A Brief Intervention for Alcohol Users With Interpersonal Trauma
A Randomized Controlled Trial of a Trauma-Informed and Peer-Supported Brief Intervention for Alcohol Users With Interpersonal Trauma
1 other identifier
interventional
225
1 country
1
Brief Summary
The current proposal aims to enhance a mobile-delivered brief intervention for young adults with heavy alcohol use and interpersonal trauma by including adaptive coping strategies for managing trauma-related distress and using peer coaches after delivery of the intervention to maintain treatment gains. Individuals will be randomized to a modified brief intervention incorporating with peer coaches, a standard brief intervention, or assessment only. Participants will be followed up at 3 and 6 months post intervention. The investigators hypothesize that the trauma-informed and peer-supported brief intervention (TIPS-BI) will show low levels of dropout, will be perceived positively by participants, and will result in greater reductions in alcohol use compared to a standard brief intervention and assessment only.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2022
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
June 2, 2022
CompletedFirst Posted
Study publicly available on registry
June 10, 2022
CompletedStudy Start
First participant enrolled
September 29, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
April 30, 2026
CompletedFebruary 27, 2026
February 1, 2026
3.6 years
June 2, 2022
February 23, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (11)
Alcohol use
The Daily Drinking Questionnaire
Change from Baseline to 3 month follow-up
Alcohol use
The Daily Drinking Questionnaire
Change from Baseline to 6 month follow-up
Alcohol use
The Brief Young Adult Alcohol Consequences Questionnaire
Change from Baseline to 3 month follow-up
Alcohol use
The Brief Young Adult Alcohol Consequences Questionnaire
Change from Baseline to 6 month follow-up
Cannabis use
The Daily Sessions, Frequency, Age of Onset, Quantity of Cannabis Use Inventory (DFAQ-CU)
Change from baseline to 3-month follow-up
Cannabis use
The Daily Sessions, Frequency, Age of Onset, Quantity of Cannabis Use Inventory (DFAQ-CU)
Change from baseline to 6-month follow-up
Cannabis-related problems
The Marijuana Problems Scale; scores range from 0-38; higher scores reflect greater problems
Change from baseline to 3-month follow-up
Cannabis-related problems
The Marijuana Problems Scale; scores range from 0-38; higher scores reflect greater problems
Change from baseline to 6-month follow-up
Intervention Feasibility
Percentage of drop out in the interventions
6 month follow-up
Intervention Acceptability
Participants in both the standard and modified brief interventions will be asked to rate on a Likert scale how satisfied they were with the intervention.
6 month follow-up
Intervention Helpfulness
Participants in both the standard and modified brief interventions will be asked to rate on a Likert scale how how helpful they found the intervention.
6 month follow-up
Secondary Outcomes (8)
Marijuana use motives
Change from baseline to 3-month follow-up
Marijuana use motives
Change from baseline to 6-month follow-up
Alcohol use motives
Change from baseline to 3-month follow-up
Alcohol use motives
Change from baseline to 6-month follow-up
Substance-related coping
Change from baseline to 3-month follow-up
- +3 more secondary outcomes
Study Arms (3)
Standard Brief Intervention
EXPERIMENTALImmediately following completion of the baseline assessment, participants will be texted a link to a secure website which contains the participant's personalized feedback. Personalized feedback is automatically presented via a programming algorithm that is based on the participants baseline survey responses. The personalized feedback component will include a personalized substance use profile, information on peer norms, prior substance-related consequences experienced by the participant, practical costs (e.g., money spent on substances, fees for a DUI), and standard protective behavioral strategies to limit substance-related risk.
Trauma-Informed and Peer-Supported Brief Intervention (TIPS-BI)
EXPERIMENTALIn addition to the components of the standard brief intervention, the TIPS-BI will include personalized feedback about participants use of substances to cope. Additionally, participants will be provided with psychoeducation about the link between substance use, trauma, and coping motives, and information highlighting the iatrogenic effects that substance use has on negative emotions. Participants will also be given a series of evidence-based alternative coping strategies for managing trauma-related distress such as anxiety, depression, and PTSD. Participants will be asked to set goals related to utilization of these alternative coping strategies. Participants will then be informed that a trained peer who is part of the research team will follow up with them via text message at the monthly time points to review adherence to their goals and offer support.
