Digital Motivational Behavioral Economic Intervention to Reduce Risky Drinking Among Community-Dwelling Emerging Adults
NCT ID: NCT05443750
Last Updated: 2025-06-15
Study Results
Results pending
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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Recruitment Status
ACTIVE_NOT_RECRUITING
Clinical Phase
NA
Total Enrollment
806 participants
Study Classification
INTERVENTIONAL
Study Start Date
2023-01-09
Study Completion Date
2027-08-31
Brief Summary
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Emerging adult risky drinkers living in disadvantaged communities often have limited access to rewarding activities and adult roles that offer alternatives to heavy drinking. Guided by behavioral economics, this cluster randomized controlled trial will evaluate a brief behavioral intervention aimed at increasing future orientation and engaging pro-social alternatives to drinking delivered using a peer-driven sampling method and digital platform well suited for accessing their social networks.
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Detailed Description
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Brief motivational interventions (BMIs) to reduce risky drinking in college students are well established as beneficial, but the needs of emerging adult (EA) risky drinkers who live in disadvantaged communities and are not fulltime college students have been neglected. They tend to have more constrained access to rewarding opportunities, adult roles, and activities that present pro-social alternatives to heavy drinking. When coupled with the foreshortened time horizons typical of many EAs, this suggests the need for interventions that not only enhance motivation to reduce drinking, but guide EAs to engage in alternatives to heavy drinking and orient their behavior toward longer-term positive goals. Guided by behavioral economics (BE), this study will disseminate and evaluate a brief motivational BE intervention that combines BMI elements with the Substance Free Activity Session shown to reduce drinking by increasing future orientation and engagement in pro-social alternatives. The intervention will be delivered using a digital platform appropriate for EAs whose social networks operate through such communications. Because peers influence substance use, a peer-driven sampling method (Respondent Driven Sampling \[RDS\]) will be used to recruit 500 community-dwelling EAs ages 18-28 for a cluster randomized controlled trial that compares the intervention with a health education control condition. Additional EA target population members ("seed" participants, n = 250) will start RDS recruitment but are not part of the intervention evaluation sample. The evaluation study will assess participants' drinking practices and problems, BE outcome predictors, and social networks at enrollment and at 1, 6, and 12-month follow-ups. Intervention efficacy and behavior change mechanisms will be examined. Reduced alcohol demand and delay discounting and favorable post-intervention shifts in future orientation, substance-free vs. substance-involved activities, and use of protective behavioral strategies to reduce drinking-related harms are predicted to mediate intervention effects. Social network analysis will assess whether the intervention attenuates network promotion of individual drinking. The study will be the first to test a web-based alcohol reduction intervention focused on BE principles and to use digital RDS to reach community-dwelling EAs for intervention. The study will translate and test BE mediators and moderators of change, and the digital intervention has high potential for reach and scalability with under-served community risk groups.
Conditions
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Alcohol Drinking
Study Design
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Allocation Method
RANDOMIZED
Intervention Model
PARALLEL
brief web-based motivational behavioral economic alcohol intervention compared to web-based health education control materials
Primary Study Purpose
TREATMENT
Blinding Strategy
TRIPLE
Participants
Investigators
Outcome Assessors
All study procedures are web-based so delivery of intervention or control materials are fully automated, as are the outcomes assessments. The consent form informs participants they will be assigned to either a brief intervention focused on reducing risks of drinking and promoting healthy futures or an alcohol and health education intervention; they may be able to discern which condition they received upon implementation. Of necessity, the investigators know which condition they receive to initiate the proper web-based program.
Study Groups
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Motivational Behavioral Economic Intervention
Web-based alcohol risk reduction brief intervention
Group Type
EXPERIMENTAL
Motivational Behavioral Economic Alcohol Intervention
Intervention Type
BEHAVIORAL
The intervention combines an alcohol brief motivational intervention (US-THRIVE \[Tertiary Health Research Intervention via Email\]) with the Substance-Free Activity Session (SFAS), shown to reduce drinking and related negative consequences by increasing future orientation and engagement in pro-social alternatives to drinking. The intervention will be delivered using a web-based platform appropriate for the young adult target population whose social networks operate through such communications.
Health Education
Web-based health education material
Group Type
ACTIVE_COMPARATOR
Health Education
Intervention Type
BEHAVIORAL
Participants view web-based health educational material about alcohol, sleep, and nutrition of a similar length and style to the experimental intervention materials.
Interventions
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Motivational Behavioral Economic Alcohol Intervention
The intervention combines an alcohol brief motivational intervention (US-THRIVE \[Tertiary Health Research Intervention via Email\]) with the Substance-Free Activity Session (SFAS), shown to reduce drinking and related negative consequences by increasing future orientation and engagement in pro-social alternatives to drinking. The intervention will be delivered using a web-based platform appropriate for the young adult target population whose social networks operate through such communications.
