Evaluating Change in Drinking Identity as a Mechanism for Reducing Hazardous Drinking - Study 2

NCT03889873 | Completed

• 2 other identifiers: STUDY000065421R01AA024732-01
• Study Type: interventional
• Target: 329
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the proposed research is to evaluate whether changes in drinking identity (DI; how much one associates one's self with drinking) can reduce hazardous drinking (HD; heavy alcohol use and negative alcohol-related consequences) among current college students. The study seeks to explore whether manipulating DI among participants will have changes in self-efficacy, craving, and HD. If such an effect can be found, DI may be a mechanism for HD behavior change and will allow researchers to develop and improve interventions aimed at HD behaviors in high-risk young adults.

Conditions

Drinking; Excess, Habit (Continual); Identity, Social

Keywords

Drinking identity; Hazardous drinking; Social networks; Self-efficacy; Alcohol craving; Cognitive control; Narrative writing

Outcome Measures

Primary Outcomes (8)

• Changes in Implicit Drinking identity

  drinking identity implicit association test (IAT)

  will be assessed at lab 1, lab 2, lab 2 (weeks 1-3) & long-term follow up (2-week, 1 month, 3 month); data will be reported through study completion (3 month follow up)

• Changes in Explicit Drinking identity

  Alcohol Self-concept Scale; item responses range from -3 to +3; average score on all items is calculated; lower scores represent a better outcome

  will be assessed at lab 1, lab 2, lab 2 (weeks 1-3) & long-term follow up (2-week, 1 month, 3 month); data will be reported through study completion (3 month follow up)

• changes in self-efficacy

  drinking refusal self-efficacy questionnaire

  will be assessed at lab 1, lab 2, lab 2 (weeks 1-3) & long-term follow up (2-week, 1 month, 3 month); data will be reported through study completion (3 month follow up)

• cue-related craving

  current craving from cue reactivity task; assessed via alcohol urge questionnaire

  Cue related craving will be assessed following the cue reactivity task, which occurs during the third and final lab-based session (technically, the third week of the study)

• changes in past week craving

  Penn Alcohol Craving Scale; item responses range from 0 to 6; total score on all items is calculated (can range from 0 to 30); lower scores = better outcome

  will be assessed at lab 1, lab 2, lab 2 (weeks 1-3) & long-term follow up (2-week, 1 month, 3 month); data will be reported through study completion (3 month follow up)

• changes in alcohol consumption

  Modified timeline follow back will assess past daily alcohol consumption (# standard drinks per day); higher consumption = worse outcomes

  will be assessed at lab 1, lab 2, lab 2 (weeks 1-3) & long-term follow up (2-week, 1 month, 3 month); data will be reported through study completion (3 month follow up)

• changes in last 3 month alcohol problems

  Rutgers Alcohol Problems Inventory (RAPI) will be used to assess alcohol problems; item response options range from 0 to 4; total score ranges from 0 to 100; higher scores = worse outcomes

  Assessed at lab 1 (week1) and 3-month follow up; data will be reported through study completion (3 month follow up)

• changes in last two week alcohol problems

  adapted from RAPI \& Young Adult Alcohol Problems Screening Test (YAAPST); item responses are 0 (did not happen) or 1 (happened); higher scores (range from 0 to 10) = worse outcomes

  assessed at lab 2 and 3 (weeks 2 and 3) and at 2 week and 1 month follow up; data will be reported through 1 month follow up

Secondary Outcomes (4)

• changes in future drinking intentions

  assessed at lab 1, lab 2, lab 3 (weeks 1-3); data will be reported through week 3

• changes in frequency of heavy & extreme binge drinking

  assessed at lab 1 (week 1) &

• Changes in Readiness to Change Drinking

  post-writing (lab 1, lab 2, lab 3) long-term follow up (2-week, 1 month, 3 month); data will be reported through study completion (3 month follow up)

• Changes in single-item assessing self-efficacy to limit one's drinking

  will be assessed at lab 1, lab 2, lab 2 (weeks 1-3) & long-term follow up (2-week, 1 month, 3 month); data will be reported through study completion (3 month follow up)

Other Outcomes (7)

• Changes in social network composition

  will be assessed at baseline and 3-month follow up; data will be reported through study completion (3 month follow up)

• Changes in desire thinking about alcohol

  assessed at lab 1 (week 1) and long-term follow up (2-week, 1 month, 3 month); data will be reported through study completion (3 month follow up)

• Changes in smartphone addiction proneness

  Assessed at lab 1 (week 1) and long-term follow up (2 week, 1 month, 3 month); data will be reported through study completion (3 month follow up)

Study Arms (8)

Drinking; No network; First-person

EXPERIMENTAL

In this narrative writing task, the participant is asked to imagine him/herself as a low-risk drinker and describe this future self; the prompt does not instruct to write about social network (important people, friends, family); participant will write using first-person pronouns.

