Using Wireless Handheld Computers and Tailored Text Messaging to Reduce Negative Consequences of Drinking Alcohol

Weitzel, Jessica Aungst; Bernhardt, Jay Michael; Usdan, Stuart; Mays, Darren; Glanz, Karen

doi:10.15288/jsad.2007.68.534

Cited by 118 publications

(121 citation statements)

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“…14 Behavioral interventions delivered via internet and cellular phone have demonstrated efficacy in smoking cessation, alcohol reduction, and weight loss. 4,5,[15][16][17][18][19][20] However, most of these studies have recruited college students and/or excluded those with low literacy. None, to our knowledge, have focused on urban, high-risk women.…”

Section: Discussionmentioning

confidence: 99%

Digital Divide: Variation in Internet and Cellular Phone Use among Women Attending an Urban Sexually Transmitted Infections Clinic

et al. 2009

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We sought to describe: (1) the prevalence of internet, cellular phone, and text message use among women attending an urban sexually transmitted infections (STI) clinic, (2) the acceptability of health advice by each mode of information and communication technology (ICT), and (3) demographic characteristics associated with ICT use. This study is a cross-sectional survey of 200 English-speaking women presenting to a Baltimore City STI clinic with STI complaints. Participants completed a self-administered survey querying ICT use and demographic characteristics. Three separate questions asked about interest in receiving health advice delivered by the three modalities: internet, cellular phone, and text message. We performed logistic regression to examine how demographic factors (age, race, and education) are associated with likelihood of using each modality. The median age of respondents was 27 years; 87% were African American, and 71% had a high school diploma. The rate of any internet use was 80%; 31% reported daily use; 16% reported weekly use; and 32% reported less frequent use. Almost all respondents (93%) reported cellular phone use, and 79% used text messaging. Acceptability of health advice by each of the three modalities was about 60%. In multivariate analysis, higher education and younger age were associated with internet use, text messaging, and cellular phone use. Overall rate of internet use was high, but there was an educational disparity in internet use. Cellular phone use was almost universal in this sample. All three modalities were equally acceptable forms of health communication. Describing baseline ICT access and the acceptability of health advice via ICT, as we have done, is one step toward determining the feasibility of ICTdelivered health interventions in urban populations.

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Section: Discussionmentioning

confidence: 99%

Digital Divide: Variation in Internet and Cellular Phone Use among Women Attending an Urban Sexually Transmitted Infections Clinic

et al. 2009

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“…E-interventions appear to be superior to assessment-only (AO) control conditions on at least some measures of drinking behavior (Dimeff & McNeely, 2000;Lewis & Neighbors, 2007;Neighbors, Larimer, & Lewis, 2004;Neighbors et al 2006;Bersamin, Paschall, Fearnow-Kenney, & Wyrick, 2007;Walters, Vader, & Harris, 2007;Weitzel, Bernhardt, Usdan, Mays, & Glanz, 2007), though two studies did not find any beneficial effects relative to AO controls (Kypri & McAnally, 2005;Sharmer, 2001). Findings are mixed regarding the efficacy of e-interventions in comparison with purely educational interventions (e.g.…”

Section: Summary Of Findingsmentioning

confidence: 97%

Computer-based interventions for college drinking: A qualitative review

Elliott

Carey

Bolles

2008

Addictive Behaviors

128

114

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E-Interventions, or electronically based interventions, have become increasingly popular in recent years. College alcohol use has been one area in which such interventions have been implemented and evaluated. The purpose of this paper is to review the seventeen randomized controlled trials that have been published as of August 2007. These studies compared the effectiveness of e-interventions with other commonly used techniques, reading materials, and assessment-only control conditions. Overall, findings provide some support for such programs, especially in comparison with assessmentonly control conditions. In addition, possible moderators (e.g. baseline drinking patterns) and mediators (e.g. corrected drinking norms) have emerged. Limitations and areas for future research are discussed.

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“…Another notable drawback to the mobile-based delivery of interventions is the lack of personal engagement with healthcare practitioners. However, empirical evidence supports the use of mobile-based interventions delivered as stand-alone interventions (Weitzel et al 2007; Agyapong et al 2012;Suffoletto et al 2012) or as an integrated component of a treatment protocol (Gonzales et al 2014;Gustafson et al 2014;Lucht et al 2014). Despite these limitations, this study provides valuable information for health practitioners looking for alternatives to costly BMIs that require resources many institutions do not have (Cowell et al 2012;Kazemi et al 2014).…”

Section: Discussionmentioning

confidence: 93%

REMIT: Development of a mHealth theory-based intervention to decrease heavy episodic drinking among college students

Kazemi

Borsari

Levine

et al. 2017

Addiction Research & Theory

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mHealth apps are an effective means of delivering health interventions, and the college-age population is particularly proficient at using apps. Informed by current theories of Ecological Momentary Interventions (EMI), Motivational Interviewing (MI), and the Transtheoretical Model (TTM) of Change, investigators have developed a self-monitoring app-Reductions through Ecological Momentary/ Motivational Intervention/Transtheoretical (REMIT)-with the aim of reducing hazardous drinking among college students. The app was developed using the Integrate, Design, Assess, and Share (IDEAS) framework. This step-by-step process for developing digital behavior change interventions was conducted in five phases to: (1) understand the users, (2) determine target behavior, (3) base the intervention in behavioral theory; (4) create delivery strategies, and (5) develop the REMIT prototype. REMIT uses assessments (informed by EMI) and components of MI and TTM to guide administration of nine modules designed to engage users in reducing alcohol use and related problems. REMIT users self-monitor their alcohol consumption and develop strategies to change drinking behaviors using a range of easyto-use features, such as the Virtual Coach, automated text messages, interactive gaming mechanisms (gamification), drink consumption tracking, and Blood Alcohol Concentration (BAC) calculators. mHealth interventions have been shown to reduce alcohol use among college students when they are applied in real-life, real-time contexts. REMIT is a theory-based app that incorporates user-friendly features to reduce hazardous drinking among college students. The next step is to conduct a pilot trial to test the efficacy of the app and enhance the REMIT prototype.ARTICLE HISTORY

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Using Wireless Handheld Computers and Tailored Text Messaging to Reduce Negative Consequences of Drinking Alcohol

Cited by 118 publications

References 0 publications

Digital Divide: Variation in Internet and Cellular Phone Use among Women Attending an Urban Sexually Transmitted Infections Clinic

Digital Divide: Variation in Internet and Cellular Phone Use among Women Attending an Urban Sexually Transmitted Infections Clinic

Computer-based interventions for college drinking: A qualitative review

REMIT: Development of a mHealth theory-based intervention to decrease heavy episodic drinking among college students

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