Texting to Reduce Alcohol Misuse (TRAM): main findings from a randomized controlled trial of a text message intervention to reduce binge drinking among disadvantaged men
Aims To test the effectiveness of a theoretically based text‐message intervention to reduce binge drinking among socially disadvantaged men. Design A multi‐centre parallel group, pragmatic, individually randomized controlled trial. Setting Community‐based study conducted in four regions of Scotland....
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| Veröffentlicht in: | Addiction (Abingdon, England) England), 2018-09, Vol.113 (9), p.1609-1618 |
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| creator | Crombie, Iain K. Irvine, Linda Williams, Brian Sniehotta, Falko F. Petrie, Dennis Jones, Claire Norrie, John Evans, Josie M. M. Emslie, Carol Rice, Peter M. Slane, Peter W. Humphris, Gerry Ricketts, Ian W. Melson, Ambrose J. Donnan, Peter T. Hapca, Simona M. McKenzie, Andrew Achison, Marcus |
| description | Aims
To test the effectiveness of a theoretically based text‐message intervention to reduce binge drinking among socially disadvantaged men.
Design
A multi‐centre parallel group, pragmatic, individually randomized controlled trial.
Setting
Community‐based study conducted in four regions of Scotland.
Participants
A total of 825 men aged 25–44 years recruited from socially disadvantaged areas who had two or more episodes of binge drinking (> 8 UK units on a single occasion) in the preceding 28 days: 411 men were randomized to the intervention and 414 to the control.
Intervention and comparator
A series of 112 interactive text messages was delivered by mobile phone during a 12‐week period. The intervention was structured around the Health Action Process Approach, a comprehensive model which allows integration of a range of evidence‐based behaviour change techniques. The control group received 89 texts on general health, with no mention of alcohol or use of behaviour change techniques.
Measurements
The primary outcome measure was the proportion of men consuming > 8 units on three or more occasions (in the previous 28 days) at 12 months post‐intervention.
Findings
The proportion of men consuming > 8 units on three or more occasions (in the previous 28 days) was 41.5% in the intervention group and 47.8% in the control group. Formal analysis showed that there was no evidence that the intervention was effective [odds ratio (OR) = 0.79, 95% confidence interval (CI) = 0.57–1.08; absolute reduction 5.7%, 95% CI = −13.3 to 1.9]. The Bayes factor for this outcome was 1.3, confirming that the results were inconclusive. The retention was high and similar in intervention (84.9%) and control (86.5%) groups. Most men in the intervention group engaged with the text messages: almost all (92%) replied to text messages and 67% replied more than 10 times.
Conclusions
A theoretically based text‐messaging intervention aimed at reducing binge drinking in disadvantaged men was not found to reduce prevalence of binge drinking at 12‐month follow‐up. |
