Participants
399 Participants
n=42 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
Gender minority status
Gender minority
10 Participants
n=5 Participants
13 Participants
n=7 Participants
25 Participants
n=5 Participants
11 Participants
n=4 Participants
13 Participants
n=21 Participants
25 Participants
n=8 Participants
24 Participants
n=8 Participants
24 Participants
n=24 Participants
145 Participants
n=42 Participants
Gender minority status
Cisgender
26 Participants
n=5 Participants
23 Participants
n=7 Participants
45 Participants
n=5 Participants
25 Participants
n=4 Participants
23 Participants
n=21 Participants
53 Participants
n=8 Participants
56 Participants
n=8 Participants
56 Participants
n=24 Participants
307 Participants
n=42 Participants

PRIMARY outcome

Timeframe: Burst 1, Daily for 14 days

Population: 452 participants, across all arms, had reported outcome for Burst 1. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Proportion of reporting days on which alcohol was consumed

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=36 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=36 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=70 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=78 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Alcohol Use (Burst 1)
.45 Proportion of reporting days
Standard Deviation .29
.40 Proportion of reporting days
Standard Deviation .23
.41 Proportion of reporting days
Standard Deviation .30
.31 Proportion of reporting days
Standard Deviation .27
.45 Proportion of reporting days
Standard Deviation .27
.41 Proportion of reporting days
Standard Deviation .23
.44 Proportion of reporting days
Standard Deviation .31
.42 Proportion of reporting days
Standard Deviation .28

PRIMARY outcome

Timeframe: Burst 2, Daily for 14 days

Population: Only 448 of 452 participants, across all arms, had reported outcome for Burst 2. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Proportion of reporting days on which alcohol was consumed

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=36 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=33 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=70 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=77 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Alcohol Use (Burst 2)
.49 Proportion of reporting days
Standard Deviation .31
.42 Proportion of reporting days
Standard Deviation .21
.41 Proportion of reporting days
Standard Deviation .29
.30 Proportion of reporting days
Standard Deviation .26
.42 Proportion of reporting days
Standard Deviation .27
.38 Proportion of reporting days
Standard Deviation .24
.48 Proportion of reporting days
Standard Deviation .32
.42 Proportion of reporting days
Standard Deviation .29

PRIMARY outcome

Timeframe: Burst 3, Daily for 14 days

Population: Only 429 of 452 participants, across all arms, had reported outcome for Burst 3. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Proportion of reporting days on which alcohol was consumed

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=35 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=33 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=63 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=78 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=77 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=73 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Alcohol Use (Burst 3)
.45 Proportion of reporting days
Standard Deviation .31
.41 Proportion of reporting days
Standard Deviation .24
.42 Proportion of reporting days
Standard Deviation .30
.35 Proportion of reporting days
Standard Deviation .27
.39 Proportion of reporting days
Standard Deviation .27
.39 Proportion of reporting days
Standard Deviation .29
.43 Proportion of reporting days
Standard Deviation .32
.36 Proportion of reporting days
Standard Deviation .28

PRIMARY outcome

Timeframe: Burst 4, Daily for 14 days

Population: Only 435 of 452 participants, across all arms, had reported outcome for Burst 4. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Proportion of reporting days on which alcohol was consumed

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=35 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=32 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=66 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=76 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=79 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=77 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Alcohol Use (Burst 4)
.45 Proportion of reporting days
Standard Deviation .35
.43 Proportion of reporting days
Standard Deviation .26
.41 Proportion of reporting days
Standard Deviation .32
.34 Proportion of reporting days
Standard Deviation .27
.40 Proportion of reporting days
Standard Deviation .29
.34 Proportion of reporting days
Standard Deviation .24
.41 Proportion of reporting days
Standard Deviation .36
.36 Proportion of reporting days
Standard Deviation .29

PRIMARY outcome

Timeframe: Burst 1, Daily for 14 days

Population: 452 participants, across all arms, had reported outcome for Burst 1. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Proportion of reporting days on which IPV perpetration occurred

