Automated, tailored adaptive mobile messaging to reduce alcohol consumption in help‐seeking adults: A randomized controlled trial.
Aims: To test differential outcomes between three 6‐month text‐messaging interventions to reduce at‐risk drinking in help‐seeking adults. Design: A three‐arm single‐blind randomized controlled trial with 1‐, 3‐, 6‐ and 12‐month follow‐ups. Setting: United States. A fully remote trial without human c...
| Publicado en: | Addiction Vol. 119; no. 3; pp. 530 - 544 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175229193&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175229193 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Mar2024 vid: 119 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 175229193 173816463 175229193 175229193 10.1111/add.16391 175229193 ppf: 530 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Automated, tailored adaptive mobile messaging to reduce alcohol consumption in help‐seeking adults: A randomized controlled trial. aug: au: Muench, Frederick Madden, Sean P. Oommen, Sherry Forthal, Sarah Srinagesh, Aradhana Stadler, Gertraud Kuerbis, Alexis Leeman, Robert F. Suffoletto, Brian Baumel, Amit Haslip, Cameron Vadhan, Nehal P. Morgenstern, Jon affil: Partnership to End Addiction, New York NY,, USA sug: subj: Alcohol Drinking Prevention and Control Help Seeking Behavior In Adulthood Mobile Applications Utilization Text Messaging Automation Psychosocial Intervention Treatment Outcomes Human Adult United States Randomized Controlled Trials Social Media Descriptive Statistics Male Female Demography Self Report Alcohol Drinking Drinking Behavior Evaluation After Care Comparative Studies Confidence Intervals Funding Source Adult: 19-44 years Male Female ab: Aims: To test differential outcomes between three 6‐month text‐messaging interventions to reduce at‐risk drinking in help‐seeking adults. Design: A three‐arm single‐blind randomized controlled trial with 1‐, 3‐, 6‐ and 12‐month follow‐ups. Setting: United States. A fully remote trial without human contact, with participants recruited primarily via social media outlets. Participants: Seven hundred and twenty‐three adults (mean = 39.9 years, standard deviation = 10.0; 62.5% female) seeking to reduce their drinking were allocated to 6 months of baseline 'tailored statically' messaging (TS; n = 240), 'tailored adaptive' messaging (TA; n = 239) or 'drink tracking' messaging (DT; n = 244). Interventions: TS consisted of daily text messages to reduce harmful drinking that were tailored to demographics and alcohol use. TA consisted of daily, tailored text messages that were also adapted based on goal achievement and proactive prompts. DT consisted of a weekly assessment for self‐reported drinking over the past 7 days. Measurements The primary outcome measure was weekly sum of standard drinks (SSD) at 6‐month follow‐up. Secondary outcome measures included drinks per drinking day (DDD), number of drinking days (NDD) per week and heavy drinking days (HDD) at 1‐, 3‐, 6‐ and 12‐month follow‐ups. Findings At 6 months, compared with DT, TA resulted in significant SSD reductions of 16.2 (from 28.7 to 12.5) drinks [adjusted risk ratio (aRR) = 0.80, 95% confidence interval (CI) = 0.71, 0.91] using intent‐to‐treat analysis. TA also resulted in significant improvements in DDD (aRR = 0.84; 95% CI = 0.77–0.92) and drinking days per week (b = −0.39; 95% CI = −0.67, –0.10), but not HDD compared with DT at 6 months. TA was not significantly different from TS at any time‐point, except DDD at 6 months. All groups made improvements in SSD at 12‐month follow‐up compared with baseline with an average reduction of 12.9 drinks per week across groups. Conclusions: Automated tailored mobile messaging interventions are scalable solutions that can reduce weekly alcohol consumption in remote help‐seeking drinkers over time. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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