Implementation of a Web-based Alcohol and Other Drug Prevention Intervention for Collegiate Student-athletes

Not Applicable

Completed

• Conditions: Social Norms; Alcohol Drinking; Harm Reduction; Expectations
• Interventions: Behavioral: Educational standard and Expectancies; Behavioral: Educational standard and Harm prevention; Behavioral: Normative perceptions and Harm prevention; Behavioral: Normative perceptions, Expectancies, and Harm Prevention; Behavioral: Educational standard; Behavioral: Expectancies and Harm prevention; Behavioral: Educational standard, Normative Perceptions, and Expectancies; Behavioral: Educational standard and Normative perceptions

• Registration Number: NCT04253158
• Lead Sponsor: Prevention Strategies, LLC

Brief Summary

The broad aim of the proposed study is to use the innovative Multiphase Optimization Strategy to develop a highly effective Internet-delivered intervention, myPlaybook, for the prevention of substance use among college student-athletes. myPlaybook will undergo two rounds of randomized experimentation and targeted revision. At the conclusion of the second round, the optimized version of myPlaybook will be evaluated in large-scale Randomized Controlled Trial (RCT).

Detailed Description

College student-athletes are at increased risk of heavy alcohol use, smokeless tobacco use, and the use of performance enhancing substances as compared to non-athlete college students. Despite recent research underscoring the need for athlete-tailored interventions, there are no evidence-based options for the prevention of substance use among college student-athletes that take into account their unique patterns and motivations for use. This void leaves colleges with few easy-to-use, effective, and economical options for meeting the needs of their student-athletes and the minimum drug education requirements set by their governing organizations. The broad aim of the proposed study is to use the innovative Multiphase Optimization Strategy to develop a highly effective Internet-delivered program (myPlaybook) for the prevention of substance use among college student-athletes. The MOST approach is a systematic method for making decisions about program development and adaptation that are based on the performance of individual program components. The five core lessons of myPlaybook will undergo two rounds of randomized experimentation and targeted revision. At the conclusion of the second round, the newly optimized version of myPlaybook will be assembled and evaluated in large-scale Randomized Controlled Trial (RCT). This "beta" version of myPlaybook will be compared to an Internet-based college alcohol intervention with proven effectiveness with general college students. This approach will allow us to 1) develop an intervention that is optimized for considerable impact on substance use outcomes and 2) demonstrate the need for interventions specifically adapted for college student-athletes. The proposed research will be among the first demonstrations of the MOST approach for building and evaluating behavioral interventions with greatly enhanced public health impact. PUBLIC HEALTH RELEVANCE: This project has the potential to contribute to the health and safety of the more than 460,000 college student-athletes in the US. A contribution to the science of prevention will be made by demonstrating an innovative approach for the development and revision of behavioral interventions that focuses on achieving both statistical significance and optimizing public health impact.

Study Timeline

• Study Start: 2011-09-01
• Primary Completion: 2016-05-31
• Study Completion: 2016-05-31
• Status Verified: 2020-01
• Study First Submitted: 2020-01-27
• Study First Submitted QC: 2020-01-31
• Last Update Submitted: 2020-02-03
• Study First Posted: 2020-02-05
• Last Update Posted: 2020-02-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 3859

Inclusion Criteria

• equal to or greater than 18 years of age
• registered first year student-athlete
• competes on NCAA sponsored team
• full-time NCAA collegiate student-athlete

Exclusion

• equal to or less than 17 years of age
• greater than 25 years of age
• non-NCAA sponsored athlete

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
Educational standard and Expectancies	Educational standard and Expectancies	The aim of this arm is to increase knowledge about alcohol and other drug use and shift alcohol-related expectancies.
Educational standard and Harm prevention	Educational standard and Harm prevention	The aim of this arm is to increase knowledge about alcohol and other drug use and increase intentions for the use of harm prevention strategies.
Normative perceptions and Harm prevention	Normative perceptions and Harm prevention	The aim of this arm is to correct erroneous alcohol-related normative perceptions and increase intentions to use harm prevention strategies.
Normative perceptions, Expectancies, and Harm Prevention	Normative perceptions, Expectancies, and Harm Prevention	The aim of this arm is to correct erroneous alcohol-related normative perceptions, shift alcohol-related expectancies, and increase intentions to use harm prevention strategies.
Educational standard	Educational standard	The aim of this arm is to increase knowledge about alcohol and other drug use.
Expectancies and Harm prevention	Expectancies and Harm prevention	The aim of this arm is shift alcohol-related expectancies and increase intentions to use harm prevention strategies.
Educational standard, Normative Perceptions, and Expectancies	Educational standard, Normative Perceptions, and Expectancies	The aim of this arm is to increase knowledge about alcohol and other drug use, correct erroneous alcohol-related normative perceptions, and shift alcohol-related expectancies.
Educational standard and Normative perceptions	Educational standard and Normative perceptions	The aim of this arm is to increase knowledge about alcohol and other drug use and correct erroneous alcohol-related normative perceptions.

Primary Outcome Measures

Name	Time	Method
Negative expectancies: COMPREHENSIVE EFFECTS OF ALCOHOL Scale (adapted CEOA)	past 30-day	This agreement scale (1-4) measured negative expectancies (e.g., consequences of risks and/or aggression) of alcohol related effects. Sub-scale scores are calculated as the sum of respective items. A lower score on this scale results in more positive effects.
Positive expectancies: COMPREHENSIVE EFFECTS OF ALCOHOL Scale (adapted CEOA)	past 30-day	This agreement scale (1-4) measured positive expectancies (e.g., socialability) of alcohol related effects. Sub-scale scores are calculated as the sum of respective items. A higher score on this scale results in more positive effects.
Descriptive norms: DRINKING NORMS RATING FORM (adapted DNRF)	past 30-day	This scale (0-100%) measured the perceptions about the frequency of others' alcohol use. Perceived weekly drinking was computed by summing the reported estimates of drinking for each day of the week for the typical student. The lower the score the better.
Injunctive norms:DRINKING NORMS RATING FORM (adapted DNRF)	past 30-day	This scale (0-100%) measured the perceptions about the frequency of others' approval of alcohol use. Perceived approval of alcohol use of others was computed by summing the reported estimates of approval compared to the actual approval as reported by the typical student. A lower score on this scale results in more positive effects.

Secondary Outcome Measures

Name	Time	Method
PROTECTIVE BEHAVIORAL STRATEGIES SCALE-20 (adapted - PBSS-20)	past 30-day	Intentions to use protective behavioral strategies (e.g., alternating alcoholic and non-alcoholic drinks). This intentions scale (1-7) measured future intent to use alcohol-related harm prevention strategies (e.g., alternating alcoholic and non-alcoholic drinks). A higher score on this scale results in more positive effects.