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=36 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=36 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=70 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=78 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Intimate Partner Violence (IPV) Perpetration (Burst 1)
.019 Proportion of reporting days
Standard Deviation .034
.035 Proportion of reporting days
Standard Deviation .066
.031 Proportion of reporting days
Standard Deviation .058
.031 Proportion of reporting days
Standard Deviation .062
.017 Proportion of reporting days
Standard Deviation .036
.024 Proportion of reporting days
Standard Deviation .050
.022 Proportion of reporting days
Standard Deviation .051
.041 Proportion of reporting days
Standard Deviation .070

PRIMARY outcome

Timeframe: Burst 2, Daily for 14 days

Population: Only 448 of 452 participants, across all arms, had reported outcome for Burst 2. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Proportion of reporting days on which IPV perpetration occurred

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=36 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=33 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=70 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=77 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
IPV Perpetration (Burst 2)
.047 Proportion of reporting days
Standard Deviation .113
.013 Proportion of reporting days
Standard Deviation .039
.015 Proportion of reporting days
Standard Deviation .041
.026 Proportion of reporting days
Standard Deviation .057
.018 Proportion of reporting days
Standard Deviation .038
.026 Proportion of reporting days
Standard Deviation .046
.025 Proportion of reporting days
Standard Deviation .050
.035 Proportion of reporting days
Standard Deviation .066

PRIMARY outcome

Timeframe: Burst 3, Daily for 14 days

Population: Only 429 of 452 participants, across all arms, had reported outcome for Burst 3. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Proportion of reporting days on which IPV perpetration occurred

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=35 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=33 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=63 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=78 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=77 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=73 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
IPV Perpetration (Burst 3)
.042 Proportion of reporting days
Standard Deviation .101
.049 Proportion of reporting days
Standard Deviation .081
.018 Proportion of reporting days
Standard Deviation .043
.019 Proportion of reporting days
Standard Deviation .056
.015 Proportion of reporting days
Standard Deviation .050
.021 Proportion of reporting days
Standard Deviation .050
.014 Proportion of reporting days
Standard Deviation .041
.053 Proportion of reporting days
Standard Deviation .139

PRIMARY outcome

Timeframe: Burst 4, Daily for 14 days

Population: Only 435 of 452 participants, across all arms, had reported outcome for Burst 4. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Proportion of reporting days on which IPV perpetration occurred

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=35 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=32 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=66 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=76 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=79 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=77 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
IPV Perpetration (Burst 4)
.042 Proportion of reporting days
Standard Deviation .135
.020 Proportion of reporting days
Standard Deviation .039
.017 Proportion of reporting days
Standard Deviation .048
.014 Proportion of reporting days
Standard Deviation .032
.045 Proportion of reporting days
Standard Deviation .139
.026 Proportion of reporting days
Standard Deviation .069
.011 Proportion of reporting days
Standard Deviation .036
.033 Proportion of reporting days
Standard Deviation .070

PRIMARY outcome

Timeframe: Bursts 1 and 2 (daily for 14 x 2 days)

Population: The Study Aims, as funded, sought to compare combinations of intervention arms. Thus, per this proposed analytic strategy, arms corresponding to control or intervention status were combined as appropriate to permit the analysis of hypothesized intervention main effects.

Odds ratio (OR) of IPV perpetration corresponding to alcohol use (versus non-use). Estimated using a multilevel logistic regression of daily IPV perpetration on alcohol use (Level 1) nested within participant (Level 2).

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=144 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=308 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Alcohol Use --> IPV Perpetration (Pre-Intervention)
1.26 Odds Ratio
Interval 0.87 to 1.82
1.32 Odds Ratio
Interval 0.95 to 1.82

PRIMARY outcome

Timeframe: Bursts 3 and 4 (daily for 14 x 2 days)

Population: The Study Aims, as funded, sought to compare combinations of intervention arms. Thus, per this proposed analytic strategy, arms corresponding to control or intervention status were combined as appropriate to permit the analysis of hypothesized intervention main effects.

Odds ratio (OR) of IPV perpetration corresponding to alcohol use (versus non-use). Estimated using a multilevel logistic regression of daily IPV perpetration on alcohol use (Level 1) nested within participant (Level 2).

