Hybrid Type 1 Trial of a Parent-Based Intervention Addressing Social Media and Adolescent Alcohol Use

Summary

The central goal of this application is to conduct a Hybrid Type 1 effectiveness-implementation randomized controlled trial to test the comparative effectiveness of an alcohol and social media parent-based intervention (PBI), compared to both a combined approach whereby parents receive the alcohol and social media PBI and adolescents receive an alcohol and social media personalized feedback intervention (PFI) and to an efficacious alcohol PBI handbook. Additionally, we will determine key implementation determinants that are crucial to optimizing effectiveness when delivered in community settings. The proposed study will address each of these goals in turn by enrolling parent and adolescent (age 12-17) dyads and collaborating with key community members.

Conditions

• Adolescent Alcohol Use

Interventions

BEHAVIORAL

Combined Alcohol and Social Media PBI and PFI

Parents will receive the alcohol and social media PBI and adolescents will receive a brief alcohol and social media PFI based on our previous work (PI: Litt, R21AA024163; Litt et al., 2023; Lewis et al., 2019; Larimer et al., 2021, 2023). The PFI will use data from the adolescent baseline survey to create personalized alcohol and social media intervention feedback including normative comparisons to peers and summaries of risk behaviors. Adolescents will be encouraged to complete the PFI in one sitting but can revisit as many times as they like.

BEHAVIORAL

Alcohol and Social Media PBI

The alcohol and social media PBI will be based on our pilot work (R34AA026332) and updated/tailored based on Aim 1 FGs. The PBI will be delivered via a web-based format such that parents will be sent an email and a text message containing a URL to the alcohol and social media PBI website along with guidelines for working through the modules (see below for overview of modules). The website will allow parents to navigate through the modules at their own pace/sequence. Each module will have interactive elements including animations, infographics, and videos to highlight key content. Parents will be sent one text message per week encouraging them to use the website.

BEHAVIORAL

Power of Parents

Parents will be emailed a link to the Power of Parents Handbook, which is a 52- page static PBI handbook (Turrisi et al., 2001, 2009, 2013) housed on the MADD website offered in English and Spanish. The alcohol PBI instructs parents to use an empathic communication style while providing information about alcohol use.

Sponsors & Collaborators

• University of Washington

  collaborator OTHER

• UTHealth Houston

  collaborator UNKNOWN

• University of North Texas Health Science Center

  collaborator OTHER

• The University of Texas at Arlington

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

12 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2027-07-31

Primary Completion

2030-08-31

Completion

2030-08-31