mHealth Interventions to Reduce Alcohol Use in Young People: A Systematic Review of the Literature

Hutton, Alison; Prichard, Ivanka; Whitehead, Dean; Thomas, Susan; Rubin, Mark; Sloand, Elizabeth; Powell, Terrinieka W.; Frisch, Keri; Newman, Peter; Veenema, Tener Goodwin

doi:10.1080/24694193.2019.1616008

Cited by 53 publications

(43 citation statements)

References 50 publications

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“…can prevent or reduce alcohol use among adolescents. [36][37][38][39] A recent study of adolescents of 11-17 years in the United Kingdom demonstrated that positive reactions to alcohol advertisements were associated with an increased susceptibility to underage drinking for those with no history of alcohol use, and with high-risk drinking for current alcohol users. 40 This indicates that regulation of advertisements may also help to inhibit underage drinking.…”

Section: Discussionmentioning

confidence: 99%

Underage drinking in Brazil: findings from a community household survey

Rakovski

Cardoso

Mota

et al. 2022

Braz. J. Psychiatry

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Objectives: Previous studies have estimated the 30-day prevalence of alcohol use to be approximately 21% among youth in Brazil, despite the legal drinking age of 18 years. The present study aimed to determine the prevalence of underage drinking and its associated factors among adolescents in Brazil. Methods: The 3rd National Survey on Drug Use by the Brazilian Population (III Levantamento Nacional sobre o Uso de Drogas pela Populac¸a ˜o Brasileira) is a nationwide, multi-stage, probabilitysample household survey. Herein, youth between the ages of 12-17 years were included. Lifetime and 12-month alcohol use prevalence were estimated. Factors associated with 12-month alcohol use were evaluated through multivariate analysis considering survey weights and design. Results: Overall, 628 youth were interviewed. Estimated lifetime and 12-month alcohol use were 34.3% (standard error [SE] = 1.9) and 22.2% (SE = 1.7), respectively. Factors associated with 12-month drinking were: other/no religion vs. Christianity; living in rural vs. urban areas; self-reported diagnosis of depression vs. no self-reported depression; lifetime tobacco use vs. no history of tobacco use; and any illicit drug use vs. no history of illicit drug use. Conclusion:Considering that alcohol use is a major risk factor for early death among Brazilian youth, our findings highlight the importance of preventative measures to reduce underage drinking.

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Section: Discussionmentioning

confidence: 99%

Underage drinking in Brazil: findings from a community household survey

Rakovski

Cardoso

Mota

et al. 2022

Braz. J. Psychiatry

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“…Mobile app assessment of substance use has been found to be a highly feasible and valid method among various clinical and nonclinical adult populations [ 6 , 7 , 36 - 38 ]. This includes a diverse collection of apps used for alcohol interventions with youth [ 6 , 39 ]. However, these are often of shorter duration (weeks to months) and are aimed at a targeted population seeking assistance [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…This includes a diverse collection of apps used for alcohol interventions with youth [ 6 , 39 ]. However, these are often of shorter duration (weeks to months) and are aimed at a targeted population seeking assistance [ 6 , 7 ]. Nevertheless, the retention of participants at 80% or higher is inconsistently attained, and response rates exceeding 80% in studies extending beyond a month were not identified [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Mobile app assessment of substance use has been found to be a highly feasible and valid method among various clinical and nonclinical adult populations [6,7,[36][37][38]. This includes a diverse collection of apps used for alcohol interventions with youth [6,39].…”

Section: Participant Engagementmentioning

confidence: 99%

“…Obtaining behavioral reports on a mobile technology platform from youth has been widely applied in various substance use research contexts [1][2][3][4][5]. These reports are commonly tied to substance use interventions [6,7]. Mobile apps have also been used in community-based research on substance use [2,8,9].…”

Section: Introductionmentioning

confidence: 99%

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Acceptability, Validity, and Engagement With a Mobile App for Frequent, Continuous Multiyear Assessment of Youth Health Behaviors (mNCANDA): Mixed Methods Study