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=144 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=308 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Alcohol Use --> IPV Perpetration (Post-Intervention)
1.48 Odds Ratio
Interval 0.91 to 2.41
1.06 Odds Ratio
Interval 0.82 to 1.37

SECONDARY outcome

Timeframe: Burst 1, Daily for 14 days

Population: Only 451 of 452 participants, across all arms, had reported outcome for Burst 1. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Total daily count across 15 daily sexual minority stress (SMS) indicators

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=36 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=36 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=70 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=78 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=79 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Sexual Minority Stress (Burst 1)
.48 Average daily count of SMS indicators
Standard Deviation .53
.54 Average daily count of SMS indicators
Standard Deviation .56
.55 Average daily count of SMS indicators
Standard Deviation .71
.59 Average daily count of SMS indicators
Standard Deviation .64
.32 Average daily count of SMS indicators
Standard Deviation .37
.42 Average daily count of SMS indicators
Standard Deviation .57
.50 Average daily count of SMS indicators
Standard Deviation 1.23
.58 Average daily count of SMS indicators
Standard Deviation .82

SECONDARY outcome

Timeframe: Burst 2, Daily for 14 days

Population: Only 447 of 452 participants, across all arms, had reported outcome for Burst 2. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Total daily count across 15 daily sexual minority stress (SMS) indicators

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=36 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=33 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=70 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=77 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=79 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Sexual Minority Stress (Burst 2)
.39 Average daily count of SMS indicators
Standard Deviation .46
.32 Average daily count of SMS indicators
Standard Deviation .40
.53 Average daily count of SMS indicators
Standard Deviation .62
.42 Average daily count of SMS indicators
Standard Deviation .65
.32 Average daily count of SMS indicators
Standard Deviation .36
.36 Average daily count of SMS indicators
Standard Deviation .69
.43 Average daily count of SMS indicators
Standard Deviation 1.26
.37 Average daily count of SMS indicators
Standard Deviation .49

SECONDARY outcome

Timeframe: Burst 3, Daily for 14 days

Population: Only 428 of 452 participants, across all arms, had reported outcome for Burst 3. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Total daily count across 15 daily sexual minority stress (SMS) indicators

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=35 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=33 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=63 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=78 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=76 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=73 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Sexual Minority Stress (Burst 3)
.31 Average daily count of SMS indicators
Standard Deviation .39
.29 Average daily count of SMS indicators
Standard Deviation .35
.41 Average daily count of SMS indicators
Standard Deviation .69
.42 Average daily count of SMS indicators
Standard Deviation .65
.31 Average daily count of SMS indicators
Standard Deviation .44
.30 Average daily count of SMS indicators
Standard Deviation .59
.31 Average daily count of SMS indicators
Standard Deviation 1.02
.30 Average daily count of SMS indicators
Standard Deviation .53

SECONDARY outcome

Timeframe: Burst 4, Daily for 14 days

Population: Only 434 of 452 participants, across all arms, had reported outcome for Burst 4. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Total daily count across 15 daily sexual minority stress (SMS) indicators

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=35 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=32 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=66 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=76 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=78 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=77 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Sexual Minority Stress (Burst 4)
.34 Average daily count of SMS indicators
Standard Deviation .63
.37 Average daily count of SMS indicators
Standard Deviation .44
.34 Average daily count of SMS indicators
Standard Deviation .48
.32 Average daily count of SMS indicators
Standard Deviation .53
.39 Average daily count of SMS indicators
Standard Deviation .72
.33 Average daily count of SMS indicators
Standard Deviation .74
.26 Average daily count of SMS indicators
Standard Deviation 1.16
.30 Average daily count of SMS indicators
Standard Deviation .38

SECONDARY outcome

Timeframe: Burst 1, Daily for 14 days

Population: Only 162 of 452 participants, across all arms, had reported outcome for Burst 1. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Total daily count across 14 daily gender minority stress (GMS) indicators

