Author
Listed:
- Brian Suffoletto
- Jeffrey Kristan
- Tammy Chung
- Kwonho Jeong
- Anthony Fabio
- Peter Monti
- Duncan B Clark
Abstract
Background: Binge drinking is associated with numerous negative consequences. The prevalence and intensity of binge drinking is highest among young adults. This randomized trial tested the efficacy of a 12-week interactive text message intervention to reduce binge drinking up to 6 months after intervention completion among young adults. Methods and Findings: Young adult participants (18–25 y; n = 765) drinking above the low-risk limits (AUDIT-C score >3/4 women/men), but not seeking alcohol treatment, were enrolled from 4 Emergency Departments (EDs) in Pittsburgh, PA. Participants were randomized to one of three conditions in a 2:1:1 allocation ratio: SMS Assessments + Feedback (SA+F), SMS Assessments (SA), or control. For 12 weeks, SA+F participants received texts each Thursday querying weekend drinking plans and prompting drinking limit goal commitment and each Sunday querying weekend drinking quantity. SA+F participants received tailored feedback based on their text responses. To contrast the effects of SA+F with self-monitoring, SA participants received texts on Sundays querying drinking quantity, but did not receive alcohol-specific feedback. The control arm received standard care. Follow-up outcome data collected through web-based surveys were provided by 78% of participants at 3- months, 63% at 6-months and 55% at 9-months. Multiple imputation-derived, intent-to-treat models were used for primary analysis. At 9-months, participants in the SA+F group reported greater reductions in the number of binge drinking days than participants in the control group (incident rate ratio [IRR] 0.69; 95% CI .59 to.79), lower binge drinking prevalence (odds ratio [OR] 0.52; 95% CI 0.26 to 0.98]), less drinks per drinking day (beta -.62; 95% CI -1.10 to -0.15) and lower alcohol-related injury prevalence (OR 0.42; 95% CI 0.21 to 0.88). Participants in the SA group did not reduce drinking or alcohol-related injury relative to controls. Findings were similar using complete case analyses. Conclusions: An interactive text-message intervention was more effective than self-monitoring or controls in reducing alcohol consumption and alcohol-related injury prevalence up to 6 months after intervention completion. These findings, if replicated, suggest a scalable approach to help achieve sustained reductions in binge drinking and accompanying injuries among young adults. Trial Registration: ClinicalTrials.gov NCT01688245
Suggested Citation
Brian Suffoletto & Jeffrey Kristan & Tammy Chung & Kwonho Jeong & Anthony Fabio & Peter Monti & Duncan B Clark, 2015.
"An Interactive Text Message Intervention to Reduce Binge Drinking in Young Adults: A Randomized Controlled Trial with 9-Month Outcomes,"
PLOS ONE, Public Library of Science, vol. 10(11), pages 1-12, November.
Handle:
RePEc:plo:pone00:0142877
DOI: 10.1371/journal.pone.0142877
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Cited by:
- Braciszewski, Jordan M. & Tzilos Wernette, Golfo K. & Moore, Roland S. & Bock, Beth C. & Stout, Robert L. & Chamberlain, Patricia, 2018.
"A pilot randomized controlled trial of a technology-based substance use intervention for youth exiting foster care,"
Children and Youth Services Review, Elsevier, vol. 94(C), pages 466-476.
- Justin Christopher Yang & Andres Roman-Urrestarazu & Carol Brayne, 2018.
"Binge alcohol and substance use across birth cohorts and the global financial crisis in the United States,"
PLOS ONE, Public Library of Science, vol. 13(6), pages 1-18, June.
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