A Social Media Personalized Normative Feedback Intervention for Heavy Drinking College Students

Study Overview
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Brief Summary
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This study seeks to evaluate the unique and synergistic efficacy of social media-specific personalized normative feedback targeting the reduction of alcohol use among heavy-drinking college students who post alcohol-related content on social media. Hypothesis: Alcohol personalized normative feedback, social media-specific personalized normative feedback, and the Alcohol personalized normative feedback+ social media-specific personalized normative feedback conditions will be more effective in reducing drinking than the attention control condition.

Official Title
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Project Smash (Social Media Alcohol Session for Health)

Conditions
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Alcohol Consumption

Intervention / Treatment
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* Behavioral: Alcohol personalized normative feedback (APNF)
* Behavioral: Social media personalized normative feedback (SMPNF)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: College students recruited across three universities: Duquesne University, Miami University, and University of Houston (DU, MU, UH) Undergraduate college students 18 to 26 years old Meet heavy drinking (4+ drinks in one sitting for individuals assigned female at birth, 5+ drinks in one sitting for individuals assigned male at birth in the past month) and ARC (alcohol-related content) posting criteria (2+ ARC posts in the last 30 days for individuals assigned female at birth, 1+ for individuals assigned male at birth, on either Facebook, Instagram, Snapchat, Twitter, or TikTok) Exclusion Criteria: Pregnant or of another protected population

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 26 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: Alcohol personalized normative feedback (APNF)<br>Participants will receive feedback about their consumption, what they think the average student at their university drinks, and actual drinking statistics at their university. Participants in this condition will participate in a baseline survey and afterwards will receive the feedback intervention. They will then complete follow-up surveys at 3-months and 6-months. | Behavioral: Alcohol personalized normative feedback (APNF)<br>* Participants will receive individualized feedback based upon their survey responses. Feedback regarding participant's drinking compared to other same-university students will include: (a) drinking days per week, (b) average drinks per occasion, (c) drinks per week, and (d) drinking percentile rank.<br>|
| Experimental: Social media personalized normative feedback (SMPNF)<br>Participants will receive feedback about their consumption and alcohol related consumption posts, what they think the average student at their university drinks, and actual drinking statistics at their university. Participants in this condition will participate in a baseline survey and afterwards will receive the feedback intervention. They will then complete follow-up surveys at 3-months and 6-months. | Behavioral: Social media personalized normative feedback (SMPNF)<br>* Participants will receive individualized feedback based upon their survey responses. Feedback regarding participant's alcohol related content posts on social media and drinking compared to other same-university students will include: (a) alcohol related posting days per week, (b) average alcohol related posting per week, (c) posting percentile rank, (d) drinking days per week, (e) average drinks per week, and (f) drinking percentile rank.<br>|
| Experimental: Alcohol and social media personalized normative feedback (APNF + SMPNF)<br>Participants will go through the alcohol personalized normative feedback process and the social media personalized normative feedback. Participants in this condition will participate in a baseline survey and afterwards will receive the feedback intervention. They will then complete follow-up surveys at 3-months and 6-months. | Behavioral: Alcohol personalized normative feedback (APNF)<br>* Participants will receive individualized feedback based upon their survey responses. Feedback regarding participant's drinking compared to other same-university students will include: (a) drinking days per week, (b) average drinks per occasion, (c) drinks per week, and (d) drinking percentile rank.<br>Behavioral: Social media personalized normative feedback (SMPNF)<br>* Participants will receive individualized feedback based upon their survey responses. Feedback regarding participant's alcohol related content posts on social media and drinking compared to other same-university students will include: (a) alcohol related posting days per week, (b) average alcohol related posting per week, (c) posting percentile rank, (d) drinking days per week, (e) average drinks per week, and (f) drinking percentile rank.<br>|
| No Intervention: Attention control<br>Participants will receive feedback about their consumption of desserts, what they think their peers consume, and actual dessert consumption statistics are for individuals in their age group in the United States. Participants in this condition will participate in a baseline survey/feedback intervention. They will then complete follow-up surveys and feedback interventions at 3-months and 6-months. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Brief Young Adult Alcohol Consequences Questionnaire (B-YAACQ) - change is being assessed | The B-YAACQ is a 24 item assessment which measures consequences in 8 domains over a given time frame. Subscales include: Social/Interpersonal, Academic/Occupational, Risky Behavior, Impaired Control, Poor Self-Care, Diminished Self-Perception, Blackout Drinking, and Physiological Dependence. Minimum value: 0; Maximum Value: 24; Higher scores indicate more alcohol-related problems. | Baseline, 3 month follow-up, 6 month follow-up | 
| Alcohol Use Disorder Identification Test (AUDIT) - change is being assessed | The AUDIT is a 10 item tool which assesses a participant's drinking habits and alcohol-related consequences. Minimum value: 0; Maximum Value: 40; Higher scores indicate worse outcomes. A score of 15 or more indicates the likelihood of alcohol dependence. | Baseline, 3 month follow-up, 6 month follow-up | 
| Rutgers Alcohol Problems Index (RAPI) -change is being assessed | The RAPI is a 25-item questionnaire that measures problem drinking. Items are rated on a 4-point Likert scale, ranging from none (0) to more than five times (4). Minimum value: 0; Maximum Value: 100; Higher scores indicate more alcohol-related problems. | Baseline, 3 month follow-up, 6 month follow-up | 
| Quantity/Frequency/Peak Index (QFI) -change is being assessed | The QFI consists of five items which assess participants' typical alcohol consumption patterns. Minimum value: 0; Maximum Value: 24; Higher scores indicate more alcohol use. | Baseline, 3 month follow-up, 6 month follow-up | 
| Daily Drinking Questionnaire (DDQ) -change is being assessed | The DDQ is a 9 item tool which assesses participants' drinking over the past 3 months. Participants report how much they drank on an average over the past 3 months by indicating the number of drinks they consumed on each day of the week. Minimum value: 0; Maximum Value: 175 (windsorized to 25 drinks per day); Higher scores indicate more alcohol use. | Baseline, 3 month follow-up, 6 month follow-up | 
| Drinking Norms Rating Form (DNRF) -change is being assessed | The DNRF is a 5 item questionnaire that assesses an individual's view on the drinking habits of other individuals attending the same university. It was adapted from the Daily Drinking Questionnaire to assess perceptions of drinking norms on campus. Minimum value: 0; Maximum Value: 175 (windsorized to 25 drinks per day); Higher scores indicate students perceive their peers to engage in more alcohol use. | Baseline, 3 month follow-up, 6 month follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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social media