Implementing Mobile Technology for Unhealthy Alcohol Use

NCT05350878 | Completed

• 2 other identifiers: O22-184-1R21AA029734
• Study Type: interventional
• Target: 344
• Locations: 1 country
• Sites: 1

Brief Summary

Scalable approaches are needed to support patients identified in the emergency department as unhealthy alcohol users and text messaging intervention approaches are a promising solution. However, the process of providers making text messing interventions for unhealthy alcohol use available to patients in an efficient way within already busy and overburdened emergency department workflows (i.e., implementation in real-world emergency department settings) and patients adopting them remains a new area of research. Study investigators will examine barriers and facilitators to the adoption of text messaging interventions for unhealthy alcohol use in emergency departments and use a stakeholder-engaged process to develop and test practical implementation strategies that could provide much needed support to patients who screen positive while reducing burden on emergency departments.

Conditions

Alcohol Drinking

Keywords

Implementation Science; Text Messaging; Unhealthy Alcohol Use; Mobile Health; mHealth

Outcome Measures

Primary Outcomes (1)

• Implementation Effectiveness

  The proportion of eligible patients who enroll in the alcohol text messaging intervention

  5-month intervention period

Secondary Outcomes (2)

• Implementation Feasibility using the Feasibility of Intervention Measure (FIM)

  6-months post-intervention

• Implementation Acceptability using the Acceptability of Intervention Measure (AIM)

  6-months post-intervention

Study Arms (2)

Implementation Intervention

EXPERIMENTAL

Through virtual and in-person meetings, the internal/external facilitation team will support sites in utilizing the multi-component implementation strategy for 7 months

Other: Implementation Intervention

Implementation as Usual

NO INTERVENTION

In control 'implementation as usual' sites, no facilitation or implementation strategies will be provided. Controls will receive 1) an informational session on the text intervention during grand rounds/staff meetings and 2) flyers to provide patients with intervention enrollment information.

Interventions

Implementation Intervention OTHER

Virtual and in-person implementation support

Implementation Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Emergency department patient at one of the participating sites
• years or older
• English-language fluency
• Owing a text-capable phone
• Emergency department staff and providers who work in the intervention sites
• Employed full or part time by the participating health system

Sponsors & Collaborators

• UConn Health: lead
• Northwell Health: collaborator
• Partnership to End Addiction: collaborator
• National Institute on Alcohol Abuse and Alcoholism (NIAAA): collaborator

Study Sites (1)

Northwell Health

New Hyde Park, New York, 11040, United States

Location

Related Publications (1)

• O'Grady MA, Kapoor S, Harrison L, Kwon N, Suleiman AO, Muench FJ. Implementing a text-messaging intervention for unhealthy alcohol use in emergency departments: protocol for implementation strategy development and a pilot cluster randomized implementation trial. Implement Sci Commun. 2022 Aug 6;3(1):86. doi: 10.1186/s43058-022-00333-y.

  PMID: 35933560 DERIVED

MeSH Terms

Conditions

Alcohol Drinking

Condition Hierarchy (Ancestors)

Drinking Behavior; Behavior

Study Officials

• Megan A O'Grady, PhD

  UConn Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Parallel Cluster Randomized

Study Record Dates

• First Submitted: April 18, 2022
• First Posted: April 28, 2022
• Study Start: October 1, 2023
• Primary Completion: December 1, 2024
• Study Completion: December 1, 2024
• Last Updated: September 5, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will share
• Time Frame: Data will be available at the end of the study
• Access Criteria: Per NIAAA archive access criteria

Locations

US (1)