- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05608109
A Social Media Personalized Normative Feedback Intervention for Heavy Drinking College Students (SMASH)
Project Smash (Social Media Alcohol Session for Health)
This study seeks to evaluate the unique and synergistic efficacy of social media-specific personalized normative feedback targeting the reduction of alcohol use among heavy-drinking college students who post alcohol-related content on social media.
Hypothesis: Alcohol personalized normative feedback, social media-specific personalized normative feedback, and the Alcohol personalized normative feedback+ social media-specific personalized normative feedback conditions will be more effective in reducing drinking than the attention control condition.
Study Overview
Status
Conditions
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Mai Ly Steers, PhD
- Phone Number: 412-396-4761
- Email: steersm@duq.edu
Study Contact Backup
- Name: Julie Christy
- Phone Number: 412-396-1886
- Email: christy@duq.edu
Study Locations
-
-
Ohio
-
Oxford, Ohio, United States, 45056
- Recruiting
- Miami University
-
Contact:
- Rose Marie Ward
-
-
Pennsylvania
-
Houston, Pennsylvania, United States, 77204
- Recruiting
- University of Houston
-
Contact:
- Mai Ly Steers
- Phone Number: 310-213-0667
- Email: mnsteers@uh.central.edu
-
Pittsburgh, Pennsylvania, United States, 15282
- Recruiting
- Duquesne University
-
Contact:
- Mai-Ly N Steers
- Phone Number: 310-213-0667
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- College students recruited across three universities: Duquesne University, Miami University, and University of Houston (DU, MU, UH)
- Undergraduate college students 18 to 26 years old
- Meet heavy drinking (4+ drinks in one sitting for individuals assigned female at birth, 5+ drinks in one sitting for individuals assigned male at birth in the past month) and ARC (alcohol-related content) posting criteria (2+ ARC posts in the last 30 days for individuals assigned female at birth, 1+ for individuals assigned male at birth, on either Facebook, Instagram, Snapchat, Twitter, or TikTok)
Exclusion Criteria:
- Pregnant or of another protected population
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Alcohol personalized normative feedback (APNF)
Participants will receive feedback about their consumption, what they think the average student at their university drinks, and actual drinking statistics at their university. Participants in this condition will participate in a baseline survey and afterwards will receive the feedback intervention. They will then complete follow-up surveys at 3-months and 6-months. |
Participants will receive individualized feedback based upon their survey responses.
Feedback regarding participant's drinking compared to other same-university students will include: (a) drinking days per week, (b) average drinks per occasion, (c) drinks per week, and (d) drinking percentile rank.
|
Experimental: Social media personalized normative feedback (SMPNF)
Participants will receive feedback about their consumption and alcohol related consumption posts, what they think the average student at their university drinks, and actual drinking statistics at their university. Participants in this condition will participate in a baseline survey and afterwards will receive the feedback intervention. They will then complete follow-up surveys at 3-months and 6-months. |
Participants will receive individualized feedback based upon their survey responses.
Feedback regarding participant's alcohol related content posts on social media and drinking compared to other same-university students will include: (a) alcohol related posting days per week, (b) average alcohol related posting per week, (c) posting percentile rank, (d) drinking days per week, (e) average drinks per week, and (f) drinking percentile rank.
|
Experimental: Alcohol and social media personalized normative feedback (APNF + SMPNF)
Participants will go through the alcohol personalized normative feedback process and the social media personalized normative feedback. Participants in this condition will participate in a baseline survey and afterwards will receive the feedback intervention. They will then complete follow-up surveys at 3-months and 6-months. |
Participants will receive individualized feedback based upon their survey responses.
Feedback regarding participant's drinking compared to other same-university students will include: (a) drinking days per week, (b) average drinks per occasion, (c) drinks per week, and (d) drinking percentile rank.
Participants will receive individualized feedback based upon their survey responses.
Feedback regarding participant's alcohol related content posts on social media and drinking compared to other same-university students will include: (a) alcohol related posting days per week, (b) average alcohol related posting per week, (c) posting percentile rank, (d) drinking days per week, (e) average drinks per week, and (f) drinking percentile rank.
|
No Intervention: Attention control
Participants will receive feedback about their consumption of desserts, what they think their peers consume, and actual dessert consumption statistics are for individuals in their age group in the United States. Participants in this condition will participate in a baseline survey/feedback intervention. They will then complete follow-up surveys and feedback interventions at 3-months and 6-months. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Brief Young Adult Alcohol Consequences Questionnaire (B-YAACQ) - change is being assessed
Time Frame: Baseline, 3 month follow-up, 6 month follow-up
|
The B-YAACQ is a 24 item assessment which measures consequences in 8 domains over a given time frame.
