Using wireless handheld computers and tailored text messaging to reduce negative consequences of drinking alcohol
Abstract
OBJECTIVE: The purpose of this trial was to investigate the feasibility and short-term outcomes of a tailored intervention, delivered via text messages to wireless handheld computers, to reduce alcohol-related consequences among college students. METHOD: Forty college students were randomly assigned to one of two study groups. In the control group, participants used handheld computers to complete daily surveys about their drinking behavior and related variables. In the treatment group, participants used the handheld computers to complete daily surveys and to receive individually tailored messages on the units. The tailored messages addressed consequences of alcohol use and were tailored to respondents' reported behavior, self-efficacy, and outcome expectancies regarding alcohol-related consequences. RESULTS: All treatment group participants reported receiving messages on their handheld computers; most students were sent messages on 12-14 days. Controlling for baseline differences, participants in the treatment group reported drinking significantly fewer drinks per drinking day than participants in the control group during the study period. At follow-up, participants in the treatment group had lower expectancies that they would get in trouble as a result of alcohol consumption than did control group participants. Participants provided both positive and negative feedback about the messages. CONCLUSIONS: This study demonstrated the feasibility of delivering tailored messages via wireless handheld computers. Tailored messages about avoiding negative consequences of alcohol use delivered via handheld computers had small but positive effects on alcohol-related attitudes and behaviors. Future research should replicate these findings with a larger, more diverse sample, during a longer period, and with other audiences.
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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 [51]
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- Authors
- Weitzel, J. A., Bernhardt, J. M., Usdan, S., Mays, D., & Glanz, K.
- Affiliations
- Emory University (US)
- Venue
- Journal of Studies on Alcohol and Drugs
- Publisher
- Alcohol Research Documentation, Inc.
- Published
- 2007-07
- Volume
- 68
- Issue
- 4
- Pages
- 534-537
- ISSN
- 1937-1888 (ISSN-L)
- 1938-4114
- OpenAlex
- W2034816401
- Cited by
- 142
- References
- 0
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 6 · 2019: 9 · 2018: 8 · 2017: 18 · 2016: 11 · 2015: 10 · 2014: 18 · 2013: 8 · 2012: 8
- FWCI
- 4.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Studies on Alcohol and Drugs (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r21aa013969-03)
- National Institute on Alcohol Abuse and Alcoholism (5R21AA013969-02)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Keywords
- alcohol-related consequences, university students, text messaging, message tailoring, mobile health, personal digital assistants, self-efficacy, outcome expectations, alcohol consumption, feasibility
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, Feasibility Studies, Female, Follow-Up Studies, Humans, Male, Patient Compliance, Software, Students, Temperance, Alcohol-Related Disorders, Self Efficacy, Computers, Handheld
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