Category: Addictive Behaviors

Symposium

Alcohol Risk Reduction Delivered Through Text Messaging to Community College Students

Sunday, November 19
10:15 AM - 11:45 AM
Location: Aqua Salon E & F, Level 3, Aqua Level

Keywords: Addictive Behaviors | Alcohol | Treatment Development
Presentation Type: Symposium

Students at community colleges (CC) comprise nearly half of all U.S. college students and have rates of heavy drinking and consequences equal to or higher than 4-year college students. However, virtually no alcohol safety programs are designed for CC. The objectives of this study were to evaluate the (1) feasibility (number of contacts from interested students, number of eligible participants, achievement of recruitment goals), (2) acceptability (proportion of eligible students who enrolled, completion rate of study assessments, participant ratings of text messages), and (3) initial efficacy of TMAP for alcohol-related harm reduction among CC students relative to a control condition. Heavy drinking adult CC students were randomly assigned to 6-week active intervention (TMAP) or a control condition of general motivational texts not related to alcohol delivered on the same schedule. TMAP texts were delivered twice daily Thursday-Sunday and consisted of alcohol facts, strategies to limit alcohol use and related risks, and motivational messages. Assessments were conducted at baseline, week 6 (end of program) and week 12 (follow up). Of 123 individuals screened, 53% were eligible and 92% enrolled in the study. We exceeded the recruitment goal by 50% (N=60). Overall 93% completed the 6-week and 88% completed the 12-week assessments. Participants rated how much they liked each message using a scale of 1=not liked to 10=most liked. The mean score for all messages was 7.1 (SD=1.2) with no significant difference in ratings of message liking between TMAP and control. TMAP were less likely than controls to report any heavy drinking episodes in the previous two weeks at both week-6 (27.6% vs. 51.6%) and week-12 (34% vs. 48.9%) assessments (p=.05, and p=.20, respectively). GEE analysis across time found main effect for group approaching significance (p =.07).  TMAP were significantly less likely to report negative consequences related to drinking compared to controls (10.3% vs. 35.5%, p =.03). At both follow-ups, TMAP showed a significant increase from baseline in confidence in their ability to limit drinking (p <.01), while no change in confidence was seen among controls. TMAP alcohol risk reduction program was feasible and highly acceptable as indicated by high retention rates through final follow up assessment and good ratings for message content.

Beth Bock

Brown University Medical School

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