Narrative Writing to Promote Healthy Decisions About Alcohol During the Transition Out of College

Официальное название

Project SELF 2.0 Study 2 - Narrative Writing to Promote Healthy Decisions About Alcohol During the Transition Out of College

Обзор

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 college, 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-college transition. The goal of this clinical trial is to test the future possible self task (FPST) in individuals who are about to graduate from college. 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.

Подробное описание

This study will evaluate changes in drinking identity and changes in drinking during the transition out of college in a sample of 528 soon-to-graduate or recently graduated college 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 receive an AUDIT score of 8 or higher, and report 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

Вмешательства

• Поведенческое Most hoped for future self
  Participants in this condition complete a version of the future possible self task in which they think and write about their most hoped for future self for 20 minutes.
• Поведенческое Most feared future self
  Participants in this condition complete a version of the future possible self task in which they think and write about their most feared future self for 20 minutes.
• Поведенческое Balanced future self
  Participants in this condition complete a version of the future possible self task in which they think and write about their most hoped for and feared future self for 20 minutes.
• Поведенческое Control (trip to zoo)
  Participants in this condition think and write about a future trip to the zoo for 20 minutes

Первичные конечные точки

• Explicit drinking identity [Срок оценки: Will be assessed at baseline, post-intervention (about 2 weeks after baseline), 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up]
• Implicit drinking identity [Срок оценки: Will be assessed at baseline, post-intervention (about 2 weeks after baseline), 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up]
• Drinks per week [Срок оценки: Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up]
• Peak drinks per month [Срок оценки: Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up]
• Typical drinks per occasion [Срок оценки: Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up]
• Alcohol-related problems [Срок оценки: Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up]

Вторичные конечные точки (10)

• Risk of Alcohol Use Disorder [Срок оценки: Will be assessed at baseline and at 12-month follow-up]
• Alcohol Craving - Momentary [Срок оценки: Will be assessed at baseline and 2 weeks after baseline]
• Alcohol Craving - Current [Срок оценки: Will be assessed 2 weeks after baseline]
• Alcohol Craving - Retrospective [Срок оценки: Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up]
• Alcohol Expectancies [Срок оценки: Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up]
• Drinking Motives [Срок оценки: Will be assessed at baseline, 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up]
• Social Norms [Срок оценки: 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 [Срок оценки: Will be assessed at baseline, post-intervention (about 2 weeks after baseline), 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up]
• Readiness to Change [Срок оценки: Will be assessed at baseline, post-intervention (about 2 weeks after baseline), 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up]
• Drinking Refusal Self-efficacy [Срок оценки: Will be assessed at baseline, post-intervention (about 2 weeks after baseline), 1-month follow up, 3-month follow up, 6 month-follow up, & 12-month follow up]

Критерии участия

Критерии включения

• Senior in college and expecting to graduate at the University of Washington or University of Houston
• Between the ages of 18-25
• Full time student
• Fluent in English
• Is willing to attend 3 weekly virtual laboratory sessions hosted on HIPAA-compliant Zoom
• Is willing to provide contact information including phone number (for text messages and reminders), email (reminders), and mailing address (payment)
• Scores 8 or more on the Alcohol Use Disorder Identification Test (AUDIT; cut-off for indicator of hazardous drinking) and reports drinking alcohol in the last week
• Reports at least some interest in reducing drinking

Критерии исключения

\- There are no exclusion criteria for this study.

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

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Факторный дизайн

Маскирование

Двойное слепое

Основная цель

Лечение

Центры проведения

США · 1 центр

• University of Houston — Houston

Идентификаторы

NCT: NCT07418424 · STUDY00024354 · R01AA030750-01

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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