Cummins¹,

Brumback²,

Chung³

et al. 2021

JMIR Mhealth Uhealth

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Background Longitudinal studies of many health behaviors often rely on infrequent self-report assessments. The measurement of psychoactive substance use among youth is expected to improve with more frequent mobile assessments, which can reduce recall bias. Researchers have used mobile devices for longitudinal research, but studies that last years and assess youth continuously at a fine-grained, temporal level (eg, weekly) are rare. A tailored mobile app (mNCANDA [mobile National Consortium on Alcohol and Neurodevelopment in Adolescence]) and a brief assessment protocol were designed specifically to provide a feasible platform to elicit responses to health behavior assessments in longitudinal studies, including NCANDA (National Consortium on Alcohol and Neurodevelopment in Adolescence). Objective This study aimed to determine whether an acceptable mobile app system could provide repeatable and valid assessment of youth’s health behaviors in different developmental stages over extended follow-up. Methods Participants were recruited (n=534; aged 17-28 years) from a larger longitudinal study of neurodevelopment. Participants used mNCANDA to register reports of their behaviors for up to 18 months. Response rates as a function of time measured using mNCANDA and participant age were modeled using generalized estimating equations to evaluate response rate stability and age effects. Substance use reports captured using mNCANDA were compared with responses from standardized interviews to assess concurrent validity. Reactivity was assessed by evaluating patterns of change in substance use after participants initiated weekly reports via mNCANDA. Quantitative feedback about the app was obtained from the participants. Qualitative interviews were conducted with a subset of participants who used the app for at least one month to obtain feedback on user experience, user-derived explanations of some quantitative results, and suggestions for system improvements. Results The mNCANDA protocol adherence was high (mean response rate 82%, SD 27%) and stable over time across all age groups. The median time to complete each assessment was 51 s (mean response time 1.14, SD 1.03 min). Comparisons between mNCANDA and interview self-reports on recent (previous 30 days) alcohol and cannabis use days demonstrate close agreement (eg, within 1 day of reported use) for most observations. Models used to identify reactivity failed to detect changes in substance use patterns subsequent to enrolling in mNCANDA app assessments (P>.39). Most participants (64/76, 84%) across the age range reported finding the mNCANDA system acceptable. Participants provided recommendations for improving the system (eg, tailoring signaling times). Conclusions mNCANDA provides a feasible, multi-year, continuous, fine-grained (eg, weekly) assessment of health behaviors designed to minimize respondent burden and provides acceptable regimes for long-term self-reporting of health behaviors. Fine-grained characterization of variability in behaviors over relatively long periods (eg, up to 18 months) may, through the use of mNCANDA, improve our understanding of the relationship between substance use exposure and neurocognitive development.

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Formative research to develop an app to prevent dating and sexual violence and alcohol use among high school youth

Edwards

Dalla

Mauer

et al. 2022

Journal Community Psychology

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The purpose of this study was to conduct formative research to inform the development of an app, that would simultaneously engage youth and adults, to prevent dating and sexual violence (DSV) and alcohol use (AU). Participants (N = 56) were high school students, parents/guardians, and professionals (e.g., school personnel) from across the United States who participated in online focus groups. Overall, participants had positive perceptions of the utility, helpfulness, and effectiveness of an app to prevent DSV and AU among high school students. Participants provided in depth information about both the content (e.g., local rates of DSV and AU) and features (e.g., skills‐based, inclusion of incentives, help button) that the app should include. These preliminary data suggest that future research to develop and pilot an app for both youth and adults to prevent DSV and AU among high school students is warranted.

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mHealth Interventions to Reduce Alcohol Use in Young People: A Systematic Review of the Literature

Cited by 53 publications

References 50 publications

Underage drinking in Brazil: findings from a community household survey

Underage drinking in Brazil: findings from a community household survey

Acceptability, Validity, and Engagement With a Mobile App for Frequent, Continuous Multiyear Assessment of Youth Health Behaviors (mNCANDA): Mixed Methods Study

Formative research to develop an app to prevent dating and sexual violence and alcohol use among high school youth

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