Subscales include: Social/Interpersonal, Academic/Occupational, Risky Behavior, Impaired Control, Poor Self-Care, Diminished Self-Perception, Blackout Drinking, and Physiological Dependence.
Minimum value: 0; Maximum Value: 24; Higher scores indicate more alcohol-related problems.
|
Baseline, 3 month follow-up, 6 month follow-up
|
Alcohol Use Disorder Identification Test (AUDIT) - change is being assessed
Time Frame: Baseline, 3 month follow-up, 6 month follow-up
|
The AUDIT is a 10 item tool which assesses a participant's drinking habits and alcohol-related consequences.
Minimum value: 0; Maximum Value: 40; Higher scores indicate worse outcomes.
A score of 15 or more indicates the likelihood of alcohol dependence.
|
Baseline, 3 month follow-up, 6 month follow-up
|
Rutgers Alcohol Problems Index (RAPI) -change is being assessed
Time Frame: Baseline, 3 month follow-up, 6 month follow-up
|
The RAPI is a 25-item questionnaire that measures problem drinking.
Items are rated on a 4-point Likert scale, ranging from none (0) to more than five times (4).
Minimum value: 0; Maximum Value: 100; Higher scores indicate more alcohol-related problems.
|
Baseline, 3 month follow-up, 6 month follow-up
|
Quantity/Frequency/Peak Index (QFI) -change is being assessed
Time Frame: Baseline, 3 month follow-up, 6 month follow-up
|
The QFI consists of five items which assess participants' typical alcohol consumption patterns.
Minimum value: 0; Maximum Value: 24; Higher scores indicate more alcohol use.
|
Baseline, 3 month follow-up, 6 month follow-up
|
Daily Drinking Questionnaire (DDQ) -change is being assessed
Time Frame: Baseline, 3 month follow-up, 6 month follow-up
|
The DDQ is a 9 item tool which assesses participants' drinking over the past 3 months.
Participants report how much they drank on an average over the past 3 months by indicating the number of drinks they consumed on each day of the week.
Minimum value: 0; Maximum Value: 175 (windsorized to 25 drinks per day); Higher scores indicate more alcohol use.
|
Baseline, 3 month follow-up, 6 month follow-up
|
Drinking Norms Rating Form (DNRF) -change is being assessed
Time Frame: Baseline, 3 month follow-up, 6 month follow-up
|
The DNRF is a 5 item questionnaire that assesses an individual's view on the drinking habits of other individuals attending the same university.
It was adapted from the Daily Drinking Questionnaire to assess perceptions of drinking norms on campus.
Minimum value: 0; Maximum Value: 175 (windsorized to 25 drinks per day); Higher scores indicate students perceive their peers to engage in more alcohol use.
|
Baseline, 3 month follow-up, 6 month follow-up
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Mai-Ly N Steers, PhD, Duquesne University
Publications and helpful links
General Publications
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- Curtis BL, Lookatch SJ, Ramo DE, McKay JR, Feinn RS, Kranzler HR. Meta-Analysis of the Association of Alcohol-Related Social Media Use with Alcohol Consumption and Alcohol-Related Problems in Adolescents and Young Adults. Alcohol Clin Exp Res. 2018 Jun;42(6):978-986. doi: 10.1111/acer.13642. Epub 2018 May 22.
- Read JP, Kahler CW, Strong DR, Colder CR. Development and preliminary validation of the young adult alcohol consequences questionnaire. J Stud Alcohol. 2006 Jan;67(1):169-77. doi: 10.15288/jsa.2006.67.169.
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- Shensa A, Sidani JE, Escobar-Viera CG, Switzer GE, Primack BA, Choukas-Bradley S. Emotional support from social media and face-to-face relationships: Associations with depression risk among young adults. J Affect Disord. 2020 Jan 1;260:38-44. doi: 10.1016/j.jad.2019.08.092. Epub 2019 Aug 29.