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=10 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=14 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=28 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=12 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=14 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=28 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=27 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=29 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Gender Minority Stress (Burst 1)
.80 Average daily count of GMS indicators
Standard Deviation .79
.73 Average daily count of GMS indicators
Standard Deviation .50
1.17 Average daily count of GMS indicators
Standard Deviation 1.04
1.13 Average daily count of GMS indicators
Standard Deviation .88
.73 Average daily count of GMS indicators
Standard Deviation .44
1.09 Average daily count of GMS indicators
Standard Deviation .87
.94 Average daily count of GMS indicators
Standard Deviation 2.17
1.14 Average daily count of GMS indicators
Standard Deviation .99

SECONDARY outcome

Timeframe: Burst 2, Daily for 14 days

Population: Only 162 of 452 participants, across all arms, had reported outcome for Burst 2. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Total daily count across 14 daily gender minority stress (GMS) indicators

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=10 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=14 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=28 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=12 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=14 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=28 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=28 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=28 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Gender Minority Stress (Burst 2)
.82 Average daily count of GMS indicators
Standard Deviation 1.04
.64 Average daily count of GMS indicators
Standard Deviation .48
1.05 Average daily count of GMS indicators
Standard Deviation 1.09
.73 Average daily count of GMS indicators
Standard Deviation 1.07
.91 Average daily count of GMS indicators
Standard Deviation .74
.95 Average daily count of GMS indicators
Standard Deviation .85
.97 Average daily count of GMS indicators
Standard Deviation 2.14
.95 Average daily count of GMS indicators
Standard Deviation .92

SECONDARY outcome

Timeframe: Burst 3, Daily for 14 days

Population: Only 145 of 452 participants, across all arms, had reported outcome for Burst 3. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Total daily count across 14 daily gender minority stress (GMS) indicators

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=10 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=14 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=21 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=11 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=13 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=28 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=25 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=23 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Gender Minority Stress (Burst 3)
.50 Average daily count of GMS indicators
Standard Deviation .77
.80 Average daily count of GMS indicators
Standard Deviation .82
.77 Average daily count of GMS indicators
Standard Deviation 1.02
.73 Average daily count of GMS indicators
Standard Deviation 1.16
.73 Average daily count of GMS indicators
Standard Deviation .63
.98 Average daily count of GMS indicators
Standard Deviation 1.06
.89 Average daily count of GMS indicators
Standard Deviation 2.13
.87 Average daily count of GMS indicators
Standard Deviation .98

SECONDARY outcome

Timeframe: Burst 4, Daily for 14 days

Population: Only 153 of 452 participants, across all arms, had reported outcome for Burst 4. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Total daily count across 14 daily gender minority stress (GMS) indicators

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=10 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=13 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=25 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=11 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=13 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=27 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=26 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=28 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Gender Minority Stress (Burst 4)
.24 Average daily count of GMS indicators
Standard Deviation .42
.46 Average daily count of GMS indicators
Standard Deviation .59
.70 Average daily count of GMS indicators
Standard Deviation .70
.41 Average daily count of GMS indicators
Standard Deviation .53
.76 Average daily count of GMS indicators
Standard Deviation .81
.93 Average daily count of GMS indicators
Standard Deviation 1.52
.88 Average daily count of GMS indicators
Standard Deviation 2.33
.65 Average daily count of GMS indicators
Standard Deviation .73

SECONDARY outcome

Timeframe: Burst 1, Daily for 14 days

Population: 452 participants, across all arms, had reported outcome for Burst 1. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Average daily count of COVID stress (CS) indicators

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=36 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=36 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=70 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=78 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
COVID Stress (Burst 1)
1.88 Average daily count of CS indicators
Standard Deviation 1.11
2.07 Average daily count of CS indicators
Standard Deviation 1.07
1.81 Average daily count of CS indicators
Standard Deviation .83
1.87 Average daily count of CS indicators
Standard Deviation 1.00
1.61 Average daily count of CS indicators
Standard Deviation .99
1.69 Average daily count of CS indicators
Standard Deviation .85
1.72 Average daily count of CS indicators
Standard Deviation .98
1.84 Average daily count of CS indicators
Standard Deviation 1.01

SECONDARY outcome

Timeframe: Burst 2, Daily for 14 days

Population: Only 447 of 452 participants, across all arms, had reported outcome for Burst 2. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Average daily count of COVID stress (CS) indicators

