Alcohol Consumption Clinical Trial
— GLOSSOfficial title:
Gain and Loss Framed Text Messaging to Reduce Drinking Among Older Adults
The goal of this study is to evaluate effectiveness of scalable, tailored text- messaging programs for alcohol use among older adults. This study focuses on gain and loss framing of behavior change goals (i.e., the positives of change and the negatives of remaining with the status quo), critical components of behavioral science and health behavioral interventions. Loss-framing is used to motivate individuals to avoid future problems by focusing on the consequences of no change in behavior, and gain-framing is used to facilitate progress by focusing on the benefits of change. The investigators will design and evaluate three text-messaging programs using a randomized controlled trial: (A) Loss-framed messaging (B) Gain-framed messaging; and (C) Combined (loss and gain) messaging among a sample of 150 older adults with hazardous drinking. Participants will be randomized to one of the three conditions, each of which will include 8 weeks of text-messaging. During the study participants will completed assessments online and via text messages to track drinking.
Status | Recruiting |
Enrollment | 150 |
Est. completion date | September 1, 2024 |
Est. primary completion date | July 1, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 50 Years to 85 Years |
Eligibility | Inclusion Criteria: - Be fluent in and able to read English at the eighth grade level - Between the ages 50 and 85 - Have an estimated average weekly consumption of greater than, for women and men 65 and older, 12, or for men 64 and younger, 15 standard drinks per week - Be willing to reduce their drinking to non-hazardous levels - Be willing to provide informed consent - Own a mobile phone with SMS capability and have an active email address. - Be willing to receive and respond to up to 120 text messages total per month, as well as four online, web- based surveys. Exclusion Criteria: - Demonstrate physiological dependence on alcohol, as evidenced by current or a history of serious physical withdrawal symptoms (e.g., measured by SAWS) - Present with significant substance use (greater than weekly use) or a current substance use disorder (for any substance other than alcohol, nicotine, or caffeine, measured by self report on Form-90 based questions) - Present with a serious psychiatric illness or suicide risk, as measured by previous inpatient treatment, medications for mood disorder or psychosis, recent suicidality, and the PHQ-9. - Unable to understand research study procedures as evidenced by failing a short quiz at the end of reviewing the consent form. |
Country | Name | City | State |
---|---|---|---|
United States | Hunter College of CUNY | New York | New York |
Lead Sponsor | Collaborator |
---|---|
Hunter College of City University of New York |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Weekly sum of standard drinks | Measure 1 of drinking, average of weekly sum of standard drinks | baseline, week 4, week 8, and week 16 | |
Primary | Weekly sum of heavy drinking days | Measure 2 of drinking, average of weekly heavy drinking days | baseline, week 4, week 8, and week 16 | |
Secondary | Percent adherence to daily drinking assessment via text messages | Responses to text messages (via text message) are considered "adherence" to the daily drinking assessment. This measure is akin to compliance. | once daily, starting at baseline, lasting for 8 weeks | |
Secondary | Percent adherence to weekly drinking assessment via web | Responses to text messages (via text message) are considered "adherence" to the weekly drinking assessment. This measure is akin to compliance. | once weekly, starting at baseline, lasting 8 weeks | |
Secondary | Percent willingness to continue the program for another 8 weeks | Participants are asked, "would you like to continue to receive text messages for the next 8 weeks?" If participants report yes, that is willingness to continue in the program. If no, then participants are not willing to continue in the program. | At week 8 assessment |
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