A Randomized Pilot Trial of a Mobile Delivered Brief Motivational Interviewing and Behavioral Economic Alcohol Intervention for Emerging Adults

Kathryn S. Gex; Eun Young Mun; Nancy P. Barnett; Meghan E. McDevitt-Murphy; Kenneth J. Ruggiero; Idia B. Thurston; Cecilia C. Olin; Andrew T. Voss; Alton J. Withers; James G. Murphy

doi:10.1037/adb0000838

A Randomized Pilot Trial of a Mobile Delivered Brief Motivational Interviewing and Behavioral Economic Alcohol Intervention for Emerging Adults

Kathryn S. Gex, Eun Young Mun, Nancy P. Barnett, Meghan E. McDevitt-Murphy, Kenneth J. Ruggiero, Idia B. Thurston, Cecilia C. Olin, Andrew T. Voss, Alton J. Withers, James G. Murphy

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Objective: Mobile health (mHealth) interventions show potential to broaden the reach of efficacious alcohol brief motivational interventions (BMIs). However, efficacy is mixed and may be limited by low participant attention and engagement. The present study examined the feasibility, acceptability, and preliminary efficacy of a live text-message delivered BMI in a pilot randomized clinical trial. Method: Participants were 66 college students (63.6% women; 61.9% White; M_age = 19.95, SD = 1.66) reporting an average of 11.88 (SD = 8.74) drinks per week, 4.42 (SD = 3.59) heavy drinking episodes (HDEs), and 8.44 (SD = 5.62) alcohol-related problems in the past month. Participants were randomized to receive either (a) education or (b) an alcohol BMI plus behavioral economic substance-free activity session (SFAS), each followed by 4 weeks of mini sessions. All sessions were administered via live text-message. Participants completed assessments postintervention (after the 4th mini session) and at 3-month follow-up. Results: 90.9% completed both initial full-length sessions and at least two of the four mini sessions with 87.9% retention at 3-month follow-up. Participants found the interventions useful, interesting, relevant, and effective, with no between-group differences. There were no statistically significant group differences in drinks per week or alcohol-related problems at follow-up, but BMI + SFAS participants reported fewer past-month HDEs than those who received education. Conclusions: Live text-messaging to deliver the BMI + SFAS is feasible and well-received. The preliminary efficacy results should be interpreted cautiously due to the small sample size but support further investigation.

Original language	English
Journal	Psychology of Addictive Behaviors
DOIs	https://doi.org/10.1037/adb0000838
State	Accepted/In press - 2022

Keywords

Alcohol
Behavioral economics
Brief intervention
Emerging adults
Mhealth

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10.1037/adb0000838

Cite this

Gex, K. S., Mun, E. Y., Barnett, N. P., McDevitt-Murphy, M. E., Ruggiero, K. J., Thurston, I. B., Olin, C. C., Voss, A. T., Withers, A. J., & Murphy, J. G. (Accepted/In press). A Randomized Pilot Trial of a Mobile Delivered Brief Motivational Interviewing and Behavioral Economic Alcohol Intervention for Emerging Adults. Psychology of Addictive Behaviors. https://doi.org/10.1037/adb0000838

@article{34471c4424b8400f9dce5e264f32da79,

title = "A Randomized Pilot Trial of a Mobile Delivered Brief Motivational Interviewing and Behavioral Economic Alcohol Intervention for Emerging Adults",

abstract = "Objective: Mobile health (mHealth) interventions show potential to broaden the reach of efficacious alcohol brief motivational interventions (BMIs). However, efficacy is mixed and may be limited by low participant attention and engagement. The present study examined the feasibility, acceptability, and preliminary efficacy of a live text-message delivered BMI in a pilot randomized clinical trial. Method: Participants were 66 college students (63.6% women; 61.9% White; Mage = 19.95, SD = 1.66) reporting an average of 11.88 (SD = 8.74) drinks per week, 4.42 (SD = 3.59) heavy drinking episodes (HDEs), and 8.44 (SD = 5.62) alcohol-related problems in the past month. Participants were randomized to receive either (a) education or (b) an alcohol BMI plus behavioral economic substance-free activity session (SFAS), each followed by 4 weeks of mini sessions. All sessions were administered via live text-message. Participants completed assessments postintervention (after the 4th mini session) and at 3-month follow-up. Results: 90.9% completed both initial full-length sessions and at least two of the four mini sessions with 87.9% retention at 3-month follow-up. Participants found the interventions useful, interesting, relevant, and effective, with no between-group differences. There were no statistically significant group differences in drinks per week or alcohol-related problems at follow-up, but BMI + SFAS participants reported fewer past-month HDEs than those who received education. Conclusions: Live text-messaging to deliver the BMI + SFAS is feasible and well-received. The preliminary efficacy results should be interpreted cautiously due to the small sample size but support further investigation.",

keywords = "Alcohol, Behavioral economics, Brief intervention, Emerging adults, Mhealth",

author = "Gex, {Kathryn S.} and Mun, {Eun Young} and Barnett, {Nancy P.} and McDevitt-Murphy, {Meghan E.} and Ruggiero, {Kenneth J.} and Thurston, {Idia B.} and Olin, {Cecilia C.} and Voss, {Andrew T.} and Withers, {Alton J.} and Murphy, {James G.}",