| doi_str_mv | 10.1111/add.14229 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2049556249</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2081944484</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3889-33f72280d1ae18dfa78e64b87c4a77bd3b5cab60ee232c03b60baf2de1e1c80b3</originalsourceid><addsrcrecordid>eNp1kc9OFTEUhxujkQu68AVMEzewGOi_mem4uwFFE4gJua4nnfYMFjstth0Q3si3pNdBFiR2cXoW3_nOSX4IvaPkkJZ3pIw5pIKx7gVaUd6QigjBX6IV6Zq6YlSQHbSb0hUhpJWdeI12WCfrmpJ6hf5s4He2_hLngC_AzBrw2unwIzh8btOcAO9vLtbnBx_xpKzHo_Wm0AmPMUxY4ai8CZO9B4N18DkG50qbo1UOh7EAuejxBCmpS8DWZ4g34LMNfrswLguHYgRsovU_t5eoKZRqbFLmRvlcBk0x-Dfo1ahcgreP_x76_vnT5vhLdfbt9Ovx-qzSXMqu4nxsGZPEUAVUmlG1EhoxyFYL1baD4UOt1dAQAMaZJry0gxqZAQpUSzLwPbS_eK9j-DVDyv1kkwbnlIcwp54R0dV1w0RX0A_P0KswR1-uK5SknRBCikIdLJSOIaUIY38d7aTiXU9Jv82vL_n1f_Mr7PtH4zxMYJ7If4EV4GgBbq2Du_-b-vXJyaJ8AISJpm0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2081944484</pqid></control><display><type>article</type><title>Texting to Reduce Alcohol Misuse (TRAM): main findings from a randomized controlled trial of a text message intervention to reduce binge drinking among disadvantaged men</title><source>Access via Wiley Online Library</source><creator>Crombie, Iain K. ; Irvine, Linda ; Williams, Brian ; Sniehotta, Falko F. ; Petrie, Dennis ; Jones, Claire ; Norrie, John ; Evans, Josie M. M. ; Emslie, Carol ; Rice, Peter M. ; Slane, Peter W. ; Humphris, Gerry ; Ricketts, Ian W. ; Melson, Ambrose J. ; Donnan, Peter T. ; Hapca, Simona M. ; McKenzie, Andrew ; Achison, Marcus</creator><creatorcontrib>Crombie, Iain K. ; Irvine, Linda ; Williams, Brian ; Sniehotta, Falko F. ; Petrie, Dennis ; Jones, Claire ; Norrie, John ; Evans, Josie M. M. ; Emslie, Carol ; Rice, Peter M. ; Slane, Peter W. ; Humphris, Gerry ; Ricketts, Ian W. ; Melson, Ambrose J. ; Donnan, Peter T. ; Hapca, Simona M. ; McKenzie, Andrew ; Achison, Marcus</creatorcontrib><description>Aims
To test the effectiveness of a theoretically based text‐message intervention to reduce binge drinking among socially disadvantaged men.
Design
A multi‐centre parallel group, pragmatic, individually randomized controlled trial.
Setting
Community‐based study conducted in four regions of Scotland.
Participants
A total of 825 men aged 25–44 years recruited from socially disadvantaged areas who had two or more episodes of binge drinking (> 8 UK units on a single occasion) in the preceding 28 days: 411 men were randomized to the intervention and 414 to the control.
Intervention and comparator
A series of 112 interactive text messages was delivered by mobile phone during a 12‐week period. The intervention was structured around the Health Action Process Approach, a comprehensive model which allows integration of a range of evidence‐based behaviour change techniques. The control group received 89 texts on general health, with no mention of alcohol or use of behaviour change techniques.
Measurements
The primary outcome measure was the proportion of men consuming > 8 units on three or more occasions (in the previous 28 days) at 12 months post‐intervention.
Findings
The proportion of men consuming > 8 units on three or more occasions (in the previous 28 days) was 41.5% in the intervention group and 47.8% in the control group. Formal analysis showed that there was no evidence that the intervention was effective [odds ratio (OR) = 0.79, 95% confidence interval (CI) = 0.57–1.08; absolute reduction 5.7%, 95% CI = −13.3 to 1.9]. The Bayes factor for this outcome was 1.3, confirming that the results were inconclusive. The retention was high and similar in intervention (84.9%) and control (86.5%) groups. Most men in the intervention group engaged with the text messages: almost all (92%) replied to text messages and 67% replied more than 10 times.
