TY - JOUR
T1 - Cross-Tailoring Integrative Alcohol and Risky Sexual Behavior Feedback for College Students
T2 - Protocol for a Hybrid Type 1 Effectiveness-Implementation Trial
AU - Ray, Anne E.
AU - Mun, Eun Young
AU - Lewis, Melissa Ardelle
AU - Litt, Dana M.
AU - Stapleton, Jerod L.
AU - Tan, Lin
AU - Buller, David B.
AU - Zhou, Zhengyang
AU - Bush, Heather M.
AU - Himelhoch, Seth
N1 - Funding Information:
This work was supported by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) grant R01 AA028246. The content is solely the responsibility of the authors and does not represent the official views of the NIAAA or the National Institutes of Health.
Publisher Copyright:
© Anne E Ray, Eun-Young Mun, Melissa A Lewis, Dana M Litt, Jerod L Stapleton, Lin Tan, David B Buller, Zhengyang Zhou, Heather M Bush, Seth Himelhoch.
PY - 2023
Y1 - 2023
N2 - Background: Underage drinking and related risky sexual behavior (RSB) are major public health concerns on United States college campuses. Although technology-delivered personalized feedback interventions (PFIs) are considered a best practice for individual-level campus alcohol prevention, there is room for improving the effectiveness of this approach with regard to alcohol-related RSB. Objective: The aims of this study are to (1) evaluate the impact of a brief PFI that integrates content on alcohol use and RSB and is adapted to include a novel cross-tailored dynamic feedback (CDF) component for at-risk first-year college students and (2) identify implementation factors critical to the CDF’s success to facilitate future scale-up in campus settings. Methods: This study uses a hybrid type 1 effectiveness-implementation design and will be conducted in 3 phases. Phase 1 is a stakeholder-engaged PFI+CDF adaptation guided by focus groups and usability testing. In phase 2, 600 first-year college students who drink and are sexually active will be recruited from 2 sites (n=300 per site) to participate in a 4-group randomized controlled trial to examine the effectiveness of PFI+CDF in reducing alcohol-related RSB. Eligible participants will complete a baseline survey during the first week of the semester and follow-up surveys at 1, 2, 3, 6, and 13 months post baseline. Phase 3 is a qualitative evaluation with stakeholders to better understand relevant implementation factors. Results: Recruitment and enrollment for phase 1 began in January 2022. Recruitment for phases 2 and 3 is planned for the summer of 2023 and 2024, respectively. Upon collection of data, the effectiveness of PFI+CDF will be examined, and factors critical to implementation will be evaluated. Conclusions: This hybrid type 1 trial is designed to impact the field by testing an innovative adaptation that extends evidence-based alcohol programs to reduce alcohol-related RSB and provides insights related to implementation to bridge the gap between research and practice at the university level.
AB - Background: Underage drinking and related risky sexual behavior (RSB) are major public health concerns on United States college campuses. Although technology-delivered personalized feedback interventions (PFIs) are considered a best practice for individual-level campus alcohol prevention, there is room for improving the effectiveness of this approach with regard to alcohol-related RSB. Objective: The aims of this study are to (1) evaluate the impact of a brief PFI that integrates content on alcohol use and RSB and is adapted to include a novel cross-tailored dynamic feedback (CDF) component for at-risk first-year college students and (2) identify implementation factors critical to the CDF’s success to facilitate future scale-up in campus settings. Methods: This study uses a hybrid type 1 effectiveness-implementation design and will be conducted in 3 phases. Phase 1 is a stakeholder-engaged PFI+CDF adaptation guided by focus groups and usability testing. In phase 2, 600 first-year college students who drink and are sexually active will be recruited from 2 sites (n=300 per site) to participate in a 4-group randomized controlled trial to examine the effectiveness of PFI+CDF in reducing alcohol-related RSB. Eligible participants will complete a baseline survey during the first week of the semester and follow-up surveys at 1, 2, 3, 6, and 13 months post baseline. Phase 3 is a qualitative evaluation with stakeholders to better understand relevant implementation factors. Results: Recruitment and enrollment for phase 1 began in January 2022. Recruitment for phases 2 and 3 is planned for the summer of 2023 and 2024, respectively. Upon collection of data, the effectiveness of PFI+CDF will be examined, and factors critical to implementation will be evaluated. Conclusions: This hybrid type 1 trial is designed to impact the field by testing an innovative adaptation that extends evidence-based alcohol programs to reduce alcohol-related RSB and provides insights related to implementation to bridge the gap between research and practice at the university level.
KW - alcohol-related risky sexual behavior
KW - college students
KW - cross-tailored dynamic feedback
KW - effectiveness-implementation hybrid designs
KW - personalized feedback intervention
KW - underage drinking
UR - http://www.scopus.com/inward/record.url?scp=85151399337&partnerID=8YFLogxK
U2 - 10.2196/43986
DO - 10.2196/43986
M3 - Article
AN - SCOPUS:85151399337
SN - 1929-0748
VL - 12
JO - JMIR Research Protocols
JF - JMIR Research Protocols
M1 - e43986
ER -