scholarly journals Using Facebook to address smoking and heavy drinking in young adults: Protocol for a randomized, controlled trial

2018 ◽  
Vol 68 ◽  
pp. 52-60 ◽  
Author(s):  
Danielle E. Ramo ◽  
Manpreet Kaur ◽  
Ella S. Corpuz ◽  
Derek D. Satre ◽  
Kevin Delucchi ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Young Adults ◽  
Controlled Trial ◽  
Heavy Drinking ◽  
Randomized Controlled

scholarly journals A Multimodal Mobile Sleep Intervention for Young Adults Engaged in Risky Drinking: Protocol for a Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Lisa Fucito ◽  
Garrett Ash ◽  
Kelly DeMartini ◽  
Brian Pittman ◽  
Nancy Barnett ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Young Adults ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Controlled Trial ◽  
Heavy Drinking ◽  
Sleep Hygiene ◽  
Self Monitoring ◽  
Randomized Controlled ◽  
Data Feedback

BACKGROUND This paper describes the research protocol for a randomized, controlled trial of a multimodal mobile sleep intervention for heavy-drinking young adults. Young adults report the highest rates of heavy, risky alcohol consumption and are a priority population for alcohol prevention and intervention efforts. Alcohol strategies that leverage their other health concerns and utilize technology may offer an innovative solution. Poor sleep is common among young adults and a risk factor for developing an alcohol use disorder. Moreover, young adults are interested in information to help them sleep better and behavioral sleep interventions address alcohol use as a standard practice. OBJECTIVE The primary aim of this study is to assess the effectiveness of a 2-week multimodal mobile sleep intervention for reducing drinks consumed per week among heavy-drinking young adults. We will explore the effects on alcohol-related consequences and quantitative and qualitative sleep characteristics as secondary aims. The goals of the study are to identify the optimal combination of sleep intervention components for improving drinking outcomes, the feasibility and acceptability of these components, and the potential mechanisms by which these components may promote alcohol behavior change. METHODS Young adults (ages 18-25) who report recent heavy drinking will be randomly assigned to one of three conditions: (1) mobile sleep hygiene advice (n=30); (2) mobile sleep hygiene advice + sleep/alcohol diary self-monitoring (n=30); or (3) mobile sleep hygiene advice + sleep/alcohol diary self-monitoring + sleep/alcohol data feedback. For the feedback component, participants will complete 2 virtual sessions with a health coach during which they will receive summaries of their sleep and alcohol data and the potential association between them as well as brief advice tailored to their data. All participants will wear sleep and alcohol biosensors daily for 2 weeks for objective assessments of these outcomes. RESULTS Recruitment began in December 2018 and will conclude in 2021. To date, 105 participants have consented to the study. CONCLUSIONS Ultimately, this research could result in an efficacious, low-cost intervention that has broad population reach through the use of technology and a substantial public health impact by reducing alcohol use disorder risk at a crucial developmental stage. CLINICALTRIAL NCT03658954 - registered at clinicaltrials.gov

Efficacy and Impact of an mHealth Intervention to promote Mental Wellness for American Indian and Alaska Native Teens and Young Adults: A Randomized Controlled Trial of the BRAVE Study (Preprint)

2020 ◽  
Author(s):  
Stephanie Craig Rushing ◽  
Allyson Kelley ◽  
Sheana Bull ◽  
David Stephens ◽  
Julia Wrobel ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Young Adults ◽  
Alaska Native ◽  
Help Seeking ◽  
Culturally Relevant ◽  
Controlled Trial ◽  
Text Message ◽  
Text Messages ◽  
Randomized Controlled ◽  
Mental Wellness

BACKGROUND Culturally-relevant interventions are needed to help American Indian and Alaska Native (AI/AN) teens and young adults navigate common risky situations involving family and friends, including drug and alcohol misuse, dating violence, and suicidality. We R Native – a multimedia health resource for Native teens and young adults – designed an intervention for Native youth, delivered via text message, that includes role model videos, mental wellness strategies, and links to culturally-relevant resources (hotlines, chat-lines, websites, etc.) and social support. OBJECTIVE This study aims to test the efficacy of BRAVE to improve participant’s physical, mental, and spiritual health, their use of mental wellness strategies, their help-seeking skills, and associated factors, including cultural resilience, identity, and cultural pride. METHODS The randomized controlled trial was carried out by the Northwest Portland Area Indian Health Board and the mHealth Impact Lab. The team recruited 2,334 AI/AN teens and young adults nationwide (15-24 years old) via social media channels and text message and enrolled 1,044 to participate. AI/AN teens and young adults enrolled in the study received either: 8 weeks of BRAVE text messages designed to improve mental health, help-seeking skills, and cultural resilience; or 8 weeks of STEM text messages, designed to elevate and re-affirm Native voices in science, technology, engineering, math and medicine (STEM); and then received the other set of messages. Primary and secondary outcomes were tested using linear mixed-effect models and linear regressions. RESULTS A total of 833 AI/AN teens and young adults were included in the analysis. Individuals in the BRAVE and STEM arms showed significant positive trends over the course of the study for all primary outcomes except cultural identity and help seeking behavior. Mean scores were significantly different for health (P<.001), resilience (P<.001), negative coping (P=.027), positive coping (P<.001), self-efficacy (P=.021), and self-esteem (P<.001). Changes in help-seeking self-efficacy were significant for those exhibiting risky behavior at baseline to exit (P=.01). Those who reported positive coping scores at baseline also reported better health on average, but no difference in risky drug and alcohol use (P<.001). The number of participants that used text messages to help themselves increased from 69% at 3-months (427/618) to 75% at 8-months (381/501) (P<.001). Similarly, the number of participants that used text messages to help a friend or family member increased from 22% at 3-months (138/616) to 55% at 8-months (272/498). CONCLUSIONS This is the first nationwide randomized controlled trial for AI/AN teens and young adults to test the efficacy of an mHealth intervention on mental wellness. The findings suggest that culturally-relevant multimedia, mHealth interventions can improve help-seeking behavior. Lessons learned from this study may help other AI/AN-serving organizations, prevention programs, policymakers, researchers, and educators as they support the next generation of AI/AN change-makers.

Sustained Effect of a Brief Video in Reducing Public Stigma Toward Individuals With Psychosis: A Randomized Controlled Trial of Young Adults

2021 ◽  
pp. appi.ajp.2020.2
Author(s):  
Doron Amsalem ◽  
John C. Markowitz ◽  
Samantha E. Jankowski ◽  
Lawrence H. Yang ◽  
Linda Valeri ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Young Adults ◽  
Controlled Trial ◽  
Public Stigma ◽  
Randomized Controlled ◽  
Sustained Effect
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