Conclusions
A theoretically based text‐messaging intervention aimed at reducing binge drinking in disadvantaged men was not found to reduce prevalence of binge drinking at 12‐month follow‐up.</description><identifier>ISSN: 0965-2140</identifier><identifier>EISSN: 1360-0443</identifier><identifier>DOI: 10.1111/add.14229</identifier><identifier>PMID: 29855105</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Alcohol ; Alcohol abuse ; Alcohol use ; Alcohols ; Bayesian analysis ; Behavior change ; Binge drinking ; Clinical trials ; community based ; deprivation ; Disadvantaged ; Drinking ; Drinking behavior ; Evidence-based medicine ; Interactive control ; Intervention ; Men ; Mens health ; Mobile phones ; narrative ; Randomization ; text message intervention</subject><ispartof>Addiction (Abingdon, England), 2018-09, Vol.113 (9), p.1609-1618</ispartof><rights>2018 The Authors. published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.</rights><rights>2018 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.</rights><rights>2018 Society for the Study of Addiction</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3889-33f72280d1ae18dfa78e64b87c4a77bd3b5cab60ee232c03b60baf2de1e1c80b3</citedby><cites>FETCH-LOGICAL-c3889-33f72280d1ae18dfa78e64b87c4a77bd3b5cab60ee232c03b60baf2de1e1c80b3</cites><orcidid>0000-0003-2623-3016</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fadd.14229$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fadd.14229$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29855105$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Crombie, Iain K.</creatorcontrib><creatorcontrib>Irvine, Linda</creatorcontrib><creatorcontrib>Williams, Brian</creatorcontrib><creatorcontrib>Sniehotta, Falko F.</creatorcontrib><creatorcontrib>Petrie, Dennis</creatorcontrib><creatorcontrib>Jones, Claire</creatorcontrib><creatorcontrib>Norrie, John</creatorcontrib><creatorcontrib>Evans, Josie M. M.</creatorcontrib><creatorcontrib>Emslie, Carol</creatorcontrib><creatorcontrib>Rice, Peter M.</creatorcontrib><creatorcontrib>Slane, Peter W.</creatorcontrib><creatorcontrib>Humphris, Gerry</creatorcontrib><creatorcontrib>Ricketts, Ian W.</creatorcontrib><creatorcontrib>Melson, Ambrose J.</creatorcontrib><creatorcontrib>Donnan, Peter T.</creatorcontrib><creatorcontrib>Hapca, Simona M.</creatorcontrib><creatorcontrib>McKenzie, Andrew</creatorcontrib><creatorcontrib>Achison, Marcus</creatorcontrib><title>Texting to Reduce Alcohol Misuse (TRAM): main findings from a randomized controlled trial of a text message intervention to reduce binge drinking among disadvantaged men</title><title>Addiction (Abingdon, England)</title><addtitle>Addiction</addtitle><description>Aims
To test the effectiveness of a theoretically based text‐message intervention to reduce binge drinking among socially disadvantaged men.
Design
A multi‐centre parallel group, pragmatic, individually randomized controlled trial.
Setting
Community‐based study conducted in four regions of Scotland.
Participants
A total of 825 men aged 25–44 years recruited from socially disadvantaged areas who had two or more episodes of binge drinking (> 8 UK units on a single occasion) in the preceding 28 days: 411 men were randomized to the intervention and 414 to the control.
Intervention and comparator
A series of 112 interactive text messages was delivered by mobile phone during a 12‐week period. The intervention was structured around the Health Action Process Approach, a comprehensive model which allows integration of a range of evidence‐based behaviour change techniques. The control group received 89 texts on general health, with no mention of alcohol or use of behaviour change techniques.
Measurements
The primary outcome measure was the proportion of men consuming > 8 units on three or more occasions (in the previous 28 days) at 12 months post‐intervention.
Findings
The proportion of men consuming > 8 units on three or more occasions (in the previous 28 days) was 41.5% in the intervention group and 47.8% in the control group. Formal analysis showed that there was no evidence that the intervention was effective [odds ratio (OR) = 0.79, 95% confidence interval (CI) = 0.57–1.08; absolute reduction 5.7%, 95% CI = −13.3 to 1.9]. The Bayes factor for this outcome was 1.3, confirming that the results were inconclusive. The retention was high and similar in intervention (84.9%) and control (86.5%) groups. Most men in the intervention group engaged with the text messages: almost all (92%) replied to text messages and 67% replied more than 10 times.
