Brief intervention for hazardous drinking delivered using text messaging: a pilot randomised controlled trial from Goa, India.

Abhijit Nadkarni, Danielle Fernandes, Urvita Bhatia, Richard Velleman, Ethel D'souza, Joseline D’souza, Grace Marimilha Pacheco, Seema Sambari

Research output: Contribution to journalArticlepeer-review

4 Citations (SciVal)

Abstract


Objective:

To evaluate the feasibility and acceptability of a mobile-based brief intervention (BI), generate preliminary estimates of the impact of the BI and fine-tune the procedures for a definitive randomised controlled trial.
Design:

Parallel three-arm single-blind individually randomised controlled pilot trial. Eligible and consenting participants were randomised to receive mobile-based BI, face-to-face BI and information leaflet.
Setting:

Educational institutions, workplaces and primary care centres.
Participants:

Adult hazardous drinkers.
Results:

Seventy-four participants were randomised into the three trial arms; forty-eight (64·9 %) completed outcome evaluation. There were no significant differences between the three arms on change in any of the drinking outcomes. There were however in two-way comparisons. Face-to-face BI and mobile BI were superior to active control for percent days heavy drinking at follow-up, and mobile BI was superior to active control for mean grams ethanol consumed per week at follow-up.
Conclusion:

The encouraging findings about feasibility and preliminary impact warrant a definitive trial of our intervention and if found to be effective, our intervention could be a potentially scalable first-line response to hazardous drinking in low-resource settings.
Original languageEnglish
Pages (from-to)1365-1374
Number of pages10
JournalPublic Health Nutrition
Volume25
Issue number5
Early online date18 Feb 2022
DOIs
Publication statusPublished - 31 May 2022

Bibliographical note

Funding Information:
Acknowledgements: None. Financial support: This work was supported by a grant from the Medical Research Council, UK (Grant number: MR/P020348/1). The funder did not have any role to play in the study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. Conflict of interest: There are no conflicts of interest. Authorship: A.N. conceived and led the study, conceived the paper, did the analyses, and wrote up the findings. R.V. conceived and co-led the study, commented on the first draft of the manuscript and subsequent revisions. D.F. coordinated the study in the field, supervised the data collection, checked the quality of the data and commented on the first and subsequent drafts of the manuscript. E.D.S. cleaned the data and prepared it for analyses. She also commented on the first draft of the manuscript. U.B. supported in coordinating the study and in data management. She commented on the first draft of the manuscript and subsequent revisions. J.F., G.M.P. and S.S., screened participants and collected data, and commented on the first and subsequent drafts of the manuscript. All authors read and approved the final manuscript. Ethics of human subject participation: This study was conducted according to the guidelines laid down in the Declaration of Helsinki, and all procedures involving research study participants were approved by the Sangath IRB. Written informed consent was obtained from all subjects.

Publisher Copyright:
© 2022 The Author(s). Published by Cambridge University Press on behalf of The Nutrition Society.

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