Implementation of a Web-based Alcohol and Other Drug Prevention Intervention for Collegiate Student-athletes

Prevention Strategies, LLC

Status: Completed

Conditions: Social Norms; Expectations; Harm Reduction; Alcohol Drinking

Treatments: Behavioral: Normative perceptions and Harm prevention; Behavioral: Educational standard, Normative Perceptions, and Expectancies; Behavioral: Educational standard and Normative perceptions; Behavioral: Normative perceptions, Expectancies, and Harm Prevention; Behavioral: Educational standard and Harm prevention; Behavioral: Educational standard; Behavioral: Educational standard and Expectancies; Behavioral: Expectancies and Harm prevention

Study type: Interventional

Funder types: Industry

Identifiers

NCT04253158

1011

Details and patient eligibility

About

The broad aim of the proposed study is to use the innovative Multiphase Optimization Strategy to develop a highly effective Internet-delivered intervention, myPlaybook, for the prevention of substance use among college student-athletes. myPlaybook will undergo two rounds of randomized experimentation and targeted revision. At the conclusion of the second round, the optimized version of myPlaybook will be evaluated in large-scale Randomized Controlled Trial (RCT).

Full description

College student-athletes are at increased risk of heavy alcohol use, smokeless tobacco use, and the use of performance enhancing substances as compared to non-athlete college students. Despite recent research underscoring the need for athlete-tailored interventions, there are no evidence-based options for the prevention of substance use among college student-athletes that take into account their unique patterns and motivations for use. This void leaves colleges with few easy-to-use, effective, and economical options for meeting the needs of their student-athletes and the minimum drug education requirements set by their governing organizations. The broad aim of the proposed study is to use the innovative Multiphase Optimization Strategy to develop a highly effective Internet-delivered program (myPlaybook) for the prevention of substance use among college student-athletes. The MOST approach is a systematic method for making decisions about program development and adaptation that are based on the performance of individual program components. The five core lessons of myPlaybook will undergo two rounds of randomized experimentation and targeted revision. At the conclusion of the second round, the newly optimized version of myPlaybook will be assembled and evaluated in large-scale Randomized Controlled Trial (RCT). This "beta" version of myPlaybook will be compared to an Internet-based college alcohol intervention with proven effectiveness with general college students. This approach will allow us to 1) develop an intervention that is optimized for considerable impact on substance use outcomes and 2) demonstrate the need for interventions specifically adapted for college student-athletes. The proposed research will be among the first demonstrations of the MOST approach for building and evaluating behavioral interventions with greatly enhanced public health impact. PUBLIC HEALTH RELEVANCE: This project has the potential to contribute to the health and safety of the more than 460,000 college student-athletes in the US. A contribution to the science of prevention will be made by demonstrating an innovative approach for the development and revision of behavioral interventions that focuses on achieving both statistical significance and optimizing public health impact.

Enrollment: 3,859 patients

Sex: All

Ages: 18 to 25 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• equal to or greater than 18 years of age
• registered first year student-athlete
• competes on NCAA sponsored team
• full-time NCAA collegiate student-athlete

Exclusion

• equal to or less than 17 years of age
• greater than 25 years of age
• non-NCAA sponsored athlete

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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3,859 participants in 8 patient groups

Educational standard

Experimental group

Description:

The aim of this arm is to increase knowledge about alcohol and other drug use.

Treatment:

Behavioral: Educational standard

Educational standard and Harm prevention

Experimental group

Description:

The aim of this arm is to increase knowledge about alcohol and other drug use and increase intentions for the use of harm prevention strategies.

Treatment:

Behavioral: Educational standard and Harm prevention

Educational standard and Expectancies

Experimental group

Description:

The aim of this arm is to increase knowledge about alcohol and other drug use and shift alcohol-related expectancies.

Treatment:

Behavioral: Educational standard and Expectancies

Expectancies and Harm prevention

Experimental group

Description:

The aim of this arm is shift alcohol-related expectancies and increase intentions to use harm prevention strategies.

Treatment:

Behavioral: Expectancies and Harm prevention

Educational standard and Normative perceptions

Experimental group

Description:

The aim of this arm is to increase knowledge about alcohol and other drug use and correct erroneous alcohol-related normative perceptions.

Treatment:

Behavioral: Educational standard and Normative perceptions

Normative perceptions and Harm prevention

Experimental group

Description:

The aim of this arm is to correct erroneous alcohol-related normative perceptions and increase intentions to use harm prevention strategies.

Treatment:

Behavioral: Normative perceptions and Harm prevention

Educational standard, Normative Perceptions, and Expectancies

Experimental group

Description:

The aim of this arm is to increase knowledge about alcohol and other drug use, correct erroneous alcohol-related normative perceptions, and shift alcohol-related expectancies.

Treatment:

Behavioral: Educational standard, Normative Perceptions, and Expectancies

Normative perceptions, Expectancies, and Harm Prevention

Experimental group

Description:

The aim of this arm is to correct erroneous alcohol-related normative perceptions, shift alcohol-related expectancies, and increase intentions to use harm prevention strategies.

Treatment:

Behavioral: Normative perceptions, Expectancies, and Harm Prevention