Conclusions
A theoretically based text‐messaging intervention aimed at reducing binge drinking in disadvantaged men was not found to reduce prevalence of binge drinking at 12‐month follow‐up.</description><subject>Alcohol</subject><subject>Alcohol abuse</subject><subject>Alcohol use</subject><subject>Alcohols</subject><subject>Bayesian analysis</subject><subject>Behavior change</subject><subject>Binge drinking</subject><subject>Clinical trials</subject><subject>community based</subject><subject>deprivation</subject><subject>Disadvantaged</subject><subject>Drinking</subject><subject>Drinking behavior</subject><subject>Evidence-based medicine</subject><subject>Interactive control</subject><subject>Intervention</subject><subject>Men</subject><subject>Mens health</subject><subject>Mobile phones</subject><subject>narrative</subject><subject>Randomization</subject><subject>text message intervention</subject><issn>0965-2140</issn><issn>1360-0443</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><recordid>eNp1kc9OFTEUhxujkQu68AVMEzewGOi_mem4uwFFE4gJua4nnfYMFjstth0Q3si3pNdBFiR2cXoW3_nOSX4IvaPkkJZ3pIw5pIKx7gVaUd6QigjBX6IV6Zq6YlSQHbSb0hUhpJWdeI12WCfrmpJ6hf5s4He2_hLngC_AzBrw2unwIzh8btOcAO9vLtbnBx_xpKzHo_Wm0AmPMUxY4ai8CZO9B4N18DkG50qbo1UOh7EAuejxBCmpS8DWZ4g34LMNfrswLguHYgRsovU_t5eoKZRqbFLmRvlcBk0x-Dfo1ahcgreP_x76_vnT5vhLdfbt9Ovx-qzSXMqu4nxsGZPEUAVUmlG1EhoxyFYL1baD4UOt1dAQAMaZJry0gxqZAQpUSzLwPbS_eK9j-DVDyv1kkwbnlIcwp54R0dV1w0RX0A_P0KswR1-uK5SknRBCikIdLJSOIaUIY38d7aTiXU9Jv82vL_n1f_Mr7PtH4zxMYJ7If4EV4GgBbq2Du_-b-vXJyaJ8AISJpm0</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Crombie, Iain K.</creator><creator>Irvine, Linda</creator><creator>Williams, Brian</creator><creator>Sniehotta, Falko F.</creator><creator>Petrie, Dennis</creator><creator>Jones, Claire</creator><creator>Norrie, John</creator><creator>Evans, Josie M. M.</creator><creator>Emslie, Carol</creator><creator>Rice, Peter M.</creator><creator>Slane, Peter W.</creator><creator>Humphris, Gerry</creator><creator>Ricketts, Ian W.</creator><creator>Melson, Ambrose J.</creator><creator>Donnan, Peter T.</creator><creator>Hapca, Simona M.</creator><creator>McKenzie, Andrew</creator><creator>Achison, Marcus</creator><general>Blackwell Publishing Ltd</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7TK</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2623-3016</orcidid></search><sort><creationdate>201809</creationdate><title>Texting to Reduce Alcohol Misuse (TRAM): main findings from a randomized controlled trial of a text message intervention to reduce binge drinking among disadvantaged men</title><author>Crombie, Iain K. ; Irvine, Linda ; Williams, Brian ; Sniehotta, Falko F. ; Petrie, Dennis ; Jones, Claire ; Norrie, John ; Evans, Josie M. M. ; Emslie, Carol ; Rice, Peter M. ; Slane, Peter W. ; Humphris, Gerry ; Ricketts, Ian W. ; Melson, Ambrose J. ; Donnan, Peter T. ; Hapca, Simona M. ; McKenzie, Andrew ; Achison, Marcus</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3889-33f72280d1ae18dfa78e64b87c4a77bd3b5cab60ee232c03b60baf2de1e1c80b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Alcohol</topic><topic>Alcohol abuse</topic><topic>Alcohol use</topic><topic>Alcohols</topic><topic>Bayesian analysis</topic><topic>Behavior change</topic><topic>Binge drinking</topic><topic>Clinical trials</topic><topic>community based</topic><topic>deprivation</topic><topic>Disadvantaged</topic><topic>Drinking</topic><topic>Drinking behavior</topic><topic>Evidence-based medicine</topic><topic>Interactive control</topic><topic>Intervention</topic><topic>Men</topic><topic>Mens health</topic><topic>Mobile phones</topic><topic>narrative</topic><topic>Randomization</topic><topic>text message intervention</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Crombie, Iain K.</creatorcontrib><creatorcontrib>Irvine, Linda</creatorcontrib><creatorcontrib>Williams, Brian</creatorcontrib><creatorcontrib>Sniehotta, Falko F.</creatorcontrib><creatorcontrib>Petrie, Dennis</creatorcontrib><creatorcontrib>Jones, Claire</creatorcontrib><creatorcontrib>Norrie, John</creatorcontrib><creatorcontrib>Evans, Josie M. M.</creatorcontrib><creatorcontrib>Emslie, Carol</creatorcontrib><creatorcontrib>Rice, Peter M.</creatorcontrib><creatorcontrib>Slane, Peter W.</creatorcontrib><creatorcontrib>Humphris, Gerry</creatorcontrib><creatorcontrib>Ricketts, Ian W.