Behavioral: Narrative Writing

Drinking; Network; First-person

EXPERIMENTAL

In this narrative writing task, the participant is asked to imagine him/herself as a low-risk drinker and describe this future self; the prompt instructions include writing about social network (important people, friends, family); participant will write using first-person pronouns.

Behavioral: Narrative Writing

Drinking; No network; Third-person

EXPERIMENTAL

In this narrative writing task, the participant is asked to imagine him/herself as a low-risk drinker and describe this future self; the prompt does not instruct to write about social network (important people, friends, family); participant will write using third-person pronouns.

Behavioral: Narrative Writing

Drinking; Network; Third-person

EXPERIMENTAL

In this narrative writing task, the participant is asked to imagine him/herself as a low-risk drinker and describe this future self; the prompt instructions include writing about social network (important people, friends, family); participant will write using third-person pronouns.

Behavioral: Narrative Writing

Smartphone; No network; First-person

EXPERIMENTAL

In this narrative writing task, the participant is asked to imagine him/herself as someone who has reduced their smartphone usage and describe this future self; the prompt does not instruct to write about social network (important people, friends, family); participant will write using first-person pronouns.

Behavioral: Narrative Writing

Smartphone; Network; First-person

EXPERIMENTAL

In this narrative writing task, the participant is asked to imagine him/herself as someone who has reduced their smartphone usage and describe this future self; the prompt instructions include writing about social network (important people, friends, family); participant will write using first-person pronouns.

Behavioral: Narrative Writing

Smartphone; No network; Third-person

EXPERIMENTAL

In this narrative writing task, the participant is asked to imagine him/herself as someone who has reduced their smartphone usage and describe this future self; the prompt does not instruct to write about social network (important people, friends, family); participant will write using third-person pronouns.

Behavioral: Narrative Writing

Smartphone; Network; Third-person

EXPERIMENTAL

In this narrative writing task, the participant is asked to imagine him/herself as someone who has reduced their smartphone usage and describe this future self; the prompt instructions include writing about social network (important people, friends, family); participant will write using third-person pronouns.

Behavioral: Narrative Writing

Interventions

Narrative Writing BEHAVIORAL

An writing task in which participants are given a description of a possible future self (that varies 3 factors: topic; drinking vs. smartphone; perspective: 1st vs. 3rd-person; and social network: specifically asked to be included vs. not specifically asked to be included). Participants are asked to imagine that future self vividly and to write about the thoughts and feeling describe themselves and their experiences, the characteristics they hope or wish they will ideally possess, the characteristics that they would need to have and the roles they will take on or things they will be doing. Participants are given 20 minutes to think and write. They will write and think about the same future on each of three lab-sessions (which occur at 1-week intervals).

Drinking; Network; First-person; Drinking; Network; Third-person; Drinking; No network; First-person; Drinking; No network; Third-person; Smartphone; Network; First-person; Smartphone; Network; Third-person; Smartphone; No network; First-person; Smartphone; No network; Third-person

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Participants must be full-time UW students, fluent in the English language, and recent (past week) drinkers who self-report drinking hazardously (i.e., score an 8 or above on the Alcohol Use Disorder Identification Test, AUDIT). Participants must also own a smartphone.

You may not qualify if:

• None.

Sponsors & Collaborators

• University of Washington: lead
• National Institute on Alcohol Abuse and Alcoholism (NIAAA): collaborator

Study Sites (1)

University of Washington

Seattle, Washington, 98105, United States

Location

MeSH Terms

Conditions

Habits; Social Identification

Condition Hierarchy (Ancestors)

Behavior; Social Behavior

Study Officials

• Kristen P Lindgren, PhD

  University of Washington

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: The PI, the project coordinator, and experimenters will not know which participants have been assigned to each condition. Outcomes are assessed via computer/online survey. There is no human outcome assessor in this study.
• Purpose: OTHER
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor, School of Medicine: Psychiatry

Model Details: Participants are randomly assigned to a condition to receive one of eight writing prompt variants in a 2x2x2 study design. There is also a within subjects component as participants complete the same writing prompt 3 times (once per week over a 3-week period).

Study Record Dates

• First Submitted: March 14, 2019
• First Posted: March 26, 2019
• Study Start: April 18, 2019
• Primary Completion: February 26, 2021
• Study Completion: June 7, 2021
• Last Updated: October 4, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF, ANALYTIC CODE
• Time Frame: Data will become available after the grant period of award is completed unless there is a requirement to make data publicly available as a condition of publication.
• Access Criteria: Data access requests will be reviewed by the PI and study research coordinator. Requestors will be required to sign a data use agreement.

Locations

US (1)