Denna sida har översatts automatiskt och översättningens korrekthet kan inte garanteras. Vänligen se engelsk version för en källtext.

Letter-Writing Add-On to Brief Motivational Intervention for Alcohol Use

4 november 2026 uppdaterad av: Emily Grekin, Wayne State University

Enhancing Brief Motivational Interventions for Alcohol Use With Self-Determination Theory: A Pilot Letter-Writing Add-On

The goal of this pilot clinical trial is to learn whether adding a brief letter-writing exercise, grounded in Self-Determination Theory (SDT), to a brief motivational intervention (BMI) for alcohol use is feasible and acceptable, and to obtain preliminary estimates of its effects on psychological needs and motivation among adults who drink heavily and sometimes think about or wish they could cut back on their drinking.

The main questions it aims to answer are: (1) Is it feasible to integrate the letter-writing task into an SDT-informed BMI (recruitment, session completion, letter completion, retention)? (2) Do participants rate the letter-writing task as acceptable, appropriate, and feasible? (3) Compared with a neutral writing task, is the letter-writing task associated with higher perceived autonomy, competence, and relatedness, perceived competence for reducing drinking, and autonomous motivation?

Researchers will compare a BMI plus a neutral writing task with the same BMI plus the letter-writing task. Participants will complete a brief online screening survey; take part in a single 45-60-minute Zoom session that includes questionnaires, a 25-30-minute motivational interview, random assignment to either write an advice letter to another participant who has also thought about reducing their drinking or copy a neutral paragraph, and post-session questionnaires; and complete a 10-15-minute online follow-up survey about motivation, perceived competence, and alcohol use approximately one month later.

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Beräknad)

86

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studieorter

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • Age 18 years or older
  • Resides in the United States
  • Meets the National Institute on Alcohol Abuse and Alcoholism heavy-drinking criteria in the past month
  • Answers Yes to "Do you sometimes think about reducing or wish you could reduce your alcohol use?"
  • Has internet access and a device capable of video conferencing via Zoom

Exclusion Criteria:

  • Failure to meet the inclusion criteria

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: BMI + Letter-Writing Condition

Participants will receive a brief, one-on-one, motivational intervention delivered via Zoom by a doctoral student in clinical psychology.

Immediately after the brief motivational intervention, participants write a brief advice letter to another study participant who has also thought about reducing their drinking but sometimes struggles with motivation. Prompts target autonomy, competence, and relatedness.

Aktiv komparator: BMI + Neutral Writing Condition

Participants will receive a brief, one-on-one, motivational intervention delivered via Zoom by a doctoral student in clinical psychology.

Immediately after the brief motivational intervention, participants copy a technical paragraph on office supply inventory management that matches the letter-writing task in length and duration.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Recruitment Feasibility: Enrollment Rate Among Eligible Individuals Who Accept an Invitation
Tidsram: From accepting the invitation to the Zoom session (up to 21 days)

Percentage of eligible people who accept an invitation and then enroll (attend the Zoom session, consent, and begin the baseline survey).

From accepting the invitation to the Zoom session (up to 21 days)
Session Completion Rate
Tidsram: Day 1

Percentage of enrolled participants who complete all parts of the Zoom session.

Day 1
Letter Completion Rate
Tidsram: Day 1

Percentage of participants assigned to letter writing who complete a letter during the session.

Day 1
Acceptability of the Letter-Writing Task (Acceptability of Intervention Measure)
Tidsram: Day 1

Mean of 4 Acceptability of Intervention Measure items, rated 1 (completely disagree) to 5 (completely agree); higher scores mean greater acceptability. Letter-writing participants only.

Day 1
Appropriateness of the Letter-Writing Task (Intervention Appropriateness Measure)
Tidsram: Day 1

Mean of 4 Intervention Appropriateness Measure items, rated 1 (completely disagree) to 5 (completely agree); higher scores mean greater appropriateness. Letter-writing participants only.

Day 1
Feasibility of the Letter-Writing Task (Feasibility of Intervention Measure)
Tidsram: Day 1

Mean of 4 Feasibility of Intervention Measure items, rated 1 (completely disagree) to 5 (completely agree); higher scores mean greater feasibility. Letter-writing participants only.

Day 1

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Retention at One-Month Follow-Up
Tidsram: Days 30 to 44 after the Zoom session

Proportion of randomized participants who complete the one-month follow-up survey within the 14-day response window (days 30-44 after the session), overall and by arm.

Days 30 to 44 after the Zoom session
State Autonomy for Drinking Decisions
Tidsram: Start of the Zoom session (baseline), immediately post-intervention (Day 1), and 1 month after the Zoom session

Single item rated 1 (not at all) to 7 (completely); higher scores mean greater autonomy.

Start of the Zoom session (baseline), immediately post-intervention (Day 1), and 1 month after the Zoom session
State Competence for Reducing Drinking
Tidsram: Start of the Zoom session (baseline), immediately post-intervention (Day 1), and 1 month after the Zoom session

Single item rated 1 (not capable at all) to 7 (extremely capable); higher scores mean greater competence.

Start of the Zoom session (baseline), immediately post-intervention (Day 1), and 1 month after the Zoom session
State Relatedness
Tidsram: Start of the Zoom session (baseline), immediately post-intervention (Day 1), and 1 month after the Zoom session

Single item rated 1 (not at all connected) to 7 (extremely connected); higher scores mean greater relatedness.

Start of the Zoom session (baseline), immediately post-intervention (Day 1), and 1 month after the Zoom session
Perceived Competence for Reducing Alcohol Use (Perceived Competence Scale)
Tidsram: Start of the Zoom session (baseline), immediately post-intervention (Day 1), and 1 month after the Zoom session

Mean of 4 items rated 1 (not at all true) to 7 (very true); higher scores mean greater perceived competence.

Start of the Zoom session (baseline), immediately post-intervention (Day 1), and 1 month after the Zoom session
Autonomous Motivation to Reduce Alcohol Use (Treatment Self-Regulation Questionnaire)
Tidsram: Start of the Zoom session (baseline) and 1 month after the Zoom session

Autonomous motivation score (mean of items rated 1 to 7); higher scores mean more autonomous motivation.

Start of the Zoom session (baseline) and 1 month after the Zoom session

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Heavy Drinking Days (Timeline Followback)
Tidsram: Start of the Zoom session (baseline) and 1 month after the Zoom session

Number of days in the past 30 with 5 or more (men) or 4 or more (women) standard drinks, measured with the Timeline Followback.

Start of the Zoom session (baseline) and 1 month after the Zoom session

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

1 november 2026

Primärt slutförande (Beräknad)

30 mars 2027

Avslutad studie (Beräknad)

30 april 2027

Studieregistreringsdatum

Först inskickad

31 oktober 2026

Först inskickad som uppfyllde QC-kriterierna

4 november 2026

Första postat (Faktisk)

9 november 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

9 november 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

4 november 2026

Senast verifierad

1 november 2026

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • IRB-25-12-8326

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .