Text Messaging to Reduce High-risk Alcohol Use Among Older Adults
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- High-risk alcohol use (yes/no)
研究概览
简要总结
High-risk drinking is very prevalent among Danes aged 55+. It poses a serious risk to health and independent living, burdening health care systems and family members. Measures to reduce high-risk alcohol use in this growing group at need are urgently needed. A recent small study from the US shows that text messaging reduces high-risk alcohol intake in older adults. The investigators will conduct a pilot study with the same intervention in Denmark, with adaptations to language and culture. The pilot study will investigate among Danish older adults whether text messaging is well-accepted by participants and feasible in terms of reducing 1) high-risk drinking and 2) commonly accompanying problems with daily functioning, social relationships, and mental and physical health. The pilot-trial will include n=60 adults aged 55-80 years who will receive alcohol-related text messages (within a secure app for data protection purposes) over 12 weeks. Assessments will include a baseline assessment and a post-assessment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
盲法说明
Participants are informed in the study material that they are allocated to groups that receive different text messages. They receive no further information on the intervention groups.
入排标准
- 年龄范围
- 55 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •consumption of > 10 standard drinks á 12 gram ethanol per week (i.e., high-risk alcohol use defined by the Danish Health Authority) in the past four weeks
- •desire to reduce drinking
- •age 55 to 80 years
- •mobile phone ownership and willingness to receive and respond to text messages
- •fluency in Danish.
排除标准
- •drinking more than 53 standard drinks per week in the last four weeks
- •past 12 month alcohol withdrawal symptoms or lifetime history of serious withdrawal symptoms (e.g., seizures)
- •score above 12 on the Short alcohol withdrawal scale; SAWS
- •possible drug dependence (i.e., use of illegal drugs or psychotropic medication taken without prescription more than once a month)
- •indication of serious psychiatric illness (lifetime diagnosis of psychosis or bipolar disorder, inpatient treatment or medication for these, recent suicidality)
- •current alcohol/drug abuse treatment or a desire to start alcohol/drug abuse treatment during the study
- •medical condition that requires abstinence from alcohol
- •wish to achieve abstinence (applied to secure a focus on reduction)
- •lack of understanding of study protocol or reading difficulty as evidenced by a score of less than 7 out of 10 on the consent form quiz.
研究组 & 干预措施
Gain-framed
One daily text-message and weekly alcohol use assessment. The text-messages focus on the positive consequences of drinking less.
干预措施: Text messaging (Behavioral)
Loss-framed
One daily text-message and weekly alcohol use assessment. The text-messages focus on the negative consequences of a high alcohol-intake.
干预措施: Text messaging (Behavioral)
Static-tailored
One daily text-message and weekly alcohol use assessment. The text-messages are adapted to the participant's gender and to baseline information on (e.g.) participants' drinking patterns, social network, and self-efficacy. One message per week is adapted to the day on which the participants find it most challenging to reduce their drinking.
干预措施: Text messaging (Behavioral)
Adaptive-tailored
One daily text-message and weekly alcohol use assessment. The text-messages are adapted to the participant's gender and to baseline information on (e.g.) participants' drinking patterns, social network, and self-efficacy. One message per week is adapted to the day on which the participants find it most challenging to reduce their drinking. In addition, text messages are adapted to the weekly alcohol-assessment over time and participants can demand supportive Just-In-Time messages.
干预措施: Text messaging (Behavioral)
Combined
This arm combines all features of the arms Adaptive-tailored and Gain-framed.
干预措施: Text messaging (Behavioral)
Assessment-only
The control group. Participants do only receive 4 questions on their alcohol intake once a week.
结局指标
主要结局
High-risk alcohol use (yes/no)
时间窗: Assessed at 12 weeks after baseline, alcohol use through the past seven days
Drinking over 120 gram ethanol in seven days (determined by outcomes 4 \& 5 )
次要结局
- PHQ-9 (Patient Health Questionnaire-9 )(Assessed at 12 weeks after baseline, through the past 14 days)
- WHOQOL-Bref (The World Health Organization Quality of Life Brief Version )(Assessed at 12 weeks after baseline)
- OBSESSIVE-COMPULSIVE DRINKING SCALE (OCDS)(Through the past seven days, assessed at 12 weeks after baseline)
- Amount of alcohol use(Assessed at 12 weeks after baseline, alcohol use through the past seven days)
- Heavy drinking days(Assessed at 12 weeks after baseline, alcohol use through the past seven days)
- Drinker Inventory of Consequences (DrInC-2R)(Through the past 14 days, assessed at 12 weeks after baseline)
- Frequency of alcohol use(Assessed at 12 weeks after baseline, alcohol use through the past seven days)
- User evaluation (tailor-made)(Assessed at 12 weeks after baseline, through 12 weeks (the intervention period))
研究者
Silke Behrendt
Professor
University of Southern Denmark