Social Media Alcohol Intervention

Study Overview
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Brief Summary
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Social media provides frequent interaction with online social networks, increasing exposure to peer influences, which could affect alcohol use in negative or positive ways. The proposed study will recruit adolescents and emerging adults using social media ads, and conduct online screening, enrolling 975 risky drinkers in a randomized controlled trial comparing three conditions: 8-week Social Media Intervention + Incentives, 8-week Social Media Intervention Only, and an e-news attention control condition. These innovative design features will provide the critical next step in harnessing social media to reduce alcohol misuse, which could have enormous public health impact by altering the alcohol use trajectories of youth.

Detailed Description
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The proposed study will recruit adolescents and emerging adults (ages 16-24) using social media ads and conduct online screening, enrolling 975 risky drinkers (i.e., using AUDIT-C screener) in a randomized controlled trial (RCT) comparing three conditions: 1) Social Media Intervention + Incentives (n=325), 2) Social Media Intervention Only (n=325), and 3) Attention Control E-News condition (n=325), with post baseline follow-up assessments at 3, 6, and 12 months. Interventions will include access for 8 weeks to unique, secret group pages facilitated by e-coaches (supervised by therapists), with dynamic content emphasizing reducing alcohol use/misuse as well as concomitant risk behaviors (other drug use based on co-ingestion and common motives for use).

Official Title
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Social Media Interventions to Reduce Alcohol Use Among Youth

Conditions
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Drinking Behavior, Risky Drinking

Intervention / Treatment
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* Behavioral: SMI + I
* Behavioral: SMI


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Individuals will be eligible to participate if they are between the ages of 16 and 24 years and they have a Facebook account. Additionally, individuals will be eligible if they: Have a Past 3-month AUDIT-C score (see below) indicating that they meet criteria for at-risk drinking/alcohol misuse. ages 16-17: ≥3 females and ≥4 males ages 18-24: ≥4 females and ≥5 males Exclusion Criteria: do not live in an area that the study is currently seeking participants from (i.e.- zip code not in area of active recruitment). under 16 years of age or over 24 years of age not Facebook account holder inability to give informed, voluntary consent

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 24 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: SMI + Incentives<br>A Social Media + Incentives (SMI + I) condition | Behavioral: SMI + I<br>* This 8-week social media based intervention consists of e-coaches delivering positive content to facilitate peer interaction. Participants will earn incentives for interaction during the intervention (8 weeks).<br>* Other names: Social Media Intervention + Incentives;|
| Active Comparator: SMI<br>A Social Media Intervention (SMI) condition | Behavioral: SMI<br>* This 8-week social media based intervention consists of e-coaches delivering positive content to facilitate peer interaction. This group will NOT receive incentives for their participation in the secret group.<br>* Other names: Social Media Intervention;|
| No Intervention: Control<br>An Attention-Control E-News (CONTROL) condition | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Alcohol Consumption | 30-day Timeline Follow-Back (TLFB) will be used to assess alcohol consumption, binge drinking, quantity, and frequency of use. | 3-, 6-, and 12- months post baseline | 
| Change in Alcohol Related Consequences | Alcohol related consequences will be measured using the Young Adult Alcohol Consequences Questionnaire (YAACQ). | 3-, 6-, and 12- months post baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Alcohol, Teens, Young Adults, Social Media