Assessment only
EXPERIMENTALFollowing the baseline survey, participants in the assessment only group will be texted again 3 and 6 months later to complete follow up assessments. Following the end of the 6-month follow-up, participants will be offered an opportunity to complete the TIPS-BI without peer coach follow-up.
Interventions
Immediately following completion of the baseline assessment, participants will be texted a link to a secure website which contains the participant's personalized feedback. Personalized feedback is automatically presented via a programming algorithm that is based on the participants baseline survey responses. The personalized feedback component will include a personalized substance use profile, information on peer norms, prior substance-related consequences experienced by the participant, practical costs (e.g., money spent on substances, fees for a DUI), and standard protective behavioral strategies to limit substance-related risk.
In addition to the components of the standard brief intervention, the TIPS-BI will include personalized feedback about participants use of substances to cope. Additionally, participants will be provided with psychoeducation about the link between substance use, trauma, and coping motives, and information highlighting the iatrogenic effects that substance use has on negative emotions. Participants will also be given a series of evidence-based alternative coping strategies for managing trauma-related distress such as anxiety, depression, and PTSD. Participants will be asked to set goals related to utilization of these alternative coping strategies. Participants will then be informed that a trained peer who is part of the research team will follow up with them via text message at the monthly time points to review adherence to their goals and offer support.
Following the baseline survey, participants in the assessment only group will be texted again 3 and 6 months later to complete follow up assessments. Following the end of the 6-month follow-up, participants will be offered an opportunity to complete the TIPS-BI without peer coach follow-up.
Eligibility Criteria
You may qualify if:
- Age 18 to 25
- Part-time or full-time college student
- Ability to speak and understand English
- Access to a cell phone
- Lifetime history of interpersonal trauma exposure
- Heavy alcohol use
You may not qualify if:
- \) Currently receiving psychological therapy or psychotropic medication for substance use.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Western Kentucky University
Bowling Green, Kentucky, 42101, United States
Related Publications (5)
Bonomo Y, Coffey C, Wolfe R, Lynskey M, Bowes G, Patton G. Adverse outcomes of alcohol use in adolescents. Addiction. 2001 Oct;96(10):1485-96. doi: 10.1046/j.1360-0443.2001.9610148512.x.
PMID: 11571067BACKGROUNDWilk AI, Jensen NM, Havighurst TC. Meta-analysis of randomized control trials addressing brief interventions in heavy alcohol drinkers. J Gen Intern Med. 1997 May;12(5):274-83. doi: 10.1046/j.1525-1497.1997.012005274.x.
PMID: 9159696BACKGROUNDHalladay J, Petker T, Fein A, Munn C, MacKillop J. Brief interventions for cannabis use in emerging adults: protocol for a systematic review, meta-analysis, and evidence map. Syst Rev. 2018 Jul 25;7(1):106. doi: 10.1186/s13643-018-0772-z.
PMID: 30045752BACKGROUNDKurtz SP, Pagano ME, Buttram ME, Ungar M. Brief interventions for young adults who use drugs: The moderating effects of resilience and trauma. J Subst Abuse Treat. 2019 Jun;101:18-24. doi: 10.1016/j.jsat.2019.03.009. Epub 2019 Mar 24.
PMID: 31174710BACKGROUNDBountress KE, Cusack SE, Sheerin CM, Hawn S, Dick DM, Kendler KS, Amstadter AB. Alcohol consumption, interpersonal trauma, and drinking to cope with trauma-related distress: An auto-regressive, cross-lagged model. Psychol Addict Behav. 2019 May;33(3):221-231. doi: 10.1037/adb0000457. Epub 2019 Mar 14.
PMID: 30869917BACKGROUND
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
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
June 2, 2022
First Posted
June 10, 2022
Study Start
September 29, 2022
Primary Completion
April 30, 2026
Study Completion
April 30, 2026
Last Updated
February 27, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share