</creatorcontrib><creatorcontrib>Melson, Ambrose J.</creatorcontrib><creatorcontrib>Donnan, Peter T.</creatorcontrib><creatorcontrib>Hapca, Simona M.</creatorcontrib><creatorcontrib>McKenzie, Andrew</creatorcontrib><creatorcontrib>Achison, Marcus</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Addiction (Abingdon, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Crombie, Iain K.</au><au>Irvine, Linda</au><au>Williams, Brian</au><au>Sniehotta, Falko F.</au><au>Petrie, Dennis</au><au>Jones, Claire</au><au>Norrie, John</au><au>Evans, Josie M. M.</au><au>Emslie, Carol</au><au>Rice, Peter M.</au><au>Slane, Peter W.</au><au>Humphris, Gerry</au><au>Ricketts, Ian W.</au><au>Melson, Ambrose J.</au><au>Donnan, Peter T.</au><au>Hapca, Simona M.</au><au>McKenzie, Andrew</au><au>Achison, Marcus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Texting to Reduce Alcohol Misuse (TRAM): main findings from a randomized controlled trial of a text message intervention to reduce binge drinking among disadvantaged men</atitle><jtitle>Addiction (Abingdon, England)</jtitle><addtitle>Addiction</addtitle><date>2018-09</date><risdate>2018</risdate><volume>113</volume><issue>9</issue><spage>1609</spage><epage>1618</epage><pages>1609-1618</pages><issn>0965-2140</issn><eissn>1360-0443</eissn><abstract>Aims
To test the effectiveness of a theoretically based text‐message intervention to reduce binge drinking among socially disadvantaged men.
Design
A multi‐centre parallel group, pragmatic, individually randomized controlled trial.
Setting
Community‐based study conducted in four regions of Scotland.
Participants
A total of 825 men aged 25–44 years recruited from socially disadvantaged areas who had two or more episodes of binge drinking (> 8 UK units on a single occasion) in the preceding 28 days: 411 men were randomized to the intervention and 414 to the control.
Intervention and comparator
A series of 112 interactive text messages was delivered by mobile phone during a 12‐week period. The intervention was structured around the Health Action Process Approach, a comprehensive model which allows integration of a range of evidence‐based behaviour change techniques. The control group received 89 texts on general health, with no mention of alcohol or use of behaviour change techniques.
Measurements
The primary outcome measure was the proportion of men consuming > 8 units on three or more occasions (in the previous 28 days) at 12 months post‐intervention.
Findings
The proportion of men consuming > 8 units on three or more occasions (in the previous 28 days) was 41.5% in the intervention group and 47.8% in the control group. Formal analysis showed that there was no evidence that the intervention was effective [odds ratio (OR) = 0.79, 95% confidence interval (CI) = 0.57–1.08; absolute reduction 5.7%, 95% CI = −13.3 to 1.9]. The Bayes factor for this outcome was 1.3, confirming that the results were inconclusive. The retention was high and similar in intervention (84.9%) and control (86.5%) groups. Most men in the intervention group engaged with the text messages: almost all (92%) replied to text messages and 67% replied more than 10 times.
Conclusions
A theoretically based text‐messaging intervention aimed at reducing binge drinking in disadvantaged men was not found to reduce prevalence of binge drinking at 12‐month follow‐up.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>29855105</pmid><doi>10.1111/add.14229</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-2623-3016</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0965-2140 |
| ispartof | Addiction (Abingdon, England), 2018-09, Vol.113 (9), p.1609-1618 |
| issn | 0965-2140 1360-0443 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2049556249 |
| source | Access via Wiley Online Library |
| subjects | Alcohol Alcohol abuse Alcohol use Alcohols Bayesian analysis Behavior change Binge drinking Clinical trials community based deprivation Disadvantaged Drinking Drinking behavior Evidence-based medicine Interactive control Intervention Men Mens health Mobile phones narrative Randomization text message intervention |
| title | Texting to Reduce Alcohol Misuse (TRAM): main findings from a randomized controlled trial of a text message intervention to reduce binge drinking among disadvantaged men |
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