Texting to Reduce Alcohol Misuse Pilot Trial (TRAM)

Stanford University

Status: Completed

Conditions: Alcohol Consumption

Treatments: Behavioral: Goal Support (GS); Behavioral: Control; Behavioral: Coaching for Context-specific Peer Support (CCPS)

Study type: Interventional

Funder types: Other

Identifiers

NCT05864235

67584

Details and patient eligibility

About

The primary aims of this project are to determine the feasibility and acceptability of recruiting and retaining young adult binge drinkers online and using text messaging to provide weekly Goal Support (GS) or weekly GS + Coaching for Context-specific Peer Support (CCPS) on alcohol consumption. The secondary aims will determine effect sizes for GS and GS+CCPS groups relative to controls on alcohol consumption at 6- and 12-weeks to inform design of an adequately-powered trial.

Enrollment: 90 patients

Sex: All

Ages: 18 to 25 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• English reader
• Owns a mobile phone with SMS
• Hazardous alcohol consumption as measured by: "How many times in the past year have you had X or more drinks in a day?", where X is 5 for men and 4 for women, and a response of 1 or greater is considered at-risk
• At least in contemplative stage of change for reducing alcohol consumption

Exclusion criteria

• Currently enrolled or past enrollment in a 4-year college
• Pregnant or pregnancy plans in the next 3-months
• Current or planned treatment for alcohol or substance use disorder in next 3-months

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

90 participants in 3 patient groups

Control

Active Comparator group

Description:

Each week for 6-weeks, control group participants will receive the following weekly text message assessments (without receiving any feedback or support): (1) Thursdays (3pm): weekend plans to drink and desire to get drunk; (2) Sundays (12pm): most drinks consumed on any weekend day and peer pressure to drink.

Treatment:

Behavioral: Control

Goal Support (GS)

Experimental group

Description:

Each week for 6-weeks, GS group participants will compete identical weekly text message assessments to the control group and receive further prompts and tailored feedback and support focused on weekly drinking limit goal commitment \& confidence assessments and subsequently receive tailored feedback on goal success to either bolster future goal striving or reframe goal failure.

Treatment:

Behavioral: Control

Behavioral: Goal Support (GS)

GS + Coaching for Context-specific Peer Support (CCPS)

Experimental group

Description:

Each week for 6-weeks, CCPS group participants will compete identical weekly text message assessments and feedback to GS plus additionally will receive weekly motivation and strategies to enlist peer support during drinking episodes.

Treatment:

Behavioral: Coaching for Context-specific Peer Support (CCPS)

Behavioral: Control

Behavioral: Goal Support (GS)