Clinical trial NCT01311245: Testing Alcohol Interventions Among Job-seekers
Official title: Testing Stage Tailored vs. Non-stage Tailored Interventions Among Job-seekers With Risky Drinking
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Hazardous Drinking
Keywords: Risky drinking
Brief intervention
Computer-generated feedback
Stage-tailored
Non-stage-tailored
Lead sponsor: University Medicine Greifswald
Sponsor class: OTHER
Collaborators: name: German Research Foundation
First posted: 2011-03-09
Enrollment: 1243
Sex: ALL
Minimum age (years): 18
Maximum age (years): 64
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The aim of the randomized controlled trial was to test two behavioral interventions among job-seekers with risky drinking. The interventions differed in their theoretical background: Intervention A was tailored to the stage of change, and Intervention B was non-stage-tailored. Over 12 months, job-seekers were pro-actively screened for risky drinking at three job-agencies. Job-seekers with risky drinking were asked to participate in the study. All three groups were assessed at baseline, and 3, 6 and 15 months later. The baseline assessment was self-administered using handheld computers. The follow-up assessments by interviews on the phone, primarily. Both intervention groups received individualized computer generated feedback letters at baseline and 3 months later.


Eligibility criteria: Inclusion Criteria:

* Job-seekers with risky drinking (AUDIT-C ≥ 4/5 \[women/men\] and AUDIT \< 20)

Exclusion Criteria:

* Job-seekers already asked to participate during an earlier visit at the job agency
* Job-seekers not intending to talk to a job-agent/ without waiting time
* Job-seekers physically or mentally not capable of participating in the study
* Job-seekers with insufficient language/ reading skills
* Job-seekers with more severe alcohol problems (AUDIT ≥ 20)
* Job-seekers employed at the department conducting the study

Primary outcomes:
measure: Risky drinking
timeFrame: 6 and 15 months
Secondary outcomes:
measure: Motivation to reduce drinking
timeFrame: 6 and 15 months
measure: Attempts to reduce drinking
timeFrame: 6 and 15 months
measure: Knowledge about drinking limits
timeFrame: 6 and 15 months
measure: Alcohol related problems
timeFrame: 6 and 15 months
measure: Self-rated health
timeFrame: 6 and months
Other outcomes:
Locations:
city: Greifswald
country: Germany
facility: Agentur für Arbeit
city: Stralsund
country: Germany
facility: Agentur für Arbeit
city: Stralsund
country: Germany
facility: Arbeitsgemeinschaft
Study officials:
affiliation: Institute of Social Medicine and Prevention, University Medicine Greifswald
name: Jennis Freyer-Adam, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Freyer-Adam J, Gaertner B, Tobschall S, John U. Health risk factors and self-rated health among job-seekers. BMC Public Health. 2011 Aug 19;11:659. doi: 10.1186/1471-2458-11-659.
citation: Baumann S, Gaertner B, Schnuerer I, Bischof G, John U, Freyer-Adam J. How well do TTM measures work among a sample of individuals with unhealthy alcohol use that is characterized by low readiness to change? Psychol Addict Behav. 2013 Sep;27(3):573-83. doi: 10.1037/a0029368. Epub 2012 Aug 6.
citation: Freyer-Adam J, Baumann S, Schnuerer I, Haberecht K, Bischof G, John U, Gaertner B. Does stage tailoring matter in brief alcohol interventions for job-seekers? A randomized controlled trial. Addiction. 2014 Nov;109(11):1845-56. doi: 10.1111/add.12677. Epub 2014 Aug 1.
citation: Haberecht K, Schnuerer I, Gaertner B, John U, Freyer-Adam J. The Stability of Social Desirability: A Latent Change Analysis. J Pers. 2015 Aug;83(4):404-12. doi: 10.1111/jopy.12112. Epub 2014 Aug 19.
citation: Baumann S, Gaertner B, Schnuerer I, Haberecht K, John U, Freyer-Adam J. The impact of a stage tailored intervention on alcohol use trajectories among those who do not intend to change. Drug Alcohol Depend. 2015 Feb 1;147:167-74. doi: 10.1016/j.drugalcdep.2014.11.020. Epub 2014 Dec 3.
citation: Schnuerer I, Baumann S, Haberecht K, Gaertner B, John U, Freyer-Adam J. Patterns of health risk behaviors among job-seekers: a latent class analysis. Int J Public Health. 2015 Jan;60(1):111-9. doi: 10.1007/s00038-014-0623-1. Epub 2014 Dec 23.
citation: Baumann S, Gaertner B, Schnuerer I, Haberecht K, John U, Freyer-Adam J. Belief incongruence and the intention-behavior gap in persons with at-risk alcohol use. Addict Behav. 2015 Sep;48:5-11. doi: 10.1016/j.addbeh.2015.04.007. Epub 2015 Apr 18.