note = "Funding Information: This work was supported by award F31 AA026486 (PI: Kathryn S. Gex [Soltis]) from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) and T32 DA007288 (PI: McGinty) from the National Institute on Drug Abuse (NIDA). Neither the NIAAA nor NIDA had any role in study design, collection, analysis, and interpretation of the data; writing the report; and the decisions to submit the report for publication. Some of the data included in the article was previously presented at the annual meeting of the APA Division 50 Collaborative Perspectives on Addiction. The authors have no conflicts of interest to report. Publisher Copyright: {\textcopyright} 2022 American Psychological Association",

year = "2022",

doi = "10.1037/adb0000838",

language = "English",

journal = "Psychology of Addictive Behaviors",

issn = "0893-164X",

publisher = "Educational Publishing Foundation",

}

TY - JOUR

T1 - A Randomized Pilot Trial of a Mobile Delivered Brief Motivational Interviewing and Behavioral Economic Alcohol Intervention for Emerging Adults

AU - Gex, Kathryn S.

AU - Mun, Eun Young

AU - Barnett, Nancy P.

AU - McDevitt-Murphy, Meghan E.

AU - Ruggiero, Kenneth J.

AU - Thurston, Idia B.

AU - Olin, Cecilia C.

AU - Voss, Andrew T.

AU - Withers, Alton J.

AU - Murphy, James G.

N1 - Funding Information: This work was supported by award F31 AA026486 (PI: Kathryn S. Gex [Soltis]) from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) and T32 DA007288 (PI: McGinty) from the National Institute on Drug Abuse (NIDA). Neither the NIAAA nor NIDA had any role in study design, collection, analysis, and interpretation of the data; writing the report; and the decisions to submit the report for publication. Some of the data included in the article was previously presented at the annual meeting of the APA Division 50 Collaborative Perspectives on Addiction. The authors have no conflicts of interest to report. Publisher Copyright: © 2022 American Psychological Association

PY - 2022

Y1 - 2022

N2 - Objective: Mobile health (mHealth) interventions show potential to broaden the reach of efficacious alcohol brief motivational interventions (BMIs). However, efficacy is mixed and may be limited by low participant attention and engagement. The present study examined the feasibility, acceptability, and preliminary efficacy of a live text-message delivered BMI in a pilot randomized clinical trial. Method: Participants were 66 college students (63.6% women; 61.9% White; Mage = 19.95, SD = 1.66) reporting an average of 11.88 (SD = 8.74) drinks per week, 4.42 (SD = 3.59) heavy drinking episodes (HDEs), and 8.44 (SD = 5.62) alcohol-related problems in the past month. Participants were randomized to receive either (a) education or (b) an alcohol BMI plus behavioral economic substance-free activity session (SFAS), each followed by 4 weeks of mini sessions. All sessions were administered via live text-message. Participants completed assessments postintervention (after the 4th mini session) and at 3-month follow-up. Results: 90.9% completed both initial full-length sessions and at least two of the four mini sessions with 87.9% retention at 3-month follow-up. Participants found the interventions useful, interesting, relevant, and effective, with no between-group differences. There were no statistically significant group differences in drinks per week or alcohol-related problems at follow-up, but BMI + SFAS participants reported fewer past-month HDEs than those who received education. Conclusions: Live text-messaging to deliver the BMI + SFAS is feasible and well-received. The preliminary efficacy results should be interpreted cautiously due to the small sample size but support further investigation.

AB - Objective: Mobile health (mHealth) interventions show potential to broaden the reach of efficacious alcohol brief motivational interventions (BMIs). However, efficacy is mixed and may be limited by low participant attention and engagement. The present study examined the feasibility, acceptability, and preliminary efficacy of a live text-message delivered BMI in a pilot randomized clinical trial. Method: Participants were 66 college students (63.6% women; 61.9% White; Mage = 19.95, SD = 1.66) reporting an average of 11.88 (SD = 8.74) drinks per week, 4.42 (SD = 3.59) heavy drinking episodes (HDEs), and 8.44 (SD = 5.62) alcohol-related problems in the past month. Participants were randomized to receive either (a) education or (b) an alcohol BMI plus behavioral economic substance-free activity session (SFAS), each followed by 4 weeks of mini sessions. All sessions were administered via live text-message. Participants completed assessments postintervention (after the 4th mini session) and at 3-month follow-up. Results: 90.9% completed both initial full-length sessions and at least two of the four mini sessions with 87.9% retention at 3-month follow-up. Participants found the interventions useful, interesting, relevant, and effective, with no between-group differences. There were no statistically significant group differences in drinks per week or alcohol-related problems at follow-up, but BMI + SFAS participants reported fewer past-month HDEs than those who received education. Conclusions: Live text-messaging to deliver the BMI + SFAS is feasible and well-received. The preliminary efficacy results should be interpreted cautiously due to the small sample size but support further investigation.

KW - Alcohol

KW - Behavioral economics

KW - Brief intervention

KW - Emerging adults

KW - Mhealth

UR - http://www.scopus.com/inward/record.url?scp=85130776399&partnerID=8YFLogxK

U2 - 10.1037/adb0000838

DO - 10.1037/adb0000838

M3 - Article

C2 - 35482647

AN - SCOPUS:85130776399

SN - 0893-164X

JO - Psychology of Addictive Behaviors

JF - Psychology of Addictive Behaviors

ER -

A Randomized Pilot Trial of a Mobile Delivered Brief Motivational Interviewing and Behavioral Economic Alcohol Intervention for Emerging Adults

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