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=36 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=33 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=70 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=36 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=77 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=79 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=80 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
COVID Stress (Burst 2)
1.88 Average daily count of CS indicators
Standard Deviation 1.11
2.07 Average daily count of CS indicators
Standard Deviation 1.07
1.81 Average daily count of CS indicators
Standard Deviation .83
1.88 Average daily count of CS indicators
Standard Deviation 1.00
1.61 Average daily count of CS indicators
Standard Deviation .99
1.69 Average daily count of CS indicators
Standard Deviation .85
1.72 Average daily count of CS indicators
Standard Deviation .98
1.84 Average daily count of CS indicators
Standard Deviation 1.01

SECONDARY outcome

Timeframe: Burst 3, Daily for 14 days

Population: Only 427 of 452 participants, across all arms, had reported outcome for Burst 3. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Average daily count of COVID stress (CS) indicators

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=34 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=33 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=63 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=78 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=76 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=73 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
COVID Stress (Burst 3)
2.20 Average daily count of CS indicators
Standard Deviation 1.22
1.93 Average daily count of CS indicators
Standard Deviation .99
1.80 Average daily count of CS indicators
Standard Deviation .79
1.88 Average daily count of CS indicators
Standard Deviation 1.06
1.64 Average daily count of CS indicators
Standard Deviation .97
1.70 Average daily count of CS indicators
Standard Deviation .88
1.77 Average daily count of CS indicators
Standard Deviation 1.01
1.85 Average daily count of CS indicators
Standard Deviation 1.03

SECONDARY outcome

Timeframe: Burst 4, Daily for 14 days

Population: Only 432 of 452 participants, across all arms, had reported outcome for Burst 4. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., "No Intervention, No Intervention (AA)", "Attention-Control Texts, Attention-Control Texts (BB)", "CBT Texts, Attention-Control Texts (CB)"). Thus, no arms are combined and all results are reported for each arm separately.

Average daily count of COVID stress (CS) indicators

Outcome measures

Outcome measures
Measure
No Intervention, No Intervention (AA)
n=33 Participants
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=32 Participants
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3.
No Intervention, CBT Texts (AC)
n=66 Participants
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3.
Attention-Control Texts, No Intervention (BA)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3.
Attention-Control Texts, Attention-Control Texts (BB)
n=35 Participants
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3.
Attention-Control Texts, CBT Texts (BC)
n=76 Participants
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3.
CBT Texts, No Intervention (CA)
n=78 Participants
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3.
CBT Texts, Attention-Control Texts (CB)
n=77 Participants
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3.
COVID Stress (Burst 4)
2.09 Average daily count of CS indicators
Standard Deviation 1.25
2.00 Average daily count of CS indicators
Standard Deviation 1.03
1.87 Average daily count of CS indicators
Standard Deviation .91
1.82 Average daily count of CS indicators
Standard Deviation 1.03
1.65 Average daily count of CS indicators
Standard Deviation .97
1.65 Average daily count of CS indicators
Standard Deviation .80
1.71 Average daily count of CS indicators
Standard Deviation .99
1.87 Average daily count of CS indicators
Standard Deviation 1.02

Adverse Events

No Intervention, No Intervention (AA)

Serious events: 1 serious events
Other events: 0 other events
Deaths: 1 deaths

No Intervention, Attention-Control Texts (AB)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

No Intervention, CBT Texts (AC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Attention-Control Texts, No Intervention (BA)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Attention-Control Texts, Attention-Control Texts (BB)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Attention-Control Texts, CBT Texts (BC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

CBT Texts, No Intervention (CA)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

