Delivering normative feedback to heavy drinking college students via text messaging: A pilot feasibility study

Addict Behav. 2018 Aug:83:175-181. doi: 10.1016/j.addbeh.2017.10.003. Epub 2017 Oct 5.

Abstract

Correcting misperceptions in drinking norms is an established method of reducing college student drinking; however, delivery of accurate norms has typically been limited to a single dose within the confines of an alcohol intervention. The present study tests the feasibility, acceptability, and preliminary efficacy of using text messages to promote pro-moderation descriptive and injunctive norms. Following a baseline survey, 68 heavy drinking college students were randomly assigned to receive 28 daily messages with either accurate norms information (experimental group, n=34) or fun facts (control group, n=34). Participants rated each message on a 5-point scale of interest, and at the end of the 28days completed a follow-up assessment of normative perceptions and drinking behavior. The study protocol was feasible: 87% of invited students completed the screener, 64% of eligible students completed the consent form, and 93% agreed to participate. All messages were delivered and 98% were rated. Regarding acceptability, the mean interest rating for the alcohol-related text messages was 2.84 (SD=1.30), and no participants withdrew from the study. Although between-group differences were not observed at follow-up, participants in the experimental group showed significant reductions between baseline and follow-up on peak drinks, frequency of heavy episodic drinking (HED), negative consequences, and injunctive norms (ps<0.01). Results lay the groundwork for development of a text-based prevention strategy for use in college settings.

Keywords: Alcohol; College students; Intervention; Text message.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Alcohol Drinking in College / psychology*
  • Alcoholism / psychology
  • Alcoholism / therapy*
  • Feasibility Studies
  • Feedback, Psychological*
  • Female
  • Humans
  • Male
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data
  • Peer Group
  • Pilot Projects
  • Social Norms*
  • Students / psychology*
  • Students / statistics & numerical data
  • Text Messaging*
  • Universities
  • Young Adult