Messaging Interventions to Reduce Alcohol Problems Project
MIRAP
Tailored Adaptive Mobile Messaging to Reduce Problem Drinking
1 other identifier
interventional
730
1 country
1
Brief Summary
The study is designed to develop and test a tailored adaptive text messaging/short message service (SMS) intervention for individuals interested in reducing their alcohol consumption. According to the National Institute on Alcohol Abuse and Alcoholism, problem or risky drinking is defined as greater than 7 standard drinks per week for women and 14 standard drinks per week for men. Other groups have other criteria (e.g., 10 drinks for women and 14 for men per week). The Institute of Medicine reports that problem drinkers are those with mild-to-moderate problem severity who do not have physical dependence. Heavy drinking individuals with non-abstinence goals rarely seek treatment for excessive alcohol use, and newer methods such as internet screening and mobile apps provide opportunities to engage and treat this difficult to reach population. There are now 96 mobile phone contracts for every 100 people on earth, making mobile interventions a highly viable method for extending care beyond traditional methods. Text messaging or short message service (SMS) is the most widely available mode of mobile communication and despite its simplicity, has been proven to be a reliable and effective method to induce behavior change across behavioral health targets, including problem drinking. However, large scale randomized controlled trials are needed to provide the necessary empirical evidence to validate SMS interventions and understand the mediators and moderators of outcome for help seeking heavy drinkers who are using or unable to attend in-person care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2019
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 28, 2018
CompletedFirst Posted
Study publicly available on registry
October 4, 2018
CompletedStudy Start
First participant enrolled
May 24, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 18, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2023
CompletedJune 29, 2021
July 1, 2020
1.7 years
September 28, 2018
June 28, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Standard drinks
Weekly sum of standard drinks (SSD)
6 months
Heavy days
Heavy drinking days (HDD)
6 months
Secondary Outcomes (3)
Weekly drinking
6 months
Daily drinking
6 months
Consequences
6 months
Study Arms (3)
Drink Tracking (MA) Condition
ACTIVE COMPARATORPs will receive weekly mobile assessment trick tracking described above for six months in addition to the guidelines on safe drinking.
TA Intervention
EXPERIMENTALThe TA intervention is tailored but will adapt over time too
Tailored Content Only (TO)
EXPERIMENTALThe TO treatment arm includes tailored text messages sent at 6pm daily based on the baseline assessment.
Interventions
Weekly drink tracking for self-monitoring and assessment
Messages are sent more frequently and tailored to some baseline characteristics and adapt to progress
Messages are sent more frequently and tailored to some baseline characteristics
Eligibility Criteria
You may qualify if:
- be fluent and able to read in English at the eighth grade level;
- be between the ages of 21 and 75;
- have an estimated average weekly consumption of greater than 9 or 11 standard drinks per week for women and men, respectively OR at least two nights a week of drinking more than 4 drinks in one sitting for women and 5 drinks for men.
- be willing to reduce their drinking to non-hazardous levels;
- be willing to provide informed consent;
- own a mobile phone, have an active email address, are willing to receive and respond to up to 115 text messages total per month (average = 50); and
- give the name of a collateral who can be contacted in case of loss of contact or emergency.
You may not qualify if:
- present with significant substance use or a current substance use disorder (for any substance other than alcohol, nicotine, or caffeine), which is defined as greater than once weekly use in the past month/more than twice weekly use of marijuana;
- present with a serious psychiatric illness or suicide risk as measured by previous inpatient treatment, medications for psychosis or recent suicidality;
- demonstrate clinically severe alcoholism, as evidenced by physical withdrawal symptoms or a history of serious withdrawal symptoms (e.g., hallucinations, seizures, or delirium tremens), and score greater than 12 on the Short Alcohol Withdrawal Scale (SAWS).
- report a medical condition that precludes drinking any alcohol; or
- demonstrate cognitive impairment as evidenced by a score of less than 7 out of 10 on the consent form quiz.
- express a desire to abstain or intent to obtain additional substance abuse treatment while in the study;
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Partnership for Drug-Free Kids
New York, New York, 10010, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 28, 2018
First Posted
October 4, 2018
Study Start
May 24, 2019
Primary Completion
February 18, 2021
Study Completion
November 1, 2023
Last Updated
June 29, 2021
Record last verified: 2020-07