Behavioral economic and wellness-based approaches for reducing alcohol use and consequences among diverse non-student emerging adults: study protocol for Project BLUE, a randomized controlled trial

Abstract Background Emerging adults (EAs) who are not 4-year college students nor graduates are at elevated risk for lifetime alcohol use disorder, comorbid drug use, and mental health symptoms, compared to college graduates. There is a need for tailored brief alcohol intervention (BAI) approaches t...

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Main Authors: James G. Murphy, Ashley A. Dennhardt, Jacob Tempchin, Hannah E. Colgonis, Meghan E. McDevitt-Murphy, Brian Borsari, Kristoffer S. Berlin
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Trials
Subjects:
Online Access:https://doi.org/10.1186/s13063-024-08009-9
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author James G. Murphy
Ashley A. Dennhardt
Jacob Tempchin
Hannah E. Colgonis
Meghan E. McDevitt-Murphy
Brian Borsari
Kristoffer S. Berlin
author_facet James G. Murphy
Ashley A. Dennhardt
Jacob Tempchin
Hannah E. Colgonis
Meghan E. McDevitt-Murphy
Brian Borsari
Kristoffer S. Berlin
author_sort James G. Murphy
collection DOAJ
description Abstract Background Emerging adults (EAs) who are not 4-year college students nor graduates are at elevated risk for lifetime alcohol use disorder, comorbid drug use, and mental health symptoms, compared to college graduates. There is a need for tailored brief alcohol intervention (BAI) approaches to reduce alcohol risk and to facilitate healthy development in this high-risk population. Most BAIs include a single session focused on discussing risks associated with drinking and correcting normative beliefs about drinking rates. EAs may benefit from additional elements that enhance general wellness. The substance-free activity session (SFAS) aims to clarify life goals and values and increase goal-directed activities that provide alternatives to alcohol use, and the relaxation training (RT) session teaches relaxation and stress reduction skills. Methods The present study is a randomized 3-group (BAI + SFAS vs. RT + SFAS vs. education control) trial with 525 EAs (175 per group; estimated 50% women and 50% African American) who report recent risky drinking and who are not students or graduates of 4-year colleges. Participants will have the option of completing the intervention sessions in person or via a secure video teleconference. Levels of drinking and alcohol-related problems will be evaluated at baseline and 1, 3, 6, and 12 months post-intervention. The primary hypothesis is that both BAI + SFAS and RT + SFAS participants will report significantly greater reductions in alcohol use and problems relative to education control participants, with no differences in outcomes between the two active treatment conditions. Discussion The results of this study will inform alcohol prevention efforts for high-risk community dwelling emerging adults. Trial registration ClinicalTrials.gov Identifier: NCT04776278.
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spelling doaj.art-7474afc652294b8093726ff62c5ad4142024-03-10T12:21:29ZengBMCTrials1745-62152024-03-0125111310.1186/s13063-024-08009-9Behavioral economic and wellness-based approaches for reducing alcohol use and consequences among diverse non-student emerging adults: study protocol for Project BLUE, a randomized controlled trialJames G. Murphy0Ashley A. Dennhardt1Jacob Tempchin2Hannah E. Colgonis3Meghan E. McDevitt-Murphy4Brian Borsari5Kristoffer S. Berlin6Department of Psychology, The University of MemphisDepartment of Psychology, The University of MemphisDepartment of Psychology, The University of MemphisDepartment of Psychology, The University of MemphisDepartment of Psychology, The University of MemphisMental Health Service (116B), San Francisco VAHCSDepartment of Psychology, The University of MemphisAbstract Background Emerging adults (EAs) who are not 4-year college students nor graduates are at elevated risk for lifetime alcohol use disorder, comorbid drug use, and mental health symptoms, compared to college graduates. There is a need for tailored brief alcohol intervention (BAI) approaches to reduce alcohol risk and to facilitate healthy development in this high-risk population. Most BAIs include a single session focused on discussing risks associated with drinking and correcting normative beliefs about drinking rates. EAs may benefit from additional elements that enhance general wellness. The substance-free activity session (SFAS) aims to clarify life goals and values and increase goal-directed activities that provide alternatives to alcohol use, and the relaxation training (RT) session teaches relaxation and stress reduction skills. Methods The present study is a randomized 3-group (BAI + SFAS vs. RT + SFAS vs. education control) trial with 525 EAs (175 per group; estimated 50% women and 50% African American) who report recent risky drinking and who are not students or graduates of 4-year colleges. Participants will have the option of completing the intervention sessions in person or via a secure video teleconference. Levels of drinking and alcohol-related problems will be evaluated at baseline and 1, 3, 6, and 12 months post-intervention. The primary hypothesis is that both BAI + SFAS and RT + SFAS participants will report significantly greater reductions in alcohol use and problems relative to education control participants, with no differences in outcomes between the two active treatment conditions. Discussion The results of this study will inform alcohol prevention efforts for high-risk community dwelling emerging adults. Trial registration ClinicalTrials.gov Identifier: NCT04776278.https://doi.org/10.1186/s13063-024-08009-9Behavioral economicsSubstance-free activitiesBrief motivational interventionEmerging adulthoodAlcohol misuse
spellingShingle James G. Murphy
Ashley A. Dennhardt
Jacob Tempchin
Hannah E. Colgonis
Meghan E. McDevitt-Murphy
Brian Borsari
Kristoffer S. Berlin
Behavioral economic and wellness-based approaches for reducing alcohol use and consequences among diverse non-student emerging adults: study protocol for Project BLUE, a randomized controlled trial
Trials
Behavioral economics
Substance-free activities
Brief motivational intervention
Emerging adulthood
Alcohol misuse
title Behavioral economic and wellness-based approaches for reducing alcohol use and consequences among diverse non-student emerging adults: study protocol for Project BLUE, a randomized controlled trial
title_full Behavioral economic and wellness-based approaches for reducing alcohol use and consequences among diverse non-student emerging adults: study protocol for Project BLUE, a randomized controlled trial
title_fullStr Behavioral economic and wellness-based approaches for reducing alcohol use and consequences among diverse non-student emerging adults: study protocol for Project BLUE, a randomized controlled trial
title_full_unstemmed Behavioral economic and wellness-based approaches for reducing alcohol use and consequences among diverse non-student emerging adults: study protocol for Project BLUE, a randomized controlled trial
title_short Behavioral economic and wellness-based approaches for reducing alcohol use and consequences among diverse non-student emerging adults: study protocol for Project BLUE, a randomized controlled trial
title_sort behavioral economic and wellness based approaches for reducing alcohol use and consequences among diverse non student emerging adults study protocol for project blue a randomized controlled trial
topic Behavioral economics
Substance-free activities
Brief motivational intervention
Emerging adulthood
Alcohol misuse
url https://doi.org/10.1186/s13063-024-08009-9
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