- Cella D, Riley W, Stone A, Rothrock N, Reeve B, Yount S, Amtmann D, Bode R, Buysse D, Choi S, Cook K, Devellis R, DeWalt D, Fries JF, Gershon R, Hahn EA, Lai JS, Pilkonis P, Revicki D, Rose M, Weinfurt K, Hays R; PROMIS Cooperative Group. The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005-2008. J Clin Epidemiol. 2010 Nov;63(11):1179-94. doi: 10.1016/j.jclinepi.2010.04.011. Epub 2010 Aug 4.
- Radloff, LS. The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement. 1977; 1(3): 385-401.
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- Sobell LC, Sobell MB. 2012. Timeline Follow-Back. In: Litten R.Z., Allen J.P. (eds) Measuring Alcohol Consumption. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-0357-5_3
- Kahler CW, Hustad J, Barnett NP, Strong DR, Borsari B. Validation of the 30-day version of the Brief Young Adult Alcohol Consequences Questionnaire for use in longitudinal studies. J Stud Alcohol Drugs. 2008 Jul;69(4):611-5. doi: 10.15288/jsad.2008.69.611.
- Moussas G, Dadouti G, Douzenis A, Poulis E, Tzelembis A, Bratis D, Christodoulou C, Lykouras L. The Alcohol Use Disorders Identification Test (AUDIT): reliability and validity of the Greek version. Ann Gen Psychiatry. 2009 May 14;8:11. doi: 10.1186/1744-859X-8-11.
- Earleywine M, LaBrie JW, Pedersen ER. A brief Rutgers Alcohol Problem Index with less potential for bias. Addict Behav. 2008 Sep;33(9):1249-53. doi: 10.1016/j.addbeh.2008.05.006. Epub 2008 May 13.
- Mange J, Mauduy M, Senemeaud C, Bagneux V, Cabe N, Jacquet D, Leconte P, Margas N, Mauny N, Ritz L, Gierski F, Beaunieux H. What really matters in binge drinking: A dominance analysis of binge drinking psychological determinants among University students. Addict Behav Rep. 2021 Apr 8;13:100346. doi: 10.1016/j.abrep.2021.100346. eCollection 2021 Jun.
- Osberg TM, Atkins L, Buchholz L, Shirshova V, Swiantek A, Whitley J, Hartman S, Oquendo N. Development and validation of the College Life Alcohol Salience Scale: a measure of beliefs about the role of alcohol in college life. Psychol Addict Behav. 2010 Mar;24(1):1-12. doi: 10.1037/a0018197.
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- Wallace JM Jr, Bachman JG, O'Malley PM, Schulenberg JE, Cooper SM, Johnston LD. Gender and ethnic differences in smoking, drinking and illicit drug use among American 8th, 10th and 12th grade students, 1976-2000. Addiction. 2003 Feb;98(2):225-34. doi: 10.1046/j.1360-0443.2003.00282.x.
- Martens MP, Neighbors C, Dams-O'Connor K, Lee CM, Larimer ME. The factor structure of a dichotomously scored Rutgers Alcohol Problem Index. J Stud Alcohol Drugs. 2007 Jul;68(4):597-606. doi: 10.15288/jsad.2007.68.597.
- Andreassen CS, Torsheim T, Brunborg GS, Pallesen S. Development of a Facebook Addiction Scale. Psychol Rep. 2012 Apr;110(2):501-17. doi: 10.2466/02.09.18.PR0.110.2.501-517.
- Zimmerman GL, Olsen CG, Bosworth MF. A 'stages of change' approach to helping patients change behavior. Am Fam Physician. 2000 Mar 1;61(5):1409-16.
- Neighbors C, Dillard AJ, Lewis MA, Bergstrom RL, Neil TA. Normative misperceptions and temporal precedence of perceived norms and drinking. J Stud Alcohol. 2006 Mar;67(2):290-9. doi: 10.15288/jsa.2006.67.290.
- Webb GR, Redman S, Gibberd RW, Sanson-Fisher RW. The reliability and stability of a quantity-frequency method and a diary method of measuring alcohol consumption. Drug Alcohol Depend. 1991 May;27(3):223-31. doi: 10.1016/0376-8716(91)90005-j.
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Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2022/05/12
- R00AA025394 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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