Online Education Hubs and Chat-based Text Messaging for Reducing Alcohol Consumption and Binge Drinking in Adolescents: A Pilot Randomized Controlled Trial

Официальное название

Chat-based Text Messaging and Online Education Hubs for Reducing Alcohol Consumption and Binge Drinking in Adolescents: A Pilot Randomized Controlled Trial

Обзор

Online education hubs and Chat-based text messaging for reducing alcohol consumption and binge drinking in adolescents: A pilot randomized controlled trial

Подробное описание

It is urged to alleviate the problem before it become worse. Department of Health in Hong Kong developed 3 information hubs (Alcohol Fails, Young and Alcohol Free and Understanding Alcohol Harm) to distribute alcohol-related messages, such as binge drinking. Yet, it lacks interactive and individualized elements, which makes it difficult to attract secondary school students to search for information. Our previous research also reveals that more than 80% of the respondents are willing to receive message reminders for controlling or avoiding binge drinking. They also suggest that those messages should include drinking limits, health risks, psychological support, and alternative activities. It proves that an interactive and personalized intervention package should be included in secondary school in terms of binge drinking prevention. This could be a research gap to investigate in this project.

We expect that this study result would demonstrate the main effects of the interventions, including mHealth text messaging, and online platform hub. By analyzing those intervention results, we could deeply understand the effective methods to lower the risk of young adult binge drinking phenomenon. We could provide more precise interventions to secondary school students. This study will also prepare for future RCTs to explore the possibility on the integration of other intervention components or factors for binge drinking prevention research. In the long run, the proportion of binge drinking in population and young-aged will be lowered. Department of Health or other future research could implement this intervention as a fundamental to enhance the effectiveness of the alcohol control intervention.

A pilot 2-arm, parallel, open-labelled randomized controlled trial randomly allocated participants (1:1 ratio) to intervention and control groups. The intervention group has 2 intervention components: (1) Online information hub (compulsory: game), (2) mHealth text messaging at last to people who needed (Audit score \>7). The control group will receive self-help materials during the same period. The sample size is 100 participants (50 for each group).

100 ever-drinkers will be recruited from the secondary schools through online and offline. Study information will be disseminated via online advertisements, mass emails, and in-person interactions at schools in various districts, including New Territories, Kowloon, and Hong Kong Island. Interested participants can enroll by completing an online application form using Qualtrics or Google form).

During offline recruitment sessions, staff will approach secondary school students and their parents (if the participants are under 18 years old) to obtain consent and have them complete a baseline questionnaire for further contact and intervention delivery.

Вмешательства

• Поведенческое Online platform hub and mHealth Text Messaging
  The treatment package includes both optional and mandatory treatments. The mandatory treatments consist of mHealth text messaging and an online platform hub. We have developed a game which educates teenagers about alcohol reduction and promotes awareness of alcohol-related harm. Designed to be both engaging and informative, the game uses real-life scenarios, interactive storytelling, and decision-based gameplay to help young people understand the risks of excessive drinking. Also, participants w
• Поведенческое Self-help material
  Self-help material like leaflet is a common method used in preventing teenage Drinking.

Первичные конечные точки

• Number of drinking days [Срок оценки: 3-month follow-up]

Вторичные конечные точки (4)

• Number of ever binge drinking days [Срок оценки: 3-month follow-up]
• Number of binge drinking days [Срок оценки: 3-month follow-up]
• Intention to reduce or quit alcohol drinking [Срок оценки: 3-month follow-up]
• Alcohol Use Disorder Identification Test [Срок оценки: 3-month follow-up]

Критерии участия

Критерии включения

• being a Hong Kong resident aged between 12-18 years;
• having consumed alcohol in the past 12-month;
• Using WhatsApp in their cell phone.

Критерии исключения

• cannot communicate in Cantonese or read Chinese;
• currently using other alcohol control programs.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Профилактика

Центры проведения

Гонконг · 2 центра

• Hong Kong — Гонконг
• Hong Kong — Гонконг

Публикации

• Garnett CV, Crane D, Brown J, Kaner EFS, Beyer FR, Muirhead CR, Hickman M, Beard E, Redmore J, de Vocht F, Michie S. Behavior Change Techniques Used in Digital Behavior Change Interventions to Reduce Excessive Alcohol Consumption: A Meta-regression. Ann Behav Med. 2018 May 18;52(6):530-543. doi: 10.1093/abm/kax029. PMID 29788261
• Wang H, Hu R, Zhong J, Du H, Fiona B, Wang M, Yu M. Binge drinking and associated factors among school students: a cross-sectional study in Zhejiang Province, China. BMJ Open. 2018 Apr 12;8(4):e021077. doi: 10.1136/bmjopen-2017-021077. PMID 29654047
• Ho DSY, Huang R, Wang MP, Lo WS, Lam TH. Adolescent alcohol drinking in Hong Kong: a school-based survey. Hong Kong Med J. 2019 Feb;25 Suppl 3(1):13-15. No abstract available. PMID 30792366
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• Hunt WA. Are binge drinkers more at risk of developing brain damage? Alcohol. 1993 Nov-Dec;10(6):559-61. doi: 10.1016/0741-8329(93)90083-z. PMID 8123218
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Идентификаторы

NCT: NCT07143565 · knowledgehub

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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