Study of Mobile Phone Delivered Intervention to Reduce Alcohol Consumption

Study Overview
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Brief Summary
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In this study, the investigators will be developing and testing a mobile phone text message intervention to reduce alcohol use for people at risk of alcohol dependence. The investigators hypothesize that this intervention will be acceptable to participants, and that they will stay in the intervention until it's one week completion.

Official Title
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Mobilizing to Reduce Overuse of Alcohol in Emergency Department Patients

Conditions
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Alcohol Abuse

Intervention / Treatment
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* Behavioral: mROAD


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: AUDIT score 15-20 have a mobile phone capable of receiving text messages Exclusion Criteria: age <18 unable to consent language other than English or Spanish

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: mROAD<br>1 week of twice daily text messages modeled after SBIRT interventions | Behavioral: mROAD<br> <br> |
| No Intervention: Usual Care<br>Usual care in ED | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acceptability of Intervention to Patient | percentage of patients that do not opt out of messages prior to 1 week completion | 1 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants Completed Assessment at 1 Month | Feasibility of follow up of urban low-income at risk drinkers by phone defined as number of patients can be contacted at one months to complete assessment of alcohol use | 1 month | 
| Change in Days Drinking Alcohol | patients reported number of days drinking any alcohol in prior 30 days, baseline report minus 1 month follow up report | 1 month | 
| Change in Days Drinking Heavily in 30 Days | patients reported number of heavy drinking days in prior 30 days (3 or more standard sized drinks per episode for women and 4 or more standard sized drinks per episode for men), baseline report minus 1 month follow up report | 1 month | 
| Change in Motivation to Change Score | Participants reported desire to change via the Change Questionnaire applied to risky alcohol use.[1] The Change questionnaire has a Cronbach's alpha of 0.86 when applied to alcohol use.[2] Minimum score is 0 (low motivation to change) to maximum 120 (high motivation to change). Miller WR, Johnson WR. A natural language screening measure for motivation to change. Addictive behaviors. 2008;33(9):1177-1182. Miller WR, Johnson WR. A natural language screening measure for motivation to change. Addictive Behaviors. 2008;33(9):1177-1182. | 1 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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alcohol, mHealth, SBIRT