Intervention Type
BEHAVIORAL
Health Education
Participants view web-based health educational material about alcohol, sleep, and nutrition of a similar length and style to the experimental intervention materials.
Intervention Type
BEHAVIORAL
Eligibility Criteria
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Inclusion Criteria
* Males and females ages 18-28 who are not enrolled fulltime in 4-year colleges/universities and who reside in disadvantaged North and Central Florida communities
* Past 30-day alcohol use exceeding NIAAA (2005) single day limits for lower risk drinking (4 drinks for males; 3 drinks for women) and one or more alcohol-related negative consequences in the past 90 days
* Web access via smartphone or computer; and (4) minimum 8th grade education, the level necessary to use study materials.
* Past 30-day alcohol use exceeding NIAAA (2005) single day limits for lower risk drinking (4 drinks for males; 3 drinks for women) and one or more alcohol-related negative consequences in the past 90 days
* Web access via smartphone or computer; and (4) minimum 8th grade education, the level necessary to use study materials.
Exclusion Criteria
* Age out of range
* Blood relatives of previously enrolled participants
* Invalid enrollment referral number
* Fulltime college students
* Absence of above drinking risk indicators
* Lack of smartphone or computer availability
* Education less than 8th grade
* Blood relatives of previously enrolled participants
* Invalid enrollment referral number
* Fulltime college students
* Absence of above drinking risk indicators
* Lack of smartphone or computer availability
* Education less than 8th grade
Minimum Eligible Age
18 Years
Maximum Eligible Age
28 Years
Eligible Sex
ALL
Accepts Healthy Volunteers
Yes
Sponsors
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National Institute on Alcohol Abuse and Alcoholism (NIAAA)
NIH
Sponsor Role
collaborator
University of Florida
OTHER
Sponsor Role
lead
Responsible Party
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Responsibility Role
SPONSOR
Principal Investigators
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Jalie A Tucker, PhD, MPH
Role: PRINCIPAL_INVESTIGATOR
University of Florida
Locations
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University of Florida College of Health & Human Performance
Gainesville, Florida, United States
Site Status
Countries
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United States
References
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Related Links
Access external resources that provide additional context or updates about the study.
http://sourceforge.net/projects/egonet/
Link to access the Egonet software (McCarty \& Smith, 2014)
http://www.niaaa.nih.gov/publications
Link to access the NIAAA's "Helping patients who drink too much: A clinician's guide."
https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHDetailedTabs2018R2/NSDUHDetailedTabs2018.pdf
Link to access National Survey on Drug Use and Health 2018
https://www.samhsa.gov/data/report/2020-nsduh-detailed-tables
Link to access National Survey on Drug Use and Health 2020
http://my.ireta.org/sites/ireta.org/files/USAUDIT-Guide_2016_final.pdf
Link to access the US-AUDIT
Other Identifiers
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IRB202201411
Identifier Type: -
Identifier Source: org_study_id
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A Behavioral Activation Intervention Administered in a College Freshman Orientation Course
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UNKNOWN
PHASE2
Alcohol Health Education With Personalized Feedback Boosters
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COMPLETED
PHASE1/PHASE2
Adaptive Preventive Intervention for College Alcohol Use
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COMPLETED
NA
Brief Alcohol Intervention in General Hospitals
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COMPLETED
PHASE2
Tailored Mobile Text Messaging to Reduce Problem Drinking
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COMPLETED
NA
Efficacy and Mechanisms of Technology-based Behavioral Interventions
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UNKNOWN
NA
Mobile Phone-Based Motivational Interviewing in Kenya
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COMPLETED
NA
CARES: A Mobile Health Program for Alcohol Risk Reduction
NCT03927482
COMPLETED
NA
Testing Brief Personalized Feedback Integrating EMA Alcohol Cue Information
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COMPLETED
NA
Timing Personalized Feedback After Alcohol Health Education
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COMPLETED
PHASE1/PHASE2
Mobile Alcohol Use Intervention
NCT07126613
COMPLETED
NA
Alcohol Expert System Intervention for Problematic Alcohol Use
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COMPLETED
NA
Alcohol Health Education Among College Drinkers
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COMPLETED
PHASE1
Reducing Hazardous Alcohol Use and Optimizing Treatment as Prevention Among Men Living With HIV in Risk Environments
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RECRUITING
NA
Examination of Whether an Exercise Programme Reduces Alcohol Consumption Among Alcohol-Dependent Adults
NCT03848000
COMPLETED
NA
Decreasing Alcohol Use Through Student Peer Leaders
NCT04579068
WITHDRAWN
NA
Healthy Living as You Age
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COMPLETED
PHASE2
ASAP Study - Hospital-Based Brief Intervention for Alcohol Problems
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COMPLETED
PHASE3
Testing Interventions to Reduce Alcohol Consumption Among Outpatients in a Dental Setting
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TERMINATED
NA
Effectiveness of an Intervention in Patients With Excessive Alcohol Consumption
NCT04811729
COMPLETED
NA