Personalized Feedback Intervention for Latinx Drinkers With Anxiety
Study Details
Study Description
Brief Summary
The purpose of this study is to develop, evaluate the acceptability/feasibility (Phase IA), and test (Phase IB) the effectiveness of a brief, integrated, single-session, computer-based, culturally adapted personalized feedback intervention (PFI) designed to enhance knowledge regarding adverse anxiety-alcohol interrelations, increase motivation and intention to reduce hazardous drinking, and reduce positive attitudes and intention regarding anxiety-related alcohol use among Latinx hazardous drinkers with anxiety.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
In the first phase, the investigators will collect qualitative and quantitative feedback from focus groups to refine intervention content and evaluate treatment acceptability and feasibility of a novel, brief, integrated, culturally adapted computer-based personalized feedback intervention (PFI). In the second phase, Latinx hazardous drinkers with clinical anxiety will be recruited and randomly assigned to either the refined culturally adapted anxiety-alcohol PFI (AA-PFI 2.0) or a control PFI (C-PFI). Initial screening will be conducted via telephone; baseline and post-treatment data will be collected in-person; and 1-, 3-, and 6-month follow-up data will be collected online remotely.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Anxiety-alcohol personalized feedback intervention (AA-PFI 2.0) Participants complete the brief (~20-30 minute) AA-PFI 2.0 at baseline. |
Behavioral: Alcohol-Anxiety Personalized Feedback Intervention 2.0
AA-PFI 2.0 is a culturally adapted, brief, computer-delivered, personalized feedback intervention to address alcohol misuse in the context of clinical anxiety.
Other Names:
|
| Active Comparator: Control personalized feedback intervention (C-PFI) Participants complete the brief (~20-30 minute) C-PFI at baseline. |
Behavioral: Control Personalized Feedback Intervention
C-PFI is a brief, computer-delivered, personalized feedback intervention on exercise and nutrition.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Motivation to Reduce Alcohol Consumption Scale [Change from Baseline Pre PFI completion to Baseline Post PFI completion]
The 1-item Motivation to Reduce Alcohol Consumption Scale will be used to measure current motivation/intention to reduce alcohol. Participants will be asked to select the statement that best describes their motivation/intention to reduce drinking (e.g., "I really want to cut down on drinking alcohol and intend to in the next month"). Higher scores on this measure indicate greater motivation/intention to reduce alcohol consumption (possible range (0-7).
- Modified Drinking Motives Questionnaire-Revised [Change from Baseline Pre PFI completion to Baseline Post PFI completion]
The Modified Drinking Motives Questionnaire-Revised will be used to assess expectancies of drinking. For the current study, the 4-item "Coping-anxiety" subscale will be used as a measure of expectancies of drinking to reduce/cope with anxiety. The measure utilizes a 5-point Likert scale ranging from 1 (almost never/never) to 5 (almost always/always). Scores are averaged with higher scores indicating greater expectancies of drinking to reduce/cope with anxiety (possible range 1 to 5).
- Alcohol Attitudes Scale [Change from Baseline Pre PFI completion to Baseline Post PFI completion]
The 7-item Alcohol Attitudes Scale will be utilized to measure maladaptive attitudes for drinking (e.g., "Drinking alcohol is good"). Items are rated on a Likert-type scale from 1 (strongly disagree) to 7 (strongly agree). Scores will be averaged to create a composite score (possible range 1 to 7). Higher scores indicate greater maladaptive attitudes for drinking.
Secondary Outcome Measures
- Overall Anxiety Severity and Impairment Scale [Change from Baseline Pre PFI Completion to 6-months Post PFI Completion]
The 5-item Overall Anxiety Severity and Impairment Scale will be used to assess anxiety symptom severity and impairment. Each of the items is rated on a Likert-type scale ranging from 0 to 4. Items are summed to produce a total score (possible range 0 to 20).
- Alcohol Use Disorders Identification Test [Change from Baseline Pre PFI Completion to 6-months Post PFI Completion]
The Alcohol Use Disorders Identification Test will be used to assess drinking quantity, craving, and related consequences to alcohol use. The 10 items are rated with various Likert-type scales. The measure produces a total score by adding all of the items of the measure with higher scores indicating greater problems with alcohol (possible range 0 to 40).
Eligibility Criteria
Criteria
Inclusion Criteria:
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Being between the age of 21 to 75 years of age
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Being self-identified as Latinx or Hispanic
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Fluent in Spanish
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Meeting criteria for current hazardous drinking pattern
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Meeting criteria for clinical anxiety
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Being able to provide written, informed consent
Exclusion Criteria:
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Being involved in alcohol or other substance use program
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Endorsement of current suicidal intention or a plan,
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Meeting criteria for current or past psychotic symptoms
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Breath analysis estimating BAC above 0
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Currently pregnant
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Current engagement in psychotherapy for anxiety
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | RESTORE Laboratory: Research on Emotion, Substance Treatment Outcomes, and Racial Equity | Houston | Texas | United States | 77204 |
Sponsors and Collaborators
- University of Houston
- National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Investigators
- Principal Investigator: Michael J Zvolensky, Ph.D., University of Houston
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- STUDY00003237
- 1R01AA029807-01