Development and evaluation of a mobile intervention for heavy drinking and smoking among college students
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Nearly all college student smokers also drink alcohol, and smoking and heavy episodic drinking (HED) commonly co-occur. However, few studies have examined the factors that concurrently influence smoking and HED among college students and, to date, no interventions have been developed that target both HED and smoking in this population. The objective of the current study was to develop and evaluate a mobile feedback intervention that targets HED and smoking. Participants (N = 94) were non-treatment-seeking college students (M(age) = 20.5 years, SD = 1.7) who engaged in at least a single HED episode in the past 2 weeks and reported concurrent smoking and drinking at least once a week. Participants were randomized to receive either the mobile intervention for 14 days, complete mobile assessments (without intervention) for 14 days, or complete minimal assessments (without intervention or mobile assessments). At a 1-month follow-up, compared with the minimal assessment condition, we observed significant reductions in the number of cigarettes per smoking day in both the mobile intervention (d = 0.55) and mobile assessment (d = 0.45) conditions. Among those randomized to the mobile intervention, receiving more modules of the intervention was significantly associated with a lower likelihood of any drinking during the 14-day assessment period and significant reductions in smoking at 1-month follow-up. The mobile intervention did not result in significant reductions in HED or concurrent smoking and drinking. Future research should continue to examine ways of using technology and the real-time environment to improve interventions for HED and smoking.
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In studies aimed at reducing alcohol use among college students, those who received tailored text messages were more likely to report reduced alcohol consumption and increased awareness of managing drinking behaviors.
“In several studies to reduce alcohol use among college students, participants who received tailored text messages were more likely to report a reduction in alcohol consumption and an increased awareness to manage drinking behaviors [49–51].”
From Engaging women with an embodied conversational agent to deliver mindfulness and lifestyle recommendations: A feasibility randomized control trial (2017) · cites this paper as [50]
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- Authors
- Witkiewitz, K., Desai, S. A., Bowen, S., Leigh, B. C., Kirouac, M., & Larimer, M. E.
- Affiliations
- University of New Mexico (US)
- University of Washington (US)
- Venue
- Psychology of Addictive Behaviors
- Published
- 2014-09
- Volume
- 28
- Issue
- 3
- Pages
- 639-650
- ISSN
- 0893-164X (ISSN-L)
- 1939-1501
- PMC
- PMC6143292
- OpenAlex
- W2320605305
- Cited by
- 134
- References
- 54
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 12 · 2023: 10 · 2022: 10 · 2021: 12 · 2020: 18 · 2019: 11 · 2018: 15 · 2017: 22 · 2016: 9 · 2015: 3
- FWCI
- 7.54
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Psychology of Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (AA018336)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- binge drinking, mobile health intervention, smoking reduction, alcohol consumption, mobile assessment
- MeSH terms
- Alcohol Drinking in College, Adolescent, Alcohol Drinking, Female, Humans, Male, Prospective Studies, Random Allocation, Smoking, Students, Smoking Cessation, Feedback, Psychological, Young Adult, Binge Drinking, Mobile Applications
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