CBT Texts, Attention-Control Texts (CB)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
No Intervention, No Intervention (AA)
n=40 participants at risk
Participants do not receive text messages during Interval 2 or Interval 3.
No Intervention, Attention-Control Texts (AB)
n=38 participants at risk
Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3. Attention Control Text Messaging: Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order. All texts will be supportive messages which express empathy and unconditional positive regard and provide support for dealing with stressors. These messages will be nondirective and will not include any CBT skill suggestions.
No Intervention, CBT Texts (AC)
n=76 participants at risk
Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3. CBT Text Messaging: Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order, with content equally distributed across the four content areas (i.e., psychoeducation regarding effects of stress, distress tolerance, emotion regulation, alcohol reduction).
Attention-Control Texts, No Intervention (BA)
n=40 participants at risk
Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3. Attention Control Text Messaging: Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order. All texts will be supportive messages which express empathy and unconditional positive regard and provide support for dealing with stressors. These messages will be nondirective and will not include any CBT skill suggestions.
Attention-Control Texts, Attention-Control Texts (BB)
n=40 participants at risk
Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3. Attention Control Text Messaging: Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order. All texts will be supportive messages which express empathy and unconditional positive regard and provide support for dealing with stressors. These messages will be nondirective and will not include any CBT skill suggestions.
Attention-Control Texts, CBT Texts (BC)
n=80 participants at risk
Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3. CBT Text Messaging: Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order, with content equally distributed across the four content areas (i.e., psychoeducation regarding effects of stress, distress tolerance, emotion regulation, alcohol reduction). Attention Control Text Messaging: Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order. All texts will be supportive messages which express empathy and unconditional positive regard and provide support for dealing with stressors. These messages will be nondirective and will not include any CBT skill suggestions.
CBT Texts, No Intervention (CA)
n=80 participants at risk
Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3. CBT Text Messaging: Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order, with content equally distributed across the four content areas (i.e., psychoeducation regarding effects of stress, distress tolerance, emotion regulation, alcohol reduction).
CBT Texts, Attention-Control Texts (CB)
n=80 participants at risk
Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3. CBT Text Messaging: Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order, with content equally distributed across the four content areas (i.e., psychoeducation regarding effects of stress, distress tolerance, emotion regulation, alcohol reduction). Attention Control Text Messaging: Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order. All texts will be supportive messages which express empathy and unconditional positive regard and provide support for dealing with stressors. These messages will be nondirective and will not include any CBT skill suggestions.
General disorders
Death
2.5%
1/40 • Number of events 1 • Adverse event data were collected from the time after participants completed the baseline survey until they time they completed the fourth burst of daily diaries (i.e., approximately 14 weeks).
This project's definition of an adverse event and/or serious adverse event does not differ from the clinicaltrials.gov definition.
0.00%
0/38 • Adverse event data were collected from the time after participants completed the baseline survey until they time they completed the fourth burst of daily diaries (i.e., approximately 14 weeks).
This project's definition of an adverse event and/or serious adverse event does not differ from the clinicaltrials.gov definition.
0.00%
0/76 • Adverse event data were collected from the time after participants completed the baseline survey until they time they completed the fourth burst of daily diaries (i.e., approximately 14 weeks).
This project's definition of an adverse event and/or serious adverse event does not differ from the clinicaltrials.gov definition.
0.00%
0/40 • Adverse event data were collected from the time after participants completed the baseline survey until they time they completed the fourth burst of daily diaries (i.e., approximately 14 weeks).
This project's definition of an adverse event and/or serious adverse event does not differ from the clinicaltrials.gov definition.
0.00%
0/40 • Adverse event data were collected from the time after participants completed the baseline survey until they time they completed the fourth burst of daily diaries (i.e., approximately 14 weeks).
This project's definition of an adverse event and/or serious adverse event does not differ from the clinicaltrials.gov definition.
0.00%
0/80 • Adverse event data were collected from the time after participants completed the baseline survey until they time they completed the fourth burst of daily diaries (i.e., approximately 14 weeks).
This project's definition of an adverse event and/or serious adverse event does not differ from the clinicaltrials.gov definition.
0.00%
0/80 • Adverse event data were collected from the time after participants completed the baseline survey until they time they completed the fourth burst of daily diaries (i.e., approximately 14 weeks).
This project's definition of an adverse event and/or serious adverse event does not differ from the clinicaltrials.gov definition.
0.00%
0/80 • Adverse event data were collected from the time after participants completed the baseline survey until they time they completed the fourth burst of daily diaries (i.e., approximately 14 weeks).
This project's definition of an adverse event and/or serious adverse event does not differ from the clinicaltrials.gov definition.

Other adverse events

Adverse event data not reported

Additional Information

Dr. Dominic Parrott, Distinguished University Professor of Psychology

Georgia State University

Phone: +1 (404) 413-6287

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place