Evaluating Narrative Writing as a Potential Intervention to Promote Healthy Decisions About Alcohol During the Transition Out of High School
概览
- 阶段
- 不适用
- 干预措施
- Most hoped for future self
- 疾病 / 适应症
- Alcohol Use, Unspecified
- 发起方
- University of Washington
- 入组人数
- 468
- 试验地点
- 1
- 主要终点
- Explicit drinking identity
- 状态
- 进行中（未招募）
- 最后更新
- 2个月前
概览
简要总结
The purpose of the proposed research is to evaluate (1) whether a future possible self task (FPST) can lead to changes drinking identity (DI; how much one associates one's self with drinking) and (2) whether the FPST and changes in drinking identity also change indicators of alcohol misuse . This study focuses on individuals who are graduating from highly school, which is a time of transition and identity change. If such changes can be demonstrated, DI may be a mechanism for alcohol misuse and the FPST may be an additional, novel intervention strategy to reduce alcohol misuse during the post-high school transition.
The goal of this clinical trial is to test the future possible self task (FPST) in individuals who are about to graduate from high school.
The main questions it aims to answer are:
- Can the FPST change drinking identity (a risk factor for alcohol misuse)?
- Can the FPST reduce risks for alcohol misuse?
Participants will complete the FPST, a task that involves writing for 20 minutes, and will answer a series of questionnaires and computer-based word categorization tasks. Participants will be followed for a year after completing the FPST.
Researchers will compare different versions of the FPST and different doses (one writing sessions vs. 3 writing sessions) to see which are more effective for changing drinking identity and reducing risks for alcohol misuse.
详细描述
This study will evaluate changes in drinking identity and changes in drinking during the transition out of high school in a sample of 528 soon-to-graduate or recently graduated high school seniors via the future possible self task (FPST). We will test whether an adapted version of the FPST can induce change in drinking identity and reduce risk of alcohol misuse. The study will have a 2 (write about future desired self in relation to drinking vs. no), x 2 (write about future feared self in relation to drinking vs. no) x 2 (write 1x only vs.1x per week for 3 weeks) design. Participants will be randomly assigned to a condition. The study will occur entirely online, with virtual baseline and intervention sessions hosted by a research assistant and with online surveys for the 1-, 3-, 6-, and 12-month follow-ups. Participants, who report at least some alcohol consumption and some interest interest in changing or not increasing their drinking, will be recruited, in equal numbers, from two sites -- one at the University of Washington and one at the University of Houston. Participants will be recruited in two waves (264 each wave, with 132 from each site during each wave). The study will test for changes in drinking identity (primary), in indicators of alcohol misuse (primary \& secondary), and in associated risk factors (secondary; changes in self-efficacy, identification with future self, and craving at baseline, 1-, 3-, 6-, and 12-month follow-ups
研究者
Kristen Lindgren
Professor, Department of Psychiatry and Behavioral Sciences
University of Washington
入排标准
入选标准
- •Senior in high school and expecting to graduate at the end of the academic year or individuals who recently (i.e., within the past three months) graduated high school or earned a GED
- •Between the ages of 17-19
- •Currently reside in WA State (UW Site) or State of Texas (UH Site)
- •Fluent in English
- •Willing to attend three weekly virtual laboratory sessions (hosted on Zoom)
- •Willing to provide contact information, including phone number (for text messages and reminders), email (reminders), and mailing address (payment)
- •Has consumed alcohol at least 1 time in last year
- •Reports at least some interest in NOT increasing one's drinking or at least some interest in reducing drinking
排除标准
- 未提供
研究组 & 干预措施
Most hoped for future self, 3 dose
Participants complete a writing task in which they think and write about their most hoped for future self, weekly for 3 weeks (i.e., at each session).
干预措施: Most hoped for future self
Most hoped future self, 1 dose
Participants complete a writing task in which they think and write about their most hoped for future self one time (on the third session).
干预措施: Most hoped for future self
Most feared future self, 3 dose
Participants complete a writing task in which they think and write about their most feared future self, weekly for 3 weeks (i.e., at each session).
干预措施: Most feared future self
Most feared future self, 1 dose
Participants complete a writing task in which they think and write about their most feared future self one time (on the third session).
干预措施: Most feared future self
Balanced self (hoped and feared self), 3 dose
Participants complete a writing task in which they think and write about their most hoped for and feared future self, weekly for 3 weeks (i.e., at each session).
干预措施: Balanced future self
Balanced self (hoped and feared self), 1 dose
Participants complete a writing task in which they think and write about their most hoped for and feared future self one time (on the third session).
干预措施: Balanced future self
Control, 3 dose
Participants in this condition complete a task in which they think and write about a trip to the zoo weekly for 3 weeks (i.e., at each session).
干预措施: Control (trip to zoo)
Control, 1 dose
Participants in this condition complete a task in which they think and write about a trip to the zoo one time (on the third session).
干预措施: Control (trip to zoo)
结局指标
主要结局
Explicit drinking identity
时间窗: Will be assessed at baseline, post-intervention, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up
This is will be evaluated by the Alcohol Self-Concept Scale. A mean score will be calculated. Scores range from -3 to +3. Higher scores indicate stronger alcohol self-concept
Typical drinks per occasion
时间窗: Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up
This is will be evaluated by the Quantity/Frequency Measure (Q/F). It includes an assessment of the number of drinks consumed on a typical drinking occasion during the last month.
Peak drinks per month
时间窗: Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up
This is will be evaluated by the Quantity/Frequency Measure (Q/F). It includes an assessment of the number of drinks consumed when one drank the most during the last month.
Drinks per week
时间窗: Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up
This is will be evaluated by the Daily Drinking Questionnaire (DDQ). It assesses drinks consumed each day of the week during a typical week during the last month. A sum of drinks over the course of the week will be calculated.
Alcohol-related problems
时间窗: Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up
This is will be evaluated by the Brief Young Adult Alcohol Consequences Questionnaire. It assesses the consequences of drinking (happened yes or no) that occurred during the last month. A sum will be calculated. Higher scores indicate more experiencing more negative consequences from drinking. Scores range from 0 to 24
Implicit drinking identity
时间窗: Will be assessed at baseline,post-intervention, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up
This is will be evaluated by the Drinking Identity Implicit Association Test (IAT). A summary score, called a D score, which is similar to a Cohen's d effect size, will be calculated. Scores range from -2 to +2; higher scores indicate stronger implicit drinking identity.
次要结局
- Alcohol Craving - Retrospective(Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up)
- Drinking Motives(Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up)
- Readiness to Change(Will be assessed at baseline, post-intervention, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up)
- Risk of Alcohol Use Disorder(Will be assessed at baseline and at 12-month follow-up)
- Alcohol Craving - Momentary(Will be assessed at baseline and 2 weeks after baseline)
- Alcohol Expectancies(Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up)
- Drinking Refusal Self-efficacy(Will be assessed at baseline, post-intervention, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up)
- Social Norms(Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up)
- Identification with Future Self(Will be assessed at